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Clinical Case Coordinator Resume Example

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CLINICAL CASE COORDINATOR
Summary

Detail-oriented Clinical Case Manager passionate about facilitating excellent patient care. Experienced in coordinating care for individuals. Proactive and resourceful professional able to make appropriate decisions for high-quality and cost-effective care. Careful provider of preventative and proactive care for fragile patients. Adept at collaborating with individuals, departments and providers to improve quality and solve both routine and complex issues. Experience driving community support with proactive approaches and diligent leadership of physical resources and personnel. Organized and committed to optimizing support to handle growing demands.

Skills
  • Patient care expertise
  • Familiar with Medicare/Medicaid/MLTC/ACO
  • Insurance terminology
  • Familiar with ICD coding
  • Excellent communication skills
  • HIPAA compliance
  • CPR/First Aid certified
  • Customer service-oriented
  • Dementia and Alzheimer's knowledge
  • Accurate and detailed Hospital inpatient and outpatient records
  • Excellent planner and coordinator
  • Understands insurance benefits
  • Works well under pressure
  • Pleasant demeanor
  • Appointment setting
  • Composed and professional demeanor
  • Team building
  • Office support (phones, faxing, filing)
  • Articulate
  • Clinical Documentation
  • Scheduling
  • Advocacy experience
  • Interpersonal abilities
  • Community outreach
  • Client meetings
  • Customer support and assistance
  • Planning and coordination
  • Team management
Experience
Company NameCity, StateClinical Case Coordinator/Discharge Planner03/2018 to Current
  • Aided families and individuals in setting up medical and treatment options in the healthcare field post discharge.
  • Stayed up to date on relevant processes and compliance standards for optimal oversight.
  • Oversaw simultaneous functions with high efficiency and accuracy.
  • Completed patient follow-up services, data collection, clinical monitoring and liaised with primary health care providers to ensure coordinated care to patients.
  • Performed various clericaltasks, including making phone calls, replying to emails and data entry.
  • Accurately documented each activity for each patient in specified databases.
  • Collaborated with clients, various healthcare providers and medical staff to discuss case progress and options.
  • Analyzed data from surveys, referrals and follow-up services on financial, legal, crisis intervention, community referrals and outreach services.
  • Coordinated referrals to community services by advocating for individual needs and addressing roadblocks.
  • Collaborated with team members to identify and accomplish agency objectives.
  • Managed delivery of social services for 86 residents in need of clinical assistance in the community.
  • Advocated for placement of patients into community-based treatment settings
  • Partnered with similar organizations to meet greater needs, preventing duplication and optimizing resource utilization.
  • Developed and incorporated community-based programs to meet various needs and monitored each program's effectiveness.
  • Conducted patient intake interviews to collect medical information and insurance details.
  • Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
  • Updated patient financial information to promote accurate record keeping.
  • Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
  • Called patients to schedule follow up appointments, consistently double-checking information and availability.
  • Addressed, documented, and responded to incoming correspondences to address client queries.
  • Prepared and distributed financial statements to support bookkeeping functions.
  • Created and maintained accurate and confidential patient files according to regulatory mandates.
  • Oversaw collection of admission, billing and processing documents to meet organizational expectations.
  • Gathered information to file appeals for medicare/managed medicare denials and minimized inaccuracies by maintaining accurate records of approvals.
Company NameCity, StateResident and Family Services Coordinator11/2015 to 03/2018
  • Taught patients how to apply for insurance and prescription programs.
  • Interviewed and evaluated clients, including conducting safety and risk assessments.
  • Coordinated patient care from pre-admission to post-discharge follow-up.
  • Located, checked in and pulled medical records for appointments and incomplete patient charts.
  • Patient scheduling, praised for efficient handling of administrative duties (e.g., answering phones, scheduling appointments, maintaining medical records, processing patients, billing and bookkeeping) that allowed doctors and nursing staff to focus on the health concerns of their patients.
  • Managed paperwork and admission documentation Answered and managed incoming and outgoing calls while recording accurate messages.
  • Maintained a clean reception area, including lounge and associated areas.
  • Obtained signatures for financial documents.
  • Monitored program activities and participation to assess utilization and close service gaps.
  • Maintained effective working relationships with law enforcement, court officials and medical professionals to give families comprehensive and effective support.
  • Discussed eligibility requirements for different services to help families gather required information and documentation.
  • Supported needs of at-risk families with housing, food and other critical assistance.
  • Completed intake assessments on families to determine service needs.
  • Managed delivery of social services for 86 residents in need of support and community assistance.
  • Collaborated with team members to identify and accomplish agency objectives.
  • Analyzed data from surveys, referrals and follow-up services on financial, legal, crisis intervention, community referrals and outreach services.
  • Partnered with similar organizations to meet greater needs, preventing duplication and optimizing resource utilization.
Company NameCity, StateCertified Nursing Assistant01/2013 to 10/2015
  • Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
  • Responded appropriately to the physical, emotional and developmental needs of patients.
  • Obtained information about clients' medical history, drug history, complaints and allergies.
  • Assisted nurses with wound care for pressure ulcers, bed sores, and surgical site wounds.
  • Helped residents programming goals and increase their independence.
  • Complied with HIPAA standards in all patient documentation and interactions.
  • Ensured the accurate, timely flow of information by maintaining thorough patient records and updating healthcare team on patients' status.
  • Documents objective data and routine aspects of patient care.
  • Scheduled and accompanied clients to medical appointments.
  • Monitored vital signs, such as blood pressure and pulse.
  • Conducted routine checks on standard patient vitals, including blood pressure, blood sugar and heart rate.
  • Fostered relationships with patients, caregivers and healthcare teams to achieve individual care plan targets.
  • Documented activities and recorded information in EMR system.
  • Examined and addressed lacerations, contusions and physical symptoms to assess and prioritize need for further attention.
  • Engaged with patient family and friends to provide courteous, efficient visit experience.
  • Facilitated activities of daily living, including personal hygiene management, feeding and ambulation.
  • Exhibited compassionate care and communication regarding issues surrounding death and dying.
Education and Training
Associate of Science2013State University of New York at Delhi, StateThrough out my college experience at SUNY Delhi, I not only graduated with a, GPA: 3.4, GPA but I was also president of the U.S. History club and president of the Psychology club.
High School Diploma2011Saugerties Senior High School, City, State
Bachelor of Science:Healthcare ManagementSUNY Canton, City

I am currently enrolled at SUNY Canton to complete my Bachelors Degree in Healthcare Management. At this time, I have 90 out of the 125 credits required for this. I hope to complete this in the very near future.

Certifications
  • Active NYS EMT-B Certification
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Resume Overview

School Attended

  • State University of New York at Delhi
  • Saugerties Senior High School
  • SUNY Canton

Job Titles Held:

  • Clinical Case Coordinator/Discharge Planner
  • Resident and Family Services Coordinator
  • Certified Nursing Assistant

Degrees

  • Associate of Science 2013
    High School Diploma 2011
    Bachelor of Science : Healthcare Management

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