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Experience
Beacon Health Options Miami, FL INTAKE SPECIALIST 05/2016 to Current
  • Utilizes national rounds and case consultations with care managers by coordinating integrative behavioral and medical health services, reviewing case history, and pairing recipient's condition with provider specialty.
  • Completes projects and other research for department by effectively managing allotted schedule.
  • Performs regular audits in compliance with quality management guidelines by reviewing monthly correspondences with caregivers and providers.
  • Provides support to caregivers, recipients, and providers by facilitating the coordination of benefits for Behavior Analysis services.
  • Delivers outreach to recipients and families by notifying the availability of peer specialist to assist with daily activities.
  • Assists caregivers by researching and identifying other behavioral health facilitators within the community.
FIU Center for Children and Families, Behavior Analysis Autism Research Lab Miami, FL LAB COORDINATOR 10/2014 to 12/2015
  • Designed intake protocols to obtain thorough and accurate case history to develop individualized behavioral interventions.
  • Organized and maintained lab students and staff records by transferring paper files into digital filing system.
  • Established protocols and assisted by creating a training manual for staff.
  • Created and implemented individualized treatment programs for clients with developmental delays and autism by using ABA techniques.
  • Registered and enrolled families and clients seeking Early Intensive Behavioral Intervention therapies.
  • Recruited and supervised student therapists in research environment for evidence-based treatment and therapies.
  • Communicated with families to schedule assessments and coordination of care.
Marriott International Plantation, FL GUEST SERVICE REPRESENTATIVE 03/2015 to Current
  • Orients and train new employees on property management system, standard operating procedures, and novel guest recovery techniques.
  • Directs calls resourcefully from telephonic switchboard by using call screening methods.
  • Demonstrates excellent customer service by managing guest inquiries and resolving concerns in a timely manner.
  • Maintains professional demeanor with guests and colleagues by addressing escalated issues related to guest satisfaction.
Education
Bachelor of Arts: Psychology 2015 Florida International University, Miami, FL
Skills
  • Excellent communication skills 
  • Self-motivated worker
  • Highly organized multitasker
  • Skilled presentation speaker
  • Analytical problem solver
  • Strong case coordination and follow-up skills
  • Experienced family service worker
  • Proficient with Window and Mac operating systems
  • Microsoft Office (Word, Excel, Outlook, PowerPoint) 
Accomplishments
University of Miami-Intensive Behavioral Intervention Services (IBIS) Clinic Miami, FL Practicum and Senior Volunteer Staff 08/2014 to 05/2016
Florida International University Miami, FL Advanced Research and Creativity in Honors (ARCH) Conference Presenter 05/2014 Re-Imagining Animals and Humans Project
Florida International University Miami, FL Summa Cum Laude Magazine Cover 05/2014 Honors In and Out of the Classroom: Leroy the Last Dragon
Florida International University Miami, FL FIU Panthers Alumni Week Guest Speaker 05/2016 Professor Scharnagl Honors Seminar Course
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Professional Summary
Customer Service Representative who maintains a high level of professionalism, patience and efficiency to minimize customer dissatisfaction and increase customer loyalty. Proficient in medical billing, health insurance and claims processes.
