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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:
  • resumesample@example.com
  • :
Summary

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.

Skills
  • 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
Experience
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 - ,
GPA:
Associates: Business Administration; Human Resource; Policy and Procedure, Expected in 01/2019 to Colorado Tech University - ,
GPA:
Certifications
  • 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

Degrees

  • Bachelors
  • Associates

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