certified care coordinator resume example with 9+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • :

Energetic Office Manager with 8 plus years of experience in supporting day-to-day operational functions to provide smooth-running business. Highly dependable, ethical and reliable support specialist and leader in blending advanced organizational, technical and business acumen. Crucial assistance to office staff and customers with eagerness and attentiveness.

  • Progress monitoring
  • First aid and safety
  • Client documentation
  • Records management
  • Case management experience
  • Behavior redirection
  • Care plan management
  • Medical transport billing
  • Fiscal reporting
  • Billing dispute resolution
  • Medical billing and collections
  • Coding proficiency
  • Operations oversight
  • Leadership training
  • Compensation/benefits administration
  • Recruiting and hiring
  • Schedule management
  • Sound judgment
  • Supervision and training
  • Policy/program development
Certified Care Coordinator, 05/2018 to 11/2021
Pacific Medical CentersSeattle, WA,
  • Collaboratively works with other associates, outside agencies and payers, providers, staff, and managers to coordinate and grow PCMH in SVPN clinic sites
  • Evaluates patients overall risk using risk stratification tools and determines if meets routine case management or complex case management criteria
  • Manage patients in current disease management programs, completing and revising as necessary, the information in care coordination documentation system
  • Help to create and implement a Customer Care reporting system to bring visibility and awareness to trends and opportunities for improvement
  • Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of care
  • Recognizes and develops relationships with provider groups through repeat calls, and recognizes provider sensitivities for different health plans
  • Provides recommendations for the continuous improvement of call center processes and service
  • Utilize both company and community-based resources to establish a safe and effective case management plan for members
  • Works collaboratively with interdisciplinary team to develop goals and plan interventions to maximize patient outcomes
  • Works with practices on quality and process improvement initiatives
Business Office Director, 06/2016 to 07/2019
Oakmont Management GroupConcord, CA,
  • Coaches and assists assigned personnel to maximize productivity and teamwork which includes providing work direction, managing performance, supporting training and development, administering company policies and fostering positive employee relations
  • Attains a high level of confidentiality, ethical, and professional standards
  • Prepares monthly productivity reports for areas of responsibility and uses to assist in the preparation of annual employee evaluations and/or with achieving monthly Business Services performance goals
  • Worked with insurance carriers to solve problems with coverage and payments.
  • Recruited, trained and motivated staff to form cohesive and high-performance team.
  • Created and implemented administrative processes and procedures to prioritize job tasks and establish personnel responsibilities.
  • Oversaw customer service and satisfaction initiatives, reporting to management on successful strategies.
  • Evaluated program performance against expectations.
Client Service Manager, 04/2012 to 06/2016
Jpmorgan Chase & Co.Saint George, UT,
  • Performed ongoing monitoring of care plans to evaluate effectiveness, documenting interventions and goal achievements and suggesting changes accordingly.
  • Conducted psychosocial assessments to identify individual needs and specific social services necessary to address identified objectives and goals.
  • Promoted integration of behavioral health care and long-term services to enhance continuity of care for clients.
  • Formulated discharge plans in collaboration with multidisciplinary treatment team, patient and family.
  • Facilitated supportive services and counseling for family members to address special concerns and ease transition during home visits.
  • Advocated for clients' best interest in school settings, at juvenile court and in other systems that interfaced with client and family.
  • Investigated and reported issues relating to patient care and conditions which might hinder patient well-being.
  • Observed patients for changes in physical, emotional, mental or behavioral condition and injuries.
  • Created and maintained facility documents and records, maintaining accuracy while managing sensitive data.
Education and Training
Bachelors: Human Science, Trauma; Sociology; Psychology, Expected in 01/2021 to Grand Canyon University - ,
Associates: Business Administration; Human Resource; Policy and Procedure, Expected in 01/2019 to Colorado Tech University - ,
  • Certified Electronic Health Record Specialist (CEHRS)
  • Licensed Care Coordinator SDS/SOA - 2017

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Resume Overview

School Attended

  • Grand Canyon University
  • Colorado Tech University

Job Titles Held:

  • Certified Care Coordinator
  • Business Office Director
  • Client Service Manager


  • Bachelors
  • Associates

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