Management Coordinator Independent Contractor

Martha Almeyda

Email: *************@*****.***

Cell: 786-***-****

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OBJECTIVE

Reliable BiLingual Professional with varied experience including Contract Administration, Databases, Analysis and Healthcare Administration. Looking for an opportunity where I can offer my background to my team and the organization’s overall growth.

EXPERIENCE

Senior Account Manager

Full- Time Independent Contractor, Miami, FL December 2021 - Present Part-Time Independent Contractor, Miami, FL December 2012 - November 2021 Responsibilities:

Client/Industry: Fontainebleau Hilton (Hospitality) - They also own JW Marriott, Turnberry Towers and will be opening a new location in Las Vegas 11/2023

Review assignments according to the daily flow and urgent needs of a Hospitality (Legal Department) Client

Worked directly with several internal stakeholder groups at my clients

Upload individual contracts to a document repository (Laserfiche) and populate fields according to the terms of the contract

Updated operating procedures including emails, guides and translated from English to Spanish

Review each contract and extract critical data in preparation for workflow spreadsheet.

Extract information into Excel spreadsheet and ensure all data was included for final review.

Complete customer database with over 1,500 contracts. Specifically entered all critical information into their database, Laserfiche per checklists

Case Management Coordinator/ Claims / Patient Advocate International Reinsurance Managers (“IRM”) – Miami, FL May 2019 – Nov 2021 Responsibilities:

Coordinate International Medical Evacuations with local hospitals nationwide and Air Ambulances (urgent and routine);

Coordinate and provide care that is safe, timely, effective, efficient, equitable, and client-centered;

Handle case assignments, draft service plans, review case progress and determine case closure;

Assist clients achieve wellness and autonomy;

Facilitate multiple care aspects (case coordination, information sharing, etc.);

Assist patients make informed decisions by acting as their advocate regarding their clinical status and treatment options;

Develop effective relations and cooperate with medical team throughout the entire case management process;

Arrange abeyances with social services, health and governmental agencies;

Interact with patients to keep track of their progress and to ensure wellness and satisfaction;

Record case information, gather all necessary forms, complete and produce statistical reports;

Promote quality and cost-effective interventions leading to positive outcome;

Assess and address motivational and psychosocial issues;

Adhere to professional standards always following company, as well as industry’s protocol, rules and regulations;

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Coordinate conference calls, status updates, litigation strategy updates, and navigation throughout the entire claim process; and

Collaborate with Registered Nurse (RN) Case Managers and DME vendor to plan and achieve positive discharge of current SNF patients.

Case Management Coordinator/Clinical Innovations Specialist HUMANA, INC. – Miami, FL Dec 2013 – May 2019

Responsibilities:

Responsible for the operational effectiveness of the Care Management Program integrity;

Develop, recommend and implement process improvements and/or efficiencies in order to meet and exceed program goals and objectives;

Identify, establish and coordinate timely and effective communication with internal and external partners always exercising effective management skills;

Enhance processes to ensure quality, company’s cost management and ultimately customer satisfaction;

Provide coordination of care for members;

Manage case and provide guidance to patients utilizing programs such as Transition of Care post hospital discharge, and Planned Transition of Care prior to scheduled surgery;

Contact patients for Initial Assessments, prepare follow-up strategies for my team, whether in-person or remote, in preparation for post-discharge;

Assist patients with coordinating follow-up medical appointments, transportation, Home Health Care and Durable Medical Equipment;

Manage cases utilizing the Clinical Guidance Exchange and CSC Systems;

Manage the distribution and assignment of all case management team referrals;

Coordinate referrals for members to our Social Worker Team and Behavioral Health Team;

Prepare productivity reports, department statistics for weekly and monthly meetings with executives;

Coordinate efforts for special projects, e.g. The Congestive Heart Failure (CHF) Program, and others; and

Manage transplant and Wound Care authorizations as assigned by the Clinical Manager. EDUCATION

Coral Gables Senior High School – June 1987

Miami-Dade Community College - 2000-2002

Pro Bono work at Coral Gables Hospital 1987-1990

Pro Bono assistance to the Elders and single parents

(through word of mouth or conversation, I help assess their current situation, listen to their needs and provide assistance accordingly).

SKILLS

Excellent Written and Oral Communication Project Management

Problem Solver Conflict Resolution

Team Player Quick Learner

Efficient Bi-Lingual (English and Spanish)

PROFFICIENT IN

Microsoft Office Applications (Excel, