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Care Specialist Intake Coordinator

Location:
Morristown, NJ
Salary:
Flexible
Posted:
March 30, 2023

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Resume:

Diane M. Healy

** **** ******, ****** **

973-***-****

adv8jr@r.postjobfree.com

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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