Case Manager

SHEILA OLIVIER

Target Role: Client Success Manager

Woonsocket, RI 02895 774-***-**** *********@*****.*** linkedin.com/in/sheila-olivier-70a468b

"Leveraging Managerial and Healthcare Expertise to Deliver High-Caliber Service."

Highly motivated, energetic professional harnessing 10+ years of progressive healthcare experience. Exemplify robust knowledge of pertinent concepts and terminologies to administer extensive patient support in a high-functioning healthcare setting. Maximize dynamic interpersonal skills to coordinate essential functions and develop relationships with diverse people groups. Utilize various research methods to compile data, prepare reports, and present information in the most cohesive way possible. Employ technical proficiency by showcasing the ability to operate computer systems with varying complexities. Equipped with the capacity to work under pressure and manage multiple priorities.

CORE EXPERTISE

Case Management Software Training Medical Billing Health Insurance Processing Medical Compliance Office Management Appointment Scheduling Inventory Control Staffing Assessment & Evaluation Reporting & Documentation Patient Support Customer Service Problem-Solving Critical Thinking Leadership Teamwork & Collaboration Interpersonal Skills Time Management Cultural Awareness Attention to Detail Organizational Skills Communication Skills

PROFESSIONAL EXPERIENCE

Vitra Health Braintree, MA

Case Manager 07/2021 - Present

Accomplish 60+ client caseloads daily while supervising and coaching onboarding nurses/case managers in the field.

Fulfill a series of case management assessments to meet all regulatory requirements critical to program admission.

Analyze patient records in preparation for case management to warrant their seamless admission to the program.

Cultivate a positive environment for all clients and caregivers by strictly adhering to health and safety protocols.

Demonstrate robust knowledge of the intake process and program participation by facilitating client education while communicating actively with account managers to determine needs, possible referrals, and eligibility concerns.

Key Accomplishment:

Improved client retention in the home health care program by 90%+; earned a spot in the top 5%+ in performance.

Blue Cross Blue Shield of the Massachusetts Boston, MA

Clinical Intake Specialist 08/2019 - 10/2021

Performed initial assessments to identify the most suitable treatment plan for each patient; maximized the functionalities of the company's digital system to process admissions, ensuring accuracy and completeness of data.

Validated patient insurance comprising benefits and eligibility while firmly adhering to healthcare insurance policies.

Directed incoming calls to the appropriate departments while exemplifying in-depth knowledge of the admissions and authorization process to address related inquiries from various healthcare providers and facilities.

Expedited the authorization process by providing facilities, healthcare providers, and assessment teams access to behavioral health benefits; maintained positive client satisfaction ratings by performing swift issue resolutions.

Tempus Unlimited Stoughton, MA

Personal Care Assistant 11/2018 - Present

Deliver hands-on support to elderly clients through general housekeeping, laundry, bathing, and food preparation while exhibiting a high level of compassion; administer daily medical management support by utilizing their charts.

Interface closely with the client's caseworker and medical support team to discuss necessary medical appointments.

Record the daily assessment of the client's wellness for reporting purposes while performing extensive medical and psychological evaluations to devise comprehensive monthly assessments of their clinical needs.

PSA Healthcare/Aveanna Healthcare Brockton, MA

Staffing Coordinator 08/2017 - 01/2018

Examined the company's staffing needs to craft sustainable solutions while managing the staffing for both offices and homes of active and potential clients; exercised good organization and analytical skills in fulfilling staffing needs.

Collaborated with recruiting agencies and utilized web-based recruiting apps to source prospective clients and fill staffing vacancies; consolidated complete staffing reports for the upper management's assessment and perusal.

Organized daily work schedules for LPNs, RN's, and case managers while assisting with the payroll management, ensuring timely compensation for all employees; monitored staff performance and produced vital staffing reports.

Associates of Internal Medicine Norwood, MA

Medical Office Administrator 11/2016 - 08/2017

Accommodated all types of patients and visitors by swiftly attending to their inquiries, coordinating appointments, and maintaining critical records, ensuring all responsibilities were in accordance with HIPAA regulations.

Fostered active collaboration with medical departments, warranting a high degree of discretion and professionalism.

Oversaw office inventory and equipment levels on a regular basis to ensure an adequate stock of supplies while accurately performing financial records verification, patient charges collection, and third-party claims processing.

Right at Home - Home Care Foxboro, MA

Customer Care Manager/Scheduler 02/2013 - 11/2014

Provided administrative support by addressing calls, scanning, and filing while arranging schedules for home health aides, nurse assistants, and other staff involved in elderly home care visitations, companionship, and personal care.

Prepared the client's plan of care through state agencies and rehabilitation facilities with a high level of organization.

Showcased reliability by executing on-call duties in the evening and during the weekends, ascertaining a smooth flow of client services; boosted client satisfaction and improved the overall experience through maximized efforts.

EDUCATION

Bachelor of Arts, I/O Psychology 05/2021

Southern New Hampshire University - Manchester, NH

Professional Development:

Certificate, Medical Office Administration, Sullivan & Cogliano Training Centers - Brockton, MA 02/2012

Certified Microsoft Office Suite Professional, Sullivan & Cogliano Training Centers - Brockton, MA 02/2012

VOLUNTEERISM

Diversity, Equity & Inclusion, Blue Cross Blue Shield of Massachusetts - Boston, MA 10/2019-10/2021

Cradles to Crayons for Kids, Blue Cross Blue Shield of Massachusetts - Boston, MA 08/2020

Fundraising Event for Fight against Childhood Cancer, Jimmy Fund Clinic - Boston, MA Current

TECHNICAL SKILLS

EDS NET, MedHOK, EPIC, eClinicalWorks, Salesforce, Adobe, Microsoft Office Suite, Facebook, Hub Spot, Skedulo

LANGUAGES

Fluent: English, Haitian-Creole

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