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Outpatient Case Manager Coordinator Resume Example

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OUTPATIENT CASE MANAGER COORDINATOR
Summary

Ambitious post graduate alumna seeking to attain and develop specialized knowledge from Palo Alto University's counseling program . Demonstrated success in the Masters of Psychology program at Ashford University. Seeking to pursue a career as a Licensed Marriage and Family Therapist.

Skills
  • Clinical Documentation
  • Crisis consultation
  • Spreadsheet management
  • Critical thinking abilities
  • Flexible and adaptive
  • Planning and coordination
  • Problem resolution
Experience
Regal Medical Group | Northridge, CAOutpatient Case Manager Coordinator02/2017 - Current
  • Improved customer satisfaction by finding creative solutions to problems.
  • Ran daily Humana reports through Regal's Access Express database to confirm possible inpatient information of members.
  • Handled all delegated tasks, including outreach calls, interdisciplinary meetings, creating careplans and assisting in managing care.
  • Maintained updated Health Care knowledge through job aids and research.
  • Earned reputation for good attendance and hard work.
  • Improved operations by working with team members and customers to find workable solutions.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines for audits.
  • Collaborated in development of case management preparation procedures.
  • Orchestrated and led occupational safety trend and current hazards analyses.
  • Examined hazardous incidents and accidents to uncover the causes and provided corrective actions.
  • Coordinated fire drills on a biannual basis for employees of every work shift.
  • Instructed staffers during fire drills to provide awareness of proper evacuation routes and reporting techniques.
  • Authored, coordinated and delivered mass educational briefings focused on occupational mishap trends and prevention.
  • Held safety training and traffic safety instructional courses which led to marked improvements in safety culture across personnel groups.
  • Updated group medical records and technical library to support smooth office operations.
  • Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services in the coorporate office with a branch of providers.
  • Analyzed information from interviews, educational, and medical records, consultation with other professionals, and diagnostic evaluations to assess clients' abilities, needs, and eligibility for services.
  • Verified patient health history and contact information for chart accuracy.
  • Documented patient interactions in compliance with HIPAA requirements.
  • Communicated with clients and families in professional and respectful manner, effectively building lasting relationships.
  • Identified and corrected data entry errors to prevent duplication across systems.
  • Entered data into spreadsheets, documents and databases, maintaining a proficient accuracy rate.
The Holman Group | Chatsworth, CACase Specialist05/2016 - 10/2020
  • Managed average of 20-30 patients per day and processed new claims utilizing appropriate adjudication system.
  • Investigated insurance policies to determine claim eligibility and processed files in accordance with instructions.
  • Determined whether clients should be counseled or referred to other specialists
  • Maintained a positive attitude and effectively de-escalated clients during crisis situations.
  • Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
  • Inputted all communication with applicants into computer system to facilitate future clarification and knowledgeable support.
  • Improved operations by working with team members and customers to find workable solutions.
  • Supported patients by identifying and addressing mental health challenges.
  • Documented patient interactions in compliance with HIPAA requirements.
  • Conducted 15-minute and unscheduled checks on patients, immediately responding to hazardous incidents or crises to maintain safe milieu.
Disability Resources and Educational Services | Northridge, CAStudent Paraprofessional09/2015 - 01/2016
  • Maintained focused, inclusive and supportive learning environments.
  • Liaised with team of professionals to implement comprehensive educational action plans for special needs and at-risk students.
  • Created and distributed instructional materials for group and one-on-one use.
  • Provided students with personalized educational, behavioral and emotional support.
  • Prepared visual aids, equipment and classroom displays.
  • Performed diverse tasks for teachers, including clerical support, classroom management and document coordination.
  • Delivered Exams to various department locations on campus.
Education and Training
Ashford University | San DiegoMaster of Arts in Psychology05/2020
California State University - Northridge | NorthridgeBachelor of Arts in Psychology05/2017
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Resume Overview

Companies Worked For:

  • Regal Medical Group
  • The Holman Group
  • Disability Resources and Educational Services

School Attended

  • Ashford University
  • California State University - Northridge

Job Titles Held:

  • Outpatient Case Manager Coordinator
  • Case Specialist
  • Student Paraprofessional

Degrees

  • Master of Arts in Psychology
    Bachelor of Arts in Psychology

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Outpatient Case Manager Coordinator

Regal Medical Group

Northridge, California