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5412 Bronco Crossing Trail Apt 724 Fort Worth, Tx 761123
EXPERTISE-HUMAN SERVICES- HEALTH AND WELLNESS
P R O F I L E
Health Care Representative who is energetic, highly focused, and a team player. Demonstrated ability to work collaboratively with varied populations and anticipate needs, effectively problem solve and contributes to overall business growth.
K E Y S T R E N G T H S
People skills (committed to partnership building, listening proactively, identifying key issues, and encouraging effective collaboration)
Field knowledge (staying abreast of current resources available to clients and any advancements and changes in the health care delivery system)
Results driven (fulfills needs of clients and providers, meets deadlines expeditiously)
E D U C A T I O N
Bachelor of Science in Human Services Counseling & Management, minor in Health and Wellness
University of Phoenix. Completion Date: 2014
Associate of Arts: Introduction Human Services
University of Phoenix. Completion Date: 2011
P R O F E S S I O N A L E X P E R I E N C E
Consulate Health Care, Newport News, Virginia (2014-present)
Assistant Admissions Director
Achieve facility census goals and annual budget projections.
Development of strategies to maximize admissions.
Contact families of potential residents and invite for tours.
Develop relationships within each market area in identification of current and future market needs.
Maintain knowledge of current regulations governing Medicare, Medicaid and private insurance company reimbursement.
Assist in preparation in annual budget including analysis and recommendations of occupancy percent, and rate structures.
Participate in the facility quality improvement process by identifying customer service issues, reporting these issues to the Executive Director, and assisting in development of a plan of action to address identified issues.
Conduct tours of facility for prospective residents.
Receive patient referral and disseminate the information to the Director of Admissions.
Track pre-admission referral activity daily.
Arrangements and confirmation for all admissions.
Assign attending physicians.
Verify payor source; i.e. Medicare, managed Care, Medicaid, Insurance.
Obtain prior approval number from payor on a per case basis when authorized.
Ensure level of care approval obtained and or OBRA screen (PASSAR, MIMR) when indicated.
Order specialized equipment.
Complete appropriate documentation, copy and distribute to the appropriate departments.
Track acute hospital admissions to ensure readmission of patients.
Coordinate weekend/holiday admissions in conjunction with Director of Admissions.
Riverside Regional Medical Center , Newport News, Virginia (2008-2014)
General Surgery Unit Coordinator, Riverside Health Systems
Communicated with Care Coordinators, Physicians and Hospitalists to determine discharge needs of patients.
Partnered with discharge planners to execute transition of patient from hospital to home, rehabilitation or nursing facilities.
Established and sustain healthy relationships with essential hospital personnel.
Reviewed of census for surgical unit and discuss with Rn for potential discharges, clinical updates and potential discharge barriers.
Assisted Skilled Nursing Home placement and returns to these facilities
Maintained positive working relationships with physicians and clinical staff
Worked with team composed of physicians, therapists, dietician, as well as psychiatrist to determine length of stay for patients on a daily basis
Followed HIPPA guide lines when conducting business as a care coordinator
Scripps Green Hospital, San Diego, Ca (2000-2007)
Telemetry Unit Coordinator
Assist Nurses, Physicians and other health care providers in patient care.
Assist in training new PCA and Health care coordinators to the unit.
Vitals, Blood pressures, Foley care more
Educated patients and families regarding home health services offered
Obtained information as needed from hospitals, doctor’s offices, etc. regarding patients returning home or for new patients
Edgemore Hospital, San Diego, CA (1997-2000)
Assist Nurses, Physician and other health care providers in patient care for Huntington Disease and HIV clients.
Assisted in daily ADL’s
Vitals, blood pressure and other personal care
Battered Women Shelter, San Diego, CA (2006)
Mentored battered women and help with rebuilding their lives.
Help and Emergency Response Shelter (H.E.R.) San Diego, CA (2004-2007)
Served various positions throughout the shelter. Assisted with emergency hotline, stocked shelves with food, and provided supervision for children.
Normal life, New Orleans, LA (1992-1994)
Served developmentally disabled and special needs clients.
C O M P UT E R/SPECIAL S K I L L S
Microsoft Office Software; Word, PowerPoint and Excel
Completion of Medical Terminology coursesces
Educated patients and families regarding home he