Areas of Expertise
  • High customer service standards
  • Bi-lingual Spanish 
  • Dedicated to process improvement
  • Negotiation competency
  • Troubleshooting skills
  • Proficient with Microsoft Office Suite
  • Proficient in customer account software
  • Multi-channel contact center software
  • Knowledge of HMOs, Medicare and Medi-Cal
Work Experience
Associate Care Coordinator, 06/2009 to Current Blue Cross Blue Shield Owings Mills, MD
  • Answer all incoming calls from providers and hospitals.
  • Entered all inpatient and outpatient authorizations (Precertification).
  • Assisted hospitals with inpatient/ outpatient authorizations.
  • Experienced with different product lines FEP,NASCO,FACETS.
Marketing/Outreach Associate/Healthcare, 11/2007 to 07/2008 Amerigroup Corp Washington DC
  • Coordinating and scheduling member educational events.
  • Manning event booths to distribute health information to plan members.
  • Following up with members via phone to assist with doctors appointments or finding a suitable doctor.
  • Coordinating and conducting home visits in the District of Columbia.
  • Distribution of health information to provider offices and health departments.
OB Case Specialist Plan (Medicaid CMO), 05/2006 to 10/2007 Amerigroup Corp Atlanta, GA
  • Responsible for coordinating assignments for Nurse Case Managers.
  • Making outbound calls to members, providers.
  • Initiate and maintain contact with assigned individuals and providers.
  • Arrange for services as identified by Case Manager.
  • Coordinate home visits for Case Managers.
  • Review of benefits system.
PBX Operator/Scheduler, 10/2005 to 05/2006 Children's Center for Digestive Health Care Atlanta, GA
  • Responsible for scheduling current and new patient appointments for 10 doctors.
  • Duties also include confirmation calls for appointments and answering all incoming calls.
  • Front office assistant Check In/Check Out, Collecting Co-Pay.
  • Insurance verification.
Care Coordination Specialist (Medicaid CMO), 08/2004 to 10/2005 Amerigroup Corp Linthicum, MD
  • Provided telephone assistance to Members, Pharmacies and Medical Providers.
  • Responsible for entering authorizations for medical services and supplies and ensuring that home health services or supplies have been delivered and received by member.
  • Assisting members with the scheduling of appointments with their Primary Care Physician.
  • Responsible for coordinating the care of hospitalized or recently discharged members.
  • Communicating with Primary Care Physician telephonically for care coordination.
Pre-Authorization Assistant Intake Specialist, 06/2001 to 08/2004 Amerigroup Corp Linthicum, MD
  • Assisted staff of nurses by triaging phone calls from members, verified member eligibility in order to route call to correct medical department.
  • Assisted Amerigroup Providers and Billing Agencies with authorization inquires, pended claims, eligibility, SSI status, denial appeals and provide research and resolution.
  • Assist with coding procedures and diagnoses utilizing CPT, HCPCS, DRG and ICD-9 coding system.
  • Responsible for DME authorizations.
Education
Diploma: 06/98 High Point High School Beltsville, MD
Applied Career Training Medical Assistant Certificate: 12/99
Skills
Basic, benefits, Billing, Call Center, Case Manager, Excellent communication, CPT, Front office, home health services, ICD-10, ICD-9, Insurance, Medical Terminology, Microsoft Excel, Microsoft Office, Windows XP, Primary Care, coding, research, scheduling, Fluent Spanish, SSI, telephone, phone, writing skills
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Professional Summary

