Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
6
6
years of professional experience
Work History
HSPRS Caseworker
Church World Services
07.2023 - Current
Maintained high level of client confidentiality, following strict guidelines, and recommendations.
Assessed needs of each client and recommended appropriate services and resources.
Monitored case progress for timely completion and compliance with applicable regulations.
Conducted home visits to assess living environment and provided appropriate referrals.
Offered support and direction to families and coordinated with court system and other community agencies for treatment.
Documented progress in treatment plans, educational, and recreational activities and maintained updated case records.
CASE MANAGER
KidsPeace
01.2022 - 07.2023
The Bilingual Case Manager is responsible for providing intensive case management services for all clients assigned to caseload, working to establish plans for reunification and providing case management services, as required by licensing and regulatory bodies.
Coordinate and provide care that is safe, timely, effective, efficient, equitable, and client centered.
Handle case assignments, draft service plans, review case progress and determine case closure.
Participates in meetings as required, converses with staff on client's progress or lack of progress.
Performs general office duties; answers telephones; links clients to needed services; files, types, copies.
Develop effective working relations and cooperate with medical team throughout the entire case management process.
Provide advocacy and case management services for immigrants.
PATIENT CARE COORDINATOR- CUSTOMER SERVICE
UNITED HEALTHCARE
04.2021 - 01.2022
Demonstrate understanding of internal/external factors that may drive caller questions/issues (e.g., recent plan changes, mass mailings, call directing/rerouting, weather emergencies).
Ask appropriate questions and listen actively to identify underlying questions/issues (e.g., root cause analysis).
Gather appropriate data/information and perform initial investigation to determine scope and depth of question/issue.
Identify and coordinate internal resources across multiple departments to address client situations and escalate to appropriate resources as needed.
Offer additional options to provide solutions/positive outcomes for callers (e.g., online access to relevant information, additional plan benefits, workarounds for prescription delays).
QSD-MEDICAL RECORDS ANALYST
UNITED HEALTHCARE
01.2021 - 04.2021
Manage large amounts of inbound and outbound calls in a timely manner
Follow communication scripts when handling different topics.
Identify customer’s needs, clarify information, research every issue and provide solution and/or alternative
Build sustainable relationship and engage customers by taking the extra mile.
Keep records of all conversations in our call center database in a comprehensive way.
Meet personal/team qualitative and quantitative targets.
CASE MANAGER
KidsPeace
09.2019 - 11.2020
The Bilingual Case Manager is responsible for providing intensive case management services for all clients assigned to caseload, working to establish plans for reunification and providing case management services, as required by licensing and regulatory bodies.
Coordinate and provide care that is safe, timely, effective, efficient, equitable, and client centered.
Handle case assignments, draft service plans, review case progress and determine case closure.
Participates in meetings as required, converses with staff on client's progress or lack of progress.
Performs general office duties; answers telephones; links clients to needed services; files, types, copies.
Develop effective working relations and cooperate with medical team throughout the entire case management process.
Provide advocacy and case management services for immigrants.
YOUTH CARE WORKER II
KidsPeace
10.2017 - 01.2019
Responsible for providing shelter direct supervision, support and direction to children and adolescents in a compassionate and respectful manner.
Commitment to the safety of kids and being aware of all ongoing developments and concerns, on a daily basis, of all children in their care.
Processes admissions and discharges, orients the client to the facility; explains rules, policies and procedures.
Participates in meetings as required, converses with staff on client's progress or lack of progress.
Performs general office duties; answers telephones; links clients to needed services; files, types, copies; receives food shipments; order supplies etc.
Performs general cleaning responsibilities such as laundry, mopping, garbage removal etc.
Education
Bachelor of Arts - Criminal Justice
NATIONAL UNIVERSITY
Puerto Rico
06.2017
Skills
Proficient in Microsoft Software
Attention to detail
Organized
Good communication with leadership
Punctual, Honest and Hardworking
Ability to work without constant supervision
Timeline
HSPRS Caseworker
Church World Services
07.2023 - Current
CASE MANAGER
KidsPeace
01.2022 - 07.2023
PATIENT CARE COORDINATOR- CUSTOMER SERVICE
UNITED HEALTHCARE
04.2021 - 01.2022
QSD-MEDICAL RECORDS ANALYST
UNITED HEALTHCARE
01.2021 - 04.2021
CASE MANAGER
KidsPeace
09.2019 - 11.2020
YOUTH CARE WORKER II
KidsPeace
10.2017 - 01.2019
Bachelor of Arts - Criminal Justice
NATIONAL UNIVERSITY
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