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Care Coordinator Clinical Data

Location:
Virginia Beach, VA
Posted:
August 24, 2024

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Resume:

FELECIA D. VAUGHAN

929-***-****

**********@*****.***

EXPERIENCE:

St. John’s Episcopal Hospital New York, New York

January 2021- Present

Manage Care Coordinator/Wound Care

Prepare, document and route cases in appropriate system for clinical review.

Upon collection of clinical and non-clinical information I can authorize services based upon scripts assigned by Doctors.

Performs review of services request for completeness of information, collection and transfer of clinical data and acquisitions of structured clinical data from physicians/members via incoming calls or correspondences based in scripts.

Provide operational support to high call volumes health insurance institutions.

Skillfully develop departmental goals, objectives, and standards of performance, policies and procedures.

Upon completion of inquires initiate call back /correspondence to Physicians/members to coordinate/clarify case completion of AUTHs.

Knowledge of EMR SYSTEMS Athena, Meditech,, and insurance web portal access with multiple insurance agencies.

Provide adequate ICD-10 and CPT codes for AUTH’s for PT services with billing.

Proud Moments New York, New York

November 2020- Present

Behavior Therapist

Collect behavior and skill acquisitions data during sessions.

\Work collaboratively with a BCBA to implement basic principles and teaching procedures for ABA therapy.

Complete thorough session notes.

Provide in-home, and community based ABA therapy.

Be goal-oriented and maintain professionalism in all aspects of work with Autistic children.

Be responsive to the needs and request of clients, their families and supervisors

St John’s Episcopal Hospital

New York, New York

Community Support Coordinator January 2020 – Dec2020

Maintain case history records and prepare reports.

Prepare data for presentation to NYC DOH

Interview clients individually, in families, or in groups, assessing their situations, capabilities, and problems to determine what services are required to meet their needs

Assist Front Desk with patient check in via Athena and Meditech

Schedule Patient appointments

Assist patients with Managed Care calls to change PCP

Prepare Telehealth Appointments for Pediatric Patients in Athena

Assist patients with technical difficulties using Telehealth platform

Update DOH Immunization Registry and pull records

Assist patients with Transportation needs

Serve as liaisons between students, homes, schools, family services, child guidance clinics, courts, protective services, doctors, and other contacts to help children who face problems, such as disabilities, abuse, or poverty.

S:US (Services for the Under Served) New York, New York

Community Coordinator September 2019 – January 2020

Responsible for the development, coordination and management of programs

Consulted and collaborate with community members/group and conduct community consultation/engagement and maintain partnerships

Collaborated with various Managed Care Representatives to connect clients to Healthcare Services.

Developed and implement strategies in working within a diverse rural region

Ensured that service standards and quality measures of the agency/community/client needs, and demands are established, implemented and monitored.

Created and maintain all required files statistics and prepare related reports

Advised internal/external customers on program issues

Developed and maintain an effective relationship that is sensitive to individual differences and diverse population

UPS Flushing, New York

Loader March 2019 – September 2019

Sealed Products

Used hand tools

Assembled cartons

Followed shipping protocol

Agape Food Rescue Brooklyn, New York

Community Liaison June 2018 – Present

Creating positive rapport with Food Rescue Partners

Ensuring food safety and quality guidelines are being met

Problem solving for staff, volunteers, and clients in food rescue

Collecting prepared, perishable and other rescued foods from retail stores, farms, and wholesale partners

Informing supervisor of any problems or issues in a friendly manner

Completing and submit weekly reports in timely manner

Delivering food to non-profit beneficiaries

PSA 2 Police Precinct Brooklyn, New York

Volunteer Chaplin January 2018 – Present

Facilitating the development of spiritual needs

Providing direct spiritual care for families

Marinating records of spiritual care services utilized by the police department

Providing consultation, education and support to groups on spiritual care

Providing referrals to local clergy or mental health professionals

Helping individuals or families find a sense of hope, meaning, or purpose

Pay O Matic Check Cashing Ridgewood, New York

Teller September 2016 – June 2018

Balanced currency, coin and checks in cash drawers at ends of shifts and calculate daily transactions, using computers, calculators, or adding machines.

Examined checks for endorsements and to verify other information, such as dates, bank names, identification of the persons receiving payments, and the legality of the documents

Executed sales or other financial transactions

Responded to customer problems or complaints

Collected deposits, payments or fees

NYC Citizen Task Force New York, New York

November 12 – Present

Securitas Security Services USA, INC Atlanta, Georgia

Security Senior Lead/Management February 2012 – May 2016

Protected property, assets, people, and company policies.

Maintained highly visible presence, deter illegal and inappropriate actions.

Observed thorough walk patrols, note dictation, system alarms, and video cameras.

Managed all security scheduling and payroll.

Maintained performance of security officers and security supervisors.

Ordered security related supplies and equipment as needed.

Trained subordinate security professionals or other organization members in security on rules and procedures.

EDUCATION:

Grand Canyon University- (in Progress Graduation 2022) BA Behavior Science

CERTIFICATIONS:

Junior ROTC Honors, Security and Fire Guard Certification, New York State Chaplin Tax Force (NYSCTF) Certification, CPR, Narcan, Registered Behavior Therapist



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