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Referrals and Managed Care Coordinator

Location:
Ladera Ranch, CA
Posted:
February 12, 2017

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Original resume on Jobvertise

Resume:

Kristina Sergeyeva

? Location: Ladera Ranch, California ? Cell: 949-***-**** ? E-mail:

acysdm@r.postjobfree.com

OBJECTIVE

To work for an organization where I can apply my skills, to help the

organization succeed, while being in a challenging and rewarding

environment.

ACCOMPLISHMENTS

Graduated from UCSD one quarter Participated in German Exchange Program

earlier than expected

UCEAP (UCSD) One Semester Study in Presidential Honor Roll for four years

London

Graduated as Valedictorian from Torch of Excellence for four year for

Tesoro High School academic achievement

Treasurer of Rotary International Advanced Placement (AP) Test Scholar

Club

Speak English, Russian, and some

German and French

SKILLS

Making a buffer Working with plasmids and isolating

Ammonium Sulfate precipitations its' DNA,

Ability to set-up and run size Work with fluorescent proteins,

exclusion and affinity Restriction digests,

chromatography columns Sterile techniques,

Enzyme activity assay with a GENESYS Creating competent cells,

spectrophotometer and spot tests Transformation of plasmids into

Bradford protein assays competent cells,

Agarose gel electrophoresis and Nickel affinity column,

SDS-PAGE for proteins and DNA Bioinformatics such as knowledge of use

Western blotting of BLAST, GenBank, Clustal Omega, etc.,

Familiarity with antibodies

ELISA determination Protein crystallization

Referral and Managed Care Coordination

EDUCATION

UNIVERSITY OF CALIFORNIA, LA JOLLA, CA, USA (3.0 GPA)

BACHELOR OF SCIENCE IN BIOCHEMISTRY AND CELL BIOLOGY- MARCH 2016

TESORO HIGH SCHOOL, LAS FLORES, CA, USA (4.3 GPA)

HIGH SCHOOL DIPLOMA - JUNE 2012

PROFESSIONAL EXPERIENCE

REFERRAL AND MANAGED CARE COORDINATOR

SHARE OUR SELVES COMMUNITY HEALTH CENTER, COSTA MESA, CA

OCTOBER 2016 - PRESENT

. Manage the care of patients in collaboration with other health

professionals and members of the health care team in order to make

decisions about treatment and attain health goals.

. Process requests as per protocol from SOS medical providers for

specialty consultations, diagnostic procedures and studies, and

accurately enters requests into health plan portals and SOS EHR,

Allscripts.

. Liaise with individual specialists' offices and corresponding staff to

secure consults and schedule appointments for uncompensated patient

care with community physicians who accept charity care patients.

. Liaise with insurance companies and more prominent safety-net agencies

within Orange County to obtain authorization for specialist consults

and diagnostic services. Expedite application processes for patients

with pending Medi-Cal coverage.

. Track referrals as per protocol to adhere with Patient Centered

Medical Home guidelines.

. Analyze the Utilization Data provided by health plans and executes

appropriate follow up care to meet HEDIS metrics and comply with

health plan requirements.

CATERING SERVICE STUDENT LEAD

UCSD CATERING, LA JOLLA, CA

JANUARY 2013 - JANUARY 2015

. Made deliveries via van or truck as well as participated and led in

events such as weddings and business meetings.

. Coordinated setting-up and cleaning up the event as well as serving

guests.

. Supervised other students and trained new employees.

. Drove communication with company's managers and clients.

BABYSITTER

LADERA RANCH, CA

DECEMBER 2007 - AUGUST 2012

. Supervised children's play.

. Prepared meals and snacks.

. Routinely picked children up from school and activities

. Supervised and helped in homework preparation.

. Housekeeping duties.

VOLUNTEER

LADERA RANCH PUBLIC LIBRARY, LADERA RANCH, CA

JUNE 2009 - AUGUST 2009

. Decorated library walls with children's art.

. Kept track of children's reading for a summer book competition.

. Kept log of reading hours and gave out prizes.

. Worked with children for craft time.

. Removed old books from shelves and placed new books into library

shelves



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