Patient Care Clinical Coordinator

Elizabeth Brooke Ray

954-***-**** ************@*****.*** Boca Raton, FL 33487

SUMMARY

Patient-oriented clinical coordinator adept at performing staff scheduling, inventorying and ensuring patient care treatment protocols are followed. Organized and coordinated with a strong reputation for maintaining high levels of patient satisfaction. Skilled the field. SKILLS

Clinical staff support

HIPAA compliant

Patient outreach

Healthcare system resources

Patient records administration

Patient confidentiality

Patient admittance

Computerized charting

Protocol adherence

EXPERIENCE

Clinical Coordinator, MDVIP, May 2022-August 2024

Organizes all pertinent data/materials to securely transfer to the appropriate person(s) and ensures their receipt as well as maintain accurate documentation to ensure true data integrity Submits referrals and documentation to designated MCE facilities adhering to HIPAA and privacy regulations

Ensures follow-up is completed within the specified timeframe in accordance with the MCE process guidelines

Initiates and maintains contact with the member and MDVIP affiliated physician or office staff to ensure that all parties are aware of the referral process and each step along the way Provides the member with a thorough explanation of the MDVIP referral process, as well as the selected facilities' guidelines

Facilities such as UM, Johns Hopkins and MD Anderson and UCLA Confirms appointment dates and times prior to the member's appointment with both the member and the affiliated physician or office, as well as confirms with the member if any additional assistance is needed

Contacts all members following their appointment to inquire about their experience and to receive approval to send a member MCE Program satisfaction survey Coordinates and schedules teleconferences, as needed, between MCE specialty physician and MDVIP physicians

Manages chart reviews with specialists as requested by MDVIP physicians Ensures any pre or post appointment requests as related to medical recommendations or reports are forwarded to the MDVIP physicians in a timely matter and adhere to department protocols

Case Manager, Holy Cross Hospital, March 2019-March 2022 Responsible for admitting patients, Completed Biopsychosocial, clinical assessment to present to the attending physician for admitting patients for withdrawal management Manage patient onboarding process from phone inquiry, initiating eligibility verification, scheduling intake, through performing patient assessment Communicate with physicians and nursing staff as it pertains to patient assessment and continued stay

In-facility round and follow up calls on patients daily according to policy and procedure Complete discharge plans with patient's involvement Maintain patient privacy best practices, such as HIPAA Reporting of daily census to corporate office and CEO Responsible for managing telephone inquiries concerning the New Vision service, screen potential patients, assists them with their questions and concerns, and initiates discharge planning

Perform community outreach telephone calls daily to identified community organizations Medicare supervisor, Teleperformance, November 2017-January 2019 Client Representative for Medicare PDP line of business Inbound calls from members who needed assistance with Pharmacy Inquiries, including Prior Authorizations, Tier reductions on specialty medications and non-formulary medications Worked with our preferred pharmacies with RX determinations, overrides and helping the members with Transfer of Care

Mailed monthly Summary of benefits to educate members on their deductible stage Managed team of 15 agents coming out of training and transitioned them to the floor and assisted in agents scheduled shifts

Helped members with Billing, LIS, EOB and monthly premium to the deductible that needed to be met

Handled and answered 30-60 calls daily

Admissions Coordinator, Recovery Unplugged, December 2014-September 2017 Admits patients by completing admission and financial responsibility forms; coordinating and arranging physical, social, emotional, and support service requirements, including transportation

Knowledge of HIPAA policies and procedures

Entering information into electronic contact management system and KIPU Consulting with Director of Admissions and other Clinical and Medical Staff as needed Obtains applicant information by requesting completed applications and medical information; verifying and clarifying information; interviewing patients and family members; explaining admission criteria

Screens patients by comparing patient's condition to admission criteria; evaluating and accepting or rejecting patients; referring patients and family to other programs and institution Conducted VOB's for admitting future clients to Recovery Unplugged multiple locations Case Manager / Utilization Review, Harbor Village Detox, February 2015-May 2017 Facilitated daily groups for clients which included 12-step, transition/Aftercare and relapse prevention

Assisting clients with aftercare needs, finding housing, finding employment and arranging for continuing outpatient services such as IOP/OP after being discharged Utilization Review and Verification of Benefits

Adhere to HIPPA guidelines

Other documentation completed in accordance with federal, state, DCF regulations Arrange medical appointments and transportation of clients Daily clinical meetings to discuss a patient's treatment plan with other professionals working at the residence

Administrative duties related to a client's care, such as filling out forms for social services benefits and arranging other services as needed throughout the duration of the client's stay at the facility

EDUCATION AND TRAINING

Bachelor of Science

Psychology, University of Florida, Gainesville FL January 1995 CERTIFICATIONS

Certified Addiction Specialist, 06/01/16, present

Certified Addiction Professional, 06/01/19, present Certified Case Management, 06/01/15, present

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