Care Management

Cindy Pulido

*** ******** **** **** *• Henrico, VA 23233 • 509-***-**** • *************@*****.***

SUMMARY

Accomplished professional in healthcare case management, quality improvement, and program management. Provide comprehensive care coordination and management for patients with complex medical needs. Develop and implement individualized care plans that address patient’s physical, emotional, and social needs. Proven leader and strong communicator. Bi-lingual, bi-literate, and bi-cultural in Spanish and English. Seeking new job opportunity due to relocating to Virginia in April 2024. WORK EXPERIENCE

Humana Healthy Horizons

Care Coach I- Miami, FL Nov 2021-March 2024

• Visit Medicaid long-term care members in their homes, Assisted Living Facilities, and/or Long-Term Care Facilities and other care settings for monthly, quarterly, annual, significant changes, and initial visits

• Assess and evaluate member's needs and requirements to establish a member specific care plan and coordinate services

• Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs

• Manage a caseload of 80-100 members

Sea Mar Community Health Centers

Care Manager- Seattle, WA Oct 2020-Oct 2021

• Supervised Integration Specialists and Case Managers

• Worked with panel of 200+ high risk Medicare/Medicaid patients who meet Care Management Criteria and are eligible for the Washington State Health Homes Program

• Completed monthly and quarterly reports on team caseloads, encounters, and billing amounts for 9 clinics

• Developed knowledge of mental health, substance abuse, employment, housing, and any other community resources to connect staff and patients to resources as appropriate Population Health Manager- Seattle, WA Nov 2019-Oct 2020

• Supervised Sea Mar's Cancer Prevention Program and staff

• Monitored Breast, Cervical, and Colon cancer HEDIS measures across 40+ Sea Mar Medical Clinics

• Implemented evidence-based interventions to improve the health of Sea Mar's patient population

• Worked with a variety of stakeholders to increase cancer screening rates to meet HEDIS goals

• Conducted research in the 'PRECISE Study', which tracks the success rate of colonoscopy completion by having the patient work with a patient navigator

EDUCATION

University of Washington- Seattle, WA

• Bachelor of Arts in Public Health

• Master of Public Health (MPH)

LICENSES/CERTIFICATIONS

• CPR/BLS/AED/HIV/AIDS/First Aid Education- American Red Cross

• CITI Certification- CITI program

• Motivational Interviewing- Sea Mar CHC

• IRB 101 Training- University of Washington

VOLUNTEER EXPERIENCE

Fred Hutch Office of Community Outreach & Engagement (Community Action Coalition)-Seattle, WA

• Built capacity with community organizations and develop culturally tailored cancer education and promotion using community-based participatory practices

Washington Dream Coalition- Seattle, WA

• Conducted outreach to undocumented Washington residents to assist with and approve/deny applications for financial COVID-19 relief assistance

SKILLS

• Bi-lingual, bi-literate, and bi-cultural in Spanish/English, Grant writing, R, Epic, Allscripts, CGX, SharePoint, Microsoft office, Kronos, Workday, Anthem, Flourish, MHITS, Care Connect, Altruista, PRISM, Care Advanced, Case management. AWARDS

• UW Samuel E. Kelly Ethnic Cultural Center- Student leader of the year

• UW School of Public Health Association- Outstanding student community service award

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