Experienced Registered Nurse with strong clinical and people skills. English/French/Creole speaking professional with over 11 years experience. ​

Dedicated Newly graduated Family Nurse Practitioner in NY Looking for a position that involves a wide variety of patients with diverse needs in a facility that diagnoses and manages both common and complex medical conditions in patients of all ages.

Skills
  • Strong clinical judgment
  • Acute care expertise
  • Disease prevention and intervention specialist
  • High level of autonomy
  • Fluent in French, Creole
  • Professional bedside manner
  • Adept at prioritizing/managing deadlines
  • Thorough physical assessments
  • Foley catheter insertion/removal familiarity
  • Insulin medication assistance
  • Tracheotomy care
  • Proper catheter insertion/removal
  • Patient and family advocacy
  • Feeding assistance aptness
  • Patient/family focused
  • Preceptor
  • Acute care expertise
  • Strong clinical judgment
Work History
UAS RN Current
Metro plus Health Plans

  • Perform intake and reassessments visit for MLTC/PCS/Fida Members
  • Determine Level of care if appropriate to join the pan
  • Determine type of services according to mental/physical/and social status.
  • Reports finding to the managers to determine if hours are appropriate for each individualized assessments.
  • Educate families on preventative care, follow up with PCP, and to report any significant changes timely.
  • Ensure that potential members are appropriate to join the plan, provide guidance and contact numbers to their respective Care Managers.
Field RN 07/2007 to 04/2014
VNSNY 1250 Broadway NY NY
  • Coordinate care between heath care team, admit Patient into the system.​
  • Complete Oasis, Home Health Aide supervision, perform wound care, insertion of foley cath, Administer subcutaneous or Intramuscular injection.
  • Perform recertification and discharge of patients.
  • Self-directed with astute judgment skills.
  • High level of personal accountability.
  • Liaised between patients and physicians to ensure patient comprehension of treatment plans.
  • Instructed patients and family members on proper discharge care.
  • Closely monitored acute conditions.
  • Pharmacological and non-pharmacological management and treatment of various disorders and diseases.
  • Chronic patient care, adeptly handling all aspects of treatment from medication to wound care to monitoring for number patients.
  • Liaised between patients and physicians to ensure patient comprehension of treatment plans​
  • Effectively supervised RN/ LPNs, NAs and non-clinical staff. 
Registered Nurse 05/2006 to 06/2007
Mercy Medical Center Rockville, NY
  • Provides direct care and coordinates care of patients, In a step-down ICU.
  • Patients on IV drips, Ventilators Suctioning, administer tube feeding, interpretation of EKG strips.
  • Initiates admissions interview of patients',.
  • delegate Task appropriately to LPN 's and CNA 's.
  • Experience with various medical conditions including Parkinson's, Dementia, Diabetes, Cancer, Alzheimer's.
  • Developed patient care plans, including assessments, evaluations and nursing diagnoses.


Nursing preceptorship 09/2005 to 12/2005
Winthrop University Hospital Mineola, NY
 
Neuro ICU Internship, work under the supervision of a staff RN.
  • Assessing the patients, neurological checks, Administer medications, ICP monitoring and CVP recording).
  • Suctioning, Intramuscular & Subcutaneous Injection.
  • Calculate and entering drips in IV Pumps.


Intake Specialist 08/2013 to 07/2016
Fidelis care 9525 Queens Blvd Rego park NY

Developed and implemented nursing care plans.

Perform initial intakes/reassessment for MLTC/FIDA members

Determine eligibility to enroll in the MLTC

Perform Home environment  for safety

Audit/review of UAS for uniformity and check for discrepancies. 

Nurse practitioner Internship 09/2015 to 12/2015
Northwell Forst hills NY
  • Assessed need for, ordered, obtained and interpreted appropriate lab tests.
  • Managed care for pre-operative patients through discharge.
  • Ensured HIPAA compliance.
  • Collected blood, tissue and other laboratory specimens and prepared them for lab testing.
  • Scheduled patient pre-surgical admissions and discharges.

Education
Bachelor of Science: Nursing 2005 Molloy College Hempstead Ave - Rockville Centre, Ny
Master of Science: Family Nurse Pratitioner 2016 Molloy College - Rockville Center NY
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Executive Profile
Detail-oriented, professional, familiar with preparing specimens, analyzing and reporting data. Seeks to provide effective work while simultaneously continuing both personal and professional development.
Skill Highlights
  • Comfortable with diverse populations
  • Interpersonal, oral, and written communication skills
  • Ability to maintain accurate client records
  • Able to work independently and as a member of a team
Core Accomplishments
Supervised and directed the work of 12 primary staff members and 5 volunteers
 Documentation
  • Wrote curriculum and edited documents for staff and clients regarding programming, policies and procedures.
Professional Experience
Four Oaks October 2015 to Current Part-Time Safety & Permanency Specialist
Iowa City, IA
Maintained a caseload of 20+ families, working under strict deadlines.  
Direct all protective placement, case management, parent education and family reunification activities per assigned caseload.
Maintain thorough case history records and wrote detailed reports.
Advise families on community resources, make referrals and devise realistic treatment plans.
Develop relationships with children, parents and stakeholders. 
Consult with other professionals regarding the treatment of specific clients.
Attend meetings and trainings necessary for professional development and as required by the agency or its funding sources

