Care Management Assistant

Brittany K. Vaughn 269-***-**** ********.*.******@*****.***

Professional Experience

Care Management Assistant - Care Management 2014

Spectrum Health, Grand Rapids, MI

Manages the Medicaid Meals & Lodging Assistance Program at Helen DeVos

Children's Hospital. Provides access and support services for inpatient

families. Reviews patient medical records to complete applications for

assistance. Applications are submitted to insurance providers for

authorization. Verifies medical insurance, drafts communication materials

for the program, process authorizations, reconciles voucher calendars, and

submits billing for the program. Ensures timely, accurate and complete data

is submitted to appropriate insurance companies to guarantee prompt

payments to Spectrum Health. Responsible for supporting and communicating

with Nurse Case Managers and Social Workers to complete various

assignments. These additional tasks are completed for the discharge and

integration of the patient to the home or transitional environment and for

the continuum of care of the patient. Adheres to confidentiality policies

specific to communications, patient confidentiality, record keeping and

coordination of services.

Patient Scheduler- Patient Access Services 2012-2013

Spectrum Health, Grand Rapids, MI

Call center experience. Worked both inbound and outbound calls. Responsible for the development of patient schedules for medical services and educational services. Obtained and processed care referrals. Processed payments and financial assistance requests for health and wellness classes and seminars. Effectively utilized patient management systems to avoid conflict in services. Ensured patient data and appointment was precise to avoid inaccuracies. Collaborated with patients, physicians, outpatient sites and referral sources to ensure continuity of care. Appointed as team lead and involved in new process and protocol development. Responsible for education and training of new schedulers.

Project Specialist- Charter Schools Office 2008-2012

Grand Valley State University, Allendale, MI

Responsible for special projects and tasks such as departmental purchase

card reconciliation, arrangements for staff travel and accommodations,

maintaining the office directory, database data entry and managing the

office calendar. Responsible for the coordination and completion of office

operations during management's absence. Acted as support for the planning

and execution of Professional Development Events. Coordinated conference

and event registration. Coordinated campus tours for visiting students.

Generated student enrollment reports. Edited and proofread CSO letters,

reports, memos and other office correspondence. Drafted newsletters and

flyers for annual events such as the CSO Golf Outing, Summer Enrichment

Camp, Board Member In-service and ArtPrize Education Days. Utilized

Microsoft Word, Excel, Publisher and Access to complete various tasks.

Responsible for training and orientation of student staff.

Intern- Patient Access 2009

Saint Mary's Healthcare, Grand Rapids, MI

Trained in insurance verification, financial counseling, and customer

service. Job shadowed the Director of Patient Access, Patient Access

Manager, and the Cancer Resource Specialist for Lacks Cancer Center.

Contributed to the creation and implementation of the Prescription

Assistance program offered at the hospital.

Nurse Assistant 2006-2008

Lakeland Healthcare, St. Joseph, MI

Responsible for the delivery of quality patient care under the supervision

of a nurse. Communicated observations and other relevant information to the

care team. Responsible for maintaining clean and organized patient care

areas and work environment. Responsible for maintaining a proficient

knowledge base of patient care practices, HIPAA, and hospital policy and

procedure.

Education

Master of Science - Health Services Administration 2012

Central Michigan University, Mount Pleasant, MI

Bachelor of Science - Public & Non Profit Administration 2009

Grand Valley State University, Allendale, MI

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