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Clinical Case Manager with patient care coordination expertise
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Competencies
Coordinated patient care plans and follow-ups to improve health outcomes and patient satisfaction.
Managed inbound and outbound calls with professionalism, listening to needs and resolving issues efficiently.
Engaged effectively with patients and colleagues to facilitate understanding and support.
Maintained comprehensive clinical records and detailed documentation for clinical cases.
Managed multiple responsibilities such as scheduling, record-keeping, and follow-ups efficiently.
Education
Summary
Experienced in patient care coordination, Medicare support, and customer service, with a focus on improving clinical outcomes and client satisfaction.
Key Achievements
- Provided scheduling review and support for Medicare beneficiaries, ensuring adherence to protocols.
- Handled inbound and outbound customer interactions, resolving issues through research and interdepartmental coordination.
- Facilitated patient care by working closely with physicians to assess, evaluate, and follow up over the phone, enhancing clinical outcomes.
Experience
Medicare Advocate
Providing scheduling review both inbound and outbound call support to Medicare consumers while following protocols and guidelines., Providing proactive member outreach and education about program benefits and transferring recipients to qualified dept.
Customer Service Representative
Handle inbound and outbound contacts in a courteous, timely, and professional manner., Listen to customers, understand their needs, and resolve customer issues by researching systems to find missing information as applicable and coordinate with other departments to resolve issues as applicable.
Clinical Case Manager (CCM)
Working with physician coordinating and facilitating patient care through assessment, evaluation, implementations and follow up accordingly over the phone., Following up and coordinating care progress in order to improve clinical outcomes & increase patient satisfaction maintaining patient's comprehensive clinical record & detailed documentation.