Catholic Charities July 2013 to October 2015 Intake Specialist
Chicago, IL
Completed intake assessments for emergency service, public benefits and homeless prevention programs.
Provided short-term case management services and direct assistance or referral for appropriate aid.
Advised patients on community resources, made referrals and devised realistic treatment plans.
Educated clients regarding budgeting and housing maintenance. 
Worked collaboratively with Parishes and Catholic Charities partners including the operation of the Cook County North & Northwest Regions Homeless Prevention Call Center twice weekly.
MYSI Corporation April 2010 to January 2013 Program Supervisor
Chicago, IL
Managed team of 12 professional staff members.
Monitored team progress and enforced deadlines.
Delivered status reports to stakeholders for budgeting and planning purposes.
Interviewed clients individually to determine what services would best address their needs.
Guided youth through the emancipation planning process.
Wrote petitions, court reports, case plans and other legal documents.
Consulted with other professionals regarding the treatment of specific clients.
Communicated with public social and welfare agencies to obtain and provide information. 
Reduced the unnecessary risk of institutional care by treating high-risk youth living in the residential programming.



Cedar Valley Habitat for Humanity April 2017 Family Service Program Manager
Cedar Rapids, IA
Oversee the intake process for all new program applicants 
Expand family service offerings by securing grants and effectively networking.
Keep up-to-date, thorough and accurate case files.
Represent Habitat to government, funding and field sources at meetings and conferences.
Lead monthly program management committee meetings.
Refer clients to partner agencies for additional services.
Enter partner family data in a centralized database and maintain up-to-date case records for all clients.
Facilitate Home-buyer / Home Ownership education groups that address topics such as Being a Good Neighbor, Financial Fitness, Understanding Habitat Mortgages. 
Education
Spertus Institute 2015 Master of Science: Nonprofit Management Chicago, IL, US
Roosevelt University 2009 Paralegal Studies Chicago, IL, US
Illinois State University Bachelor of Science: Sociology Normal, IL, US
Affiliations
Treasurer, 2013-2014
Each One Teach One literacy, Chicago, Illinois
Strategic Planning & Finance Committee
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Summary
Experienced professional with excellent client and project management skills. Action-oriented with strong ability to communicate effectively with technology, executive, and business audiences.
Skills
  • Results-oriented
  • Operations management
  • Client-focused
  • Excel in community outreach
  • Quick learner
  • Computer proficient
  • Microsoft Office
  • Training and development
  • Change management
  • Organized
  • Strong communication skills
  • Data entry
  • Administrative support
  • HIPAA compliance
  • Inventory coordination
  • Critical thinking skills
  • Work well independently
  • Professional demeanor
  • Cash handling accuracy
  • Event planning
  • Detail-oriented
  • Time management
  • Excellent multi-tasker
Experience
Leasing Agent
August 2017 to Current
Birch Park Properties Saginaw, MI
  • Greets prospects and quality by covering all criteria (ask questions; utilize completed guest cards, and etc.)
  • Receives all telephone calls and in-person visits. Listens to resident requests, concerns and comments.
  • Demonstrates ability to diffuse and respond to customer concerns to avoid escalation of problems.
  • Assists in planning residential functions, attends functions and participates as host for any functions as directed  by the community manager.
  • Receives and processes all rental payments on a monthly basis.
Intake Specialist
November 2013 to Current
Thaw Saginaw, MI
  • Processes paperwork for new clients efficiently and in accordance with protocols.
  • Obtains patient information from new clients by asking them to complete surveys or interviews courteously and professionally.
  • Answers and screens inquiry calls and emails from prospective clients.
  • Collects data to help with the admission process if working in a health or mental care facility.
  • Monitors all follow-up assessments or plans of care needed based on product type, diagnosis and eligibility.
Landloord
January 2013 to Current
Self Employed Saginaw, MI
  • Establishes rental rates by surveying local rental rates; calculating overhead costs, depreciation, taxes, and profit goals.
  • Attracts tenants by advertising vacancies and obtaining referrals from current tenants.
  • Contracts with tenants by negotiating leases and collecting security deposits.
  • Maintains property by investigating and resolving tenant complaints; enforcing rules of occupancy; inspecting vacant units and completing repairs; planning renovations; contracting with landscaping and snow removal services.
Home Health Aide
Comforcare Saginaw, MI
  • Monitored patient condition by observing physical and mental condition, intake and output, and exercise.
  • Supported patients by providing housekeeping and laundry services; shopping for food an other household requirements; by preparing and serving meals and snacks; running errands.
  • Assisted patients by providing personal services, such as bathing, dressing and grooming.
  • Helped patients care for themselves by teaching use of cane or walker, special utensils to eat, special techniques and equipment for personal hygiene.
Education and Training
Associate of Arts : General Education Delta College University Center , MI
Certificate : Medical Assistant Dorsey Medical School Saginaw, MI
Certificate : Home Health Aide Education Training Connection Saginaw, MI
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Summary
Dedicated individual with 20 years of practical experience working with diverse populations in social work, desiring employment with a company or organization that will utilize strong interpersonal and communication skills. 
Skills
  • Communication and Writing
  • Time Management and Organization
  • Problem Assessment
  • Public Speaking
  • Document Processing
  • Case Management
  • Record Keeping
  • Microsoft Office proficiency 
Experience
11/2012 to 07/2017
Intake Specialist Crystal Stairs Los Angeles, CA Determined family eligibility and helped participants that were eligible under the California subsidized child care programs gain access to child care programs and services. Maintained cases and certified family eligibility. Authorized care hours, updated family information, approved changes, and issued family referrals as needed.  Provided quality customer service for all clients and internal support departments and ensured the accurate and timely entry of data. Performed childcare orientations at various county/government Regional Offices. Conducted site visits to various locations, performed outreach activities and represented the agency at community events. 
06/2011 to 07/2012
Support Consultant Healthy Families Los Angeles, CA
Education and Training
2018
Associate of Arts: Social Studies East Los Angeles College Monterrey Park, CA, USA
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Summary
Ambitious, self motivated, multi-task-oriented individual.  Most recently worked in health insurance industry.  Have marketing, outreach, enrollment and customer service experience.  Able to communicate well in person, via phone and via e-mail (verbally and written).  Maintained community relations.  Have supervision experience and coordinating Navigators on staff.
Skills
  • Good public speaking skills
  • Able to do word processing, managing files and records, designing forms and other office procedures 
  • Able to collaborate with others inside or outside of organization
  • Review and analyze healthcare plans
Experience
10/2013 to 10/2017
Western Region Healthcare Navigator Coordinator Mental Health America of Southwestern PA Greensburg, PA Built program from the ground up to assist individuals in enrolling in the Federally Facilitate marketplace.  Created outreach plans to educate the public regarding health care options.  Scheduled and coordinated events for enrollment or education for myself and additional staff members.  Oversaw the program to ensure that goals were being met.  Provided training and support for staff in order for them to effectively do their job.  Enrolled individuals in the Federally facilitated marketplace. Completed applications, assessed health care plans to find the most compatible plan for the individuals needs.  Met with and enrolled 100's of individuals during open enrollment.  Complete over 200 presentations and outreach events per year.
05/2010 to 10/2013
Southwest Regional Coordinator Parent to Parent of PA Greensburg, PA Worked at a non profit dedicated to providing support for parents who have children with special needs.  Conducted comprehensive intakes regarding the peers child and their condition.  Gave presentations to groups of parents to make them aware that support is able.  Coordinated outreach events.  Built collaborative relationships with agencies and service providers.  Maintain quality public relations.
11/2002 to 03/2008
Intake Specialist Westmoreland Casemanagement and Supports, Inc. Greensburg, PA Provided through and individualized clinical assessments for clients to determine diagnosis and level of mental health services.  Assessed clients for case management services or crisis services.  Made appropriate referrals to support clients mental health.  Worked under strict deadlines and responded to initial inquires for services.
Education and Training
Master of Science: Community Agency Counseling California University of PA California, PA, USA Coursework in Community Agency counseling.  Focus on individual and group therapy skills.  Completed Practicum I and II at Chestnut Ridge Counseling Services.  Worked in the adult and acute partial hospitalization programs.  Ran group therapy sessions and held individual sessions.  Was Graduate Assistance at the Office of Health Promotion and Substance Abuse Prevention.  Conducted educational presentations to undergraduates.  Recruited, managed and trained peer educators.  Developed and implemented training for peer educators as well as programs for the undergraduates.