Case Management Care Coordinator

Luis Aguilar

Care Coordinator

***********@*****.*** • 830-***-****

https://www.linkedin.com/in/luis-a-aguilar/ • El Paso, TX 79907

Summary

Detail-oriented and distinguished healthcare professional with extensive experience in clinical administration, specializing in health promotion and medical case management within hospital/virtual health settings. Adept at navigating medical and clinical service requests with meticulous attention-to-detail and adherence to HIPAA guidelines. Demonstrated success in managing high-volume inbound communications and coordinating seamless scheduling for radiological exams. Bilingual in English and Spanish, with proficiency in fostering clear and concise communication among providers and members. Excel at executing educational evaluations and directing patients to suitable resources, promoting awareness and holistic well-being.

Areas of Expertise

Clinical Administration

EHR Systems Navigation

Medical Case Management

Health Promotion

Clinical Service Requests

Radiological Exam Scheduling

HIPAA Compliance

Patient-Centered Care

Educational Evaluations

Professional Experience

UnitedHealth Group/Optum – Care Navigation, El Paso, TX 2022 to 2023

Senior Clinical Administrative Coordinator – Remote

Executed routine responsibilities with high degree of autonomy in diverse situations by demonstrating adaptability and problem-solving skills. Scrutinized and processed fax requests for medical/clinical services with meticulous attention to detail. Exhibited adaptability in adjusting to frequent process modifications by operating without established procedures. Addressed and resolved spectrum of complex issues, ranging from moderate to challenging for effective problem resolution.

●Adhered to established protocols on task requests for maintaining organizational efficiency.

●Acted as principal liaison for providers or members concerning medical/behavioral/clinical services for ensuring clear and concise communication.

●Complied with HIPAA guidelines while managing high volume of inbound calls from various service sectors, assessing urgency, and serving as initial Care Navigator, ensuring compliance and confidentiality.

Austin Radiological Association – Pre-Imaging Service Center, Austin, TX 2020 to 2022

Pre-Imaging Scheduler – Remote

Coordinated scheduling for various modalities of radiological exams by liaising among patients and referring providers to ensure seamless service. Detected and addressed potential discrepancies and incoming challenges presented by patients for swift and effective resolution.

●Managed high-volume inbound calls in bustling call center environment from patients for responsive service.

●Engaged in consistent communication with referring providers and patients, maintaining clarity and mutual understanding throughout interactions.

Ascension Seton – GoodHealth Solutions Center, Austin, TX 2017 to 2018

Clinical Support Coordinator - Hybrid

Engaged, enrolled, and advised patients in hospital settings regarding Remote Patient Care Monitoring kits and Care Coordination programs. Provided technical support to patients through phone and video tablet, facilitating setup of GoodHealth RPCM kits and ensuring user proficiency.

●Orchestrated telehealth referrals focusing on outpatient care for patients experiencing complex chronic conditions, ensuring optimal care pathways.

●Recognized and supported patients through tablet/phone for addressing barriers impeding access to medical care, focusing on continuity of care.

●Monitored logistics of RPM kits for seamless delivery to patient homes and addressing real-time discrepancies.

Ascension Seton Healthcare Family of Hospitals – Inpatient Diabetes, Austin, TX 2016 to 2017

Health Promotion Specialist

Executed personalized educational evaluations, leveraging laboratory tests/data analysis for high-risk populations, and pinpointing potential impediments to optimal health outcomes. Recorded accurate clinical discoveries and inputted relevant data for further processing. Directed patients to suitable outpatient resources, facilitating access to enhanced diabetes education and support, and promoting holistic well-being.

●Orchestrated informative presentations on diabetes-related topics, enhancing community awareness and knowledge.

●Enlightened patients on control and management strategies for pre-diabetes diagnosis, fostering self-management.

●Contributed to assessment of program needs, formulation, and execution of Inpatient-Diabetes program in alignment with organizational goals.

Education

Bachelor of Science – Health Promotion

The University of Texas, El Paso, TX

Certifications

Certified Diabetes Paraprofessional Level 1

Certified Health Promoter - Texas Department of State Health Services

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