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Case Manager Customer Service

Location:
Phoenix, AZ
Posted:
July 17, 2024

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Resume:

Detra Vance

Phoenix, Az *****

602-***-****

Motivated and hard-working customer service candidate with a strong ability to multi-task and eager to bring to your company acquired knowledge to significantly increase performance, efficiencies, and overall value.

A people person. Pleasant and professional written and verbal communication.

Strong communication and listening skills.

Strong problem solving and networking skills.

Proficient in computer window-based programs. (Word, Excel, Outlook)

High level of dependability.

Ability to understand the problems of seniors, minorities, youth and disadvantage groups.

HSS Coordinator (Case Manager), United Healthcare 03/2020 to 10/31/2022

Field based work experience

Managing populations with complex medical and behavioral needs

Experience in long term care, home health, hospice, public health, behavior health and assisted living.

Experience with electronic charting and typing skills for documentation assessment and progress note entries.

Experience in traveling to assigned region to visit Medicaid members in their homes or other settings, including community centers, nursing homes or assisted living facilities.

Time management

Follow up with DM and Flu vaccines per AHCCCS requirement.

Sitter, Cross Country Staffing, 07/2019 to 03/2020

Report any unusual behavior

Ensuring supervision of patients at all times

Staffing Coordinator, Connections In Home Care, 10/2017 to 03/2019

Supports patients by providing housekeeping and laundry services

Shopping for food and other household requirements

Preparing and serving meals and snacks, and running errands.

Assists patients by providing personal services, such as, bathing, dressing, and grooming.

Serving as the liaison between the agency, client, caregiver and the payer.

Schedule and manage the flow of patient care, ensuring that quality service is provided and patient satisfaction met

Case Manager Assistant, Health Net, Inc., 01-2015/ to 08/2017

Documents all activities and enters information into the system.

Provides information to licensed health professionals for review.

Assists in the triage process and prioritization of cases to meet required turnaround times.

Identifies and refers members who meet disease management or case management referral or screening triggers or guidelines. Identifies potential TPL/COB cases, investigates TPL/COB issues and notifies the appropriate internal departments.

Certified Nursing Assistant, St. Luke’s Medical Center, 06-2012 to 01-2015

Direct patient care

Accurately take vitals

Bathing, dressing and feeding of patients

Ensure personal hygiene and nutrition standards

Administrative Assistant, Express Employment, 11-2011 to 01-2012 (temporary)

Administrative task for Executive Assistant (filing, faxing, photo-copying, scanning, proofreading, correspondence, answered phones, data entry and also ran errands)

Interact with clients, vendors and visitors

Oversee the operation of the office, including ordering of supplies, and maintenance of the office.

Assist staff on new and upcoming projects

Maintained company apartments for our travel team. Also, managed travel team through excel spreadsheets.

Assist AP/AR with any project when needed.

Administrative Assistant, Ace Parking, 04-2008 to 06-2010

Interact and Troubleshoot with clients, vendors, visitors and employees.

Answer telephones and route calls to the appropriate staff. Open, sort and distribute incoming correspondence.

Handled return, and outgoing mail.

Retrieve, sort and deliver incoming faxes.

Copying and filing

Scan and link items into our system.

Collect and calculate employees’ timesheets.

Took payment from customers in the form of credit card, check or cash

Audit cashier’s register and paperwork. Log and manage deposits.

Deliver monthly invoices to over 200 companies.

Make outbound collection calls on past due invoices.

Data entry

Activate and deactivate key cards per client request.

Certified Nurse Assistant, MSI, 2001-2005

Taking vital signs

Transport patients to medical procedures

Recording intake & output

Assist with dressing and bathing

Worked in SNF unit with patients requiring total care.

Phoenix College, 2012 to 2014, Phoenix, AZ

Gateway Community College, Phoenix, AZ 2010-2011

Thunderbird Healthcare (nursing assistant course), Phoenix, AZ

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

Professional Profile

Professional Experience

Education



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