Care Specialist Intake Coordinator
Resume:
Diane M. Healy
**********@***.***
Profile: Self-motivated registered nurse with excellent interpersonal, organizational, and critical thinking skills. Proven performance in administration & coordination in the home care industry. Noted for being highly efficient, while handling a high work volume.
Education:
Bachelors of Science in Human Services, Education and Public Policy/ University of Delaware, Newark, Delaware
Associates in Applied Science, Registered Nurse Program/Passaic County Community College, Paterson, New Jersey
Professional Experience:
12/2016-2/2018: Garden State Eldercare, South Orange NJ
Compliance Coordinator
* Responsible for ensuring staff is in compliance with local, state and federal guidelines, rules and regulations
* Conducted one on one training and counseling’s to field staff members
* Identified and assessed areas of significant compliance risk
* Oversaw periodic continuing internal audits of personnel files in the branch office
* Monitored and updated database that managed the information required to track all personnel file compliance requirements
* Supported organization’s mission by striving for excellence with a focus on positive interpersonal relationship with co-workers
* Assessed and evaluated the needs of patients with multiple disease processes and developed an appropriate plan of care
* Documented all changes in patient’s condition and updated care plans and outcomes
* Monitored quality and appropriateness of services provided
* Adhered to agency infection control and safety policies
01/2010 – 11/2014: Bayada Nurses Home Care Specialist, Managed Care Department, Parsippany NJ
Managed Care Intake Coordinator:
* Coordinated and acted as a liaison to initiate services for patients requiring home care services
* Functioned as a facilitator between case managers, healthcare professionals, client service managers, clinicians and directors
* Knowledgeably and professionally handled incoming referrals from all different healthcare referral sources
* Took initiative and used critical thinking to pursue multiple avenues to staff cases
* Involved with both managing benefit verification and insurance authorizations
* Ensured referrals were thorough by obtaining all pertinent data and clinically screening candidates
* Demonstrated sound clinical judgment in order to ascertain patients clinical needs and made recommendations accordingly
* Cultivated positive and long term relationships with referral sources to remain competitive in the market place
* Counseled patients on a day to day basis; assisted them in navigating the home care system
* Collected and verified information concerning eligibility, provider status, benefit coverage, and coordination of benefits
04/2005- 01/2010: Bayada Nurses Home Care Specialist Co., Hackensack, NJ
Home Care Coordinator
* Responsible for the overall management of an offsite satellite recruitment office
* Instrumental in assisting division director with opening new services offices
* Involved in managing operational needs of an existing office – ordering equipment, supplies and clinical forms
* Participated in planning and carrying out community events, health fairs, & health screenings
* Represented the organization to other groups, agencies, and the general public via attendance in a multitude of events
* Ensured employee compliance with all applicable laws, regulations, policies and procedures
* Managed all employment life cycle communications: garnishments, unemployment & disability claims
* Initiated all recruiting activities from attracting prospects, to interview phase, then to the on boarding process
* Obtained and critiqued new hire information – references, licensures & health documentation
* Scheduled and coordinated field staff orientation for all new hires on a weekly basis
* Entered information and updated database as appropriate through each phase of the recruiting/hiring process
* Responsible for the development and implementation of recruitment and retention programs for field staff
* Oversaw TB screenings and administered PPD injections for all field and office staff
Computer Skills:
Proficient in a variety of computer applications including but not limited to: Microsoft Office,
Windows, Microsoft Word, Excel, Outlook & Exchange
Academic Achievements and Affiliations:
Affiliate of NSNA Honor Roll Student - University of Delaware
Phi Sigma Sigma - University of Delaware Volunteer - Delaware Cooperative Extension
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