Health Worker Support Coordinator
Resume:
Jennifer L. Castonguay
North Smithfield, RI 02896 ******************@*****.***
Objective:
To continue advancing my career in Client Services within Account Management while challenging, developing, and leveraging the skills I have acquired to successfully grow within the Health Care Industry.
Experience
Optum, United Health
Account Manager March 2021- Current
Take ownership of client issues, driving quick and lasting resolution.
Consistently meets and exceeds expectations of internal and external clients.
Uses good judgement, integrity, confidentiality, and professional conduct at all times.
Respond in a manner that maintains trust and credibility.
Actively participates in client conversations and presentations.
Collect data for clients and state and present to determine needs for the future.
United Health Group September 2017- March 2021
Community Health Worker (CHW), Optum/Community and State
Represent and serve vulnerable and underserved populations within the health plan. (Medicaid and Dually eligible)
Lead/Drive enhanced care and a positive experience for members
Responsible for creating and upholding high levels of member relationship/satisfaction
Complete field visits to ensure member contact and drive healthcare engagement
Properly document all activities/member details to support ongoing care management through their care transition
Maintain tracking and operational performance for member enrollment
Meet/Exceed all expectations for workload (calls, enrollments, visits, activities)
Create presentations to share educational experiences with teammates
Engage with Leadership and Teammates to generate and execute strategies for greater performance
Developed expertise in the NCQA Complex Care Management Standards
Assumed primary role in preparing NCQA record review files to demonstrate evidence of documentation compliance by health plan clinicians
Participated in the health plan NCQA file survey, resulting in receiving a 100% compliance rating
Stars Member Navigator, Contractor
Act in a liaison role with Medicaid members to ensure appropriate care is accessed
Provide home and social assessments along with member education
Engage members to drive compliance with their care plans
Complete enhanced knowledge and continued learning of community cultures/values
Seven Hills September 2015 – September 2017
Support Coordinator
Develop and ensure the implementation of Individualized Support Agreements for multiple program participants
Complete assessments to identify individual participants’ needs/desires (ensuring safety, wellbeing, and growth)
Generate goals, objectives, strategies, and guidelines based upon the needs of the individual, documented within the participant’s Individual Service Plan (ISP)
Execute all functions within the ISP – completed referrals, monitoring care services, and issue resolution
Revisit all ISPs on an annual basis to document care aspects throughout the year, reassess needs, and develop new strategies to continue advancement for the participant
Education
Rhode Island College, Providence, RI May 2015
Bachelor of Social Work
Additional Skills
Windows: Microsoft Outlook, Office, Excel, Access, and Power Point, Adobe 2017, SQL, Tableau, MedNet
Community Care, Clinical Profile, Root Cause Analysis, SMART Goal development
Contact this candidate