Care Coordinator Client Relations
Resume:
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Theresa A. Lucia
OBJECTIVE ~ To work with our vulnerable
population as a Care Coordinator along with
physicians, nurse practioners, physician assistants, RN nurse care managers & primary
ox physicians & health insurances to provide these members with the care they
serve.
Professional Experience
. Managed Caseload with RNa asa Care Team for LTC) members
Care Team transferred to MLTC/DUAL for Medicare & Medicaid members
Processed Referrals & Authorizations with Agencies & Vendors
Requested MD Orders for Compliance & Rx's from members’ PCPs
Communicated monthly with members for their services & well-being
. Received Security Charsiioe to serve ; Military members/families/providers
@ Maintained adherence for contractual standards with HIPAA, productivily & efficiency
Answered incoming calls for members, families, nurses, doctors & administrators
e Explained benefits & eligibility to members & providers for the Military Insurance Contract;
reviewed eligibility, enrollment, billing, & claims history
. “Maintained vestment plans for Children Services & Families
@ Organized time management schedules for clients, families, schools
¢ Collaborated with Case Managers for efficient client relations & services
¢ Created inclusive environment for weekly meetings for the most effective outcome
¢ Provided compassionate alliances with children and families
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@ Supervised 8 teachers & 64 chikiren in community & school settings
@ Organized school start up with staff for children & families
e¢ Reviewed all incoming files to ensure early intervention services
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Held Parent Meetings to familiarize families with program objectives
Completed required Operational Health & Safety guidelines for day to day classroom management
. Supervaed 6 Patient Account Lnieone to ensure patient ciao
~ Acted as mentor so patients received the highest level of care
¢ Developed rapport as Liaison across mult-departments within organization
~ Met with Billing & Claims to create understanding for all facets of patient interactions by
Creating open communications:
¢ Streamlined reports, forms & spreadsheets for efficient multi-tasking
-Clarified communications to share with colleagues
© Organized training & development for new PALS
~Mentored all new customer service reps:
Education
BS., Applied Psychology Organizational Behavior, Albright College, Reading, PA
December 2011; 3.92 GPA, summa cum laude, Psi Chi Honor Society
Related Coursework: Ethics, Diversity, Social Psychology, Human Learning. Group Dynamics
AA. Fany Childhood Education, HACC, Harrisburg, PA
May 2002; 3.85 GPA, magna cum laude
Related Coursework: Advocacy. Health & Nutrition, Curriculum, Child Psychology
References available upon request
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