High risk Care Coordinator Resume Example
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HIGH RISK CARE COORDINATOR
Professional Summary
Accomplished and energetic Health Service Administrator/Coordinator with a solid history of achievement in a
very fast paced environment. Motivated leader with strong organizational and prioritization abilities.
Education and Training
Bachelor of Science: Health Services AdministrationNew York City College of Technology CUNY － City, StateHealth Services Administration
Associate of Science: Public HealthKings Borough Community College, CUNY － City, StatePublic Health
Skill Highlights
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Certifications
CPR Certificate NYSED approved workshop on School
Speaks Arabic fluently and basic French Violence Prevention
NYSED approved workshop on the Dignity
for All Students Act (DASA)
Professional Experience
11/2016 to Current
High risk Care CoordinatorCummins － Dallas , TX
- Provides case assessment through telephonic assessments, care coordination, monitoring and evaluation to ensure member receives services and supports required to meet psychosocial, educational and health care needs.
- Develops, facilitates, and communicates partnership with the member, his/her significant other, primary caregiver, the primary and attending physicians, and various other providers involved in the member's care.
- Initiates utilization review for preauthorization and post service reviews.
- Utilizes knowledge of community resources and the member's benefit structure.
- Interacts with providers and facilities in a professional, respectful manner.
- Recognizes quality of care issues and escalates the issues appropriately.
- Assists members with the coordination of services from various settings as appropriate.
- Complies with all CPHL's standards for documentation.
- Participates in case rounds.
- Participates in other meetings as requested.
- Other duties as assigned.
11/2016 to Current
High risk Care CoordinatorB.F. Saul Company Hospitality － Boca Raton , FL
- Providescase assessment through telephonic assessments, care coordination, monitoring and evaluation to ensure member receives services and supports required to meet psycho social, educational and health care needs.
- Develops, facilitates, and communicates partnership with the member, his/her significant other, primary caregiver, the primary and attending physicians, and various other providers involved in the member's care.
- Initiates utilization review for preauthorization and post service reviews.
- Utilizes knowledge of community resources and the member's benefit structure.
- Interacts with providers and facilities in a professional, respectful manner.
- Recognizes quality of care issues and escalates the issues appropriately.
- Assists members with the coordination of services from various settings as appropriate.
- Complies with all CPHL's standards for documentation.
- Participates in case rounds.
- Participates in other meetings as requested.
- Other duties as assigned.
09/2012 to 11/2016
Administrative AssistantMcguire Group Health Care Facilities － East Patchogue , NY
- Make claims, adjustments, and both weekly / monthly follow up request authorizations; New & Expired authorizations
- Accurately enter procedure codes, diagnosis codes and patient information into Universal system software and maintained electronic and paper files.
- Disperse incoming mail to correct recipients throughout the office; make copies, send faxes and handle all incoming and outgoing correspondence
- Facilitate working relationships with MLTC and HMO insurance companies, Home care agencies, doctors or pharmacies
- Report patients' status to the administrator Keep daily record of patients' schedules and attendance
- Act as a liaison between patients and their families in solving and investigating problems Assist with communication with employees via memos, take daily attendance, maintain and manage trips logs
- Keep consumer and center information confidential /HIPPA
- Train and assist the staff in monitoring daily activities
- Assist with home assessments meeting between patients and nurses/ case managers /schedule appointments and maintain and update appointment
- Translate documents to Arabic - English and vice versa
- Order and dispense office supplies as needed
01/2006 to 12/2008
Home AttendantChinese American Planning Council, LLC － City , STATE
- Cared for handicapped patient at home, performed any combination of tasks
- Administered prescribed oral medications underwritten direction of physician or as directed;
- Entertained patient Read aloud, and played cards or other games with patient Assisted patient to dress, bathe, and groom self.
- Assisted patients to dress, undress, or put on and remove supportive devices, such as braces, splints, or slings
12/2006 to 08/2012
Physical Therapist AssistantQuality Physical Therapy － City , STATE
- Instructed, motivated, and assisted patients as they practiced exercises or functional activities and assisted in application of traction devices
- Kept facility stocked with necessary supplies, equipment and instruments
- Observed patients during treatments to compile and evaluate data on their responses and progress and provided results to physical therapist in person or through progress notes
- Massaged patients and applied preparations and treatments, such as liniment, alcohol rubs
and heat-lamp stimulation
Skills
administrative, schedule appointments, Arabic, caregiver, clerical, Excellent interpersonal skills, oral, make copies, CPR, diagnosis, direction, documentation, English, faxes, filling, forms, basic French, functional, Home care, insurance, inventory, lamp, notes, meetings, mail, office, personnel, Physical Therapy, policies, progress, protocols, Quality, Read, supervision, taking messages, telephone
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Resume Overview
School Attended
- New York City College of Technology CUNY
- Kings Borough Community College, CUNY
Job Titles Held:
- High risk Care Coordinator
- Administrative Assistant
- Home Attendant
- Physical Therapist Assistant
Degrees
- Bachelor of Science : Health Services Administration
Associate of Science : Public Health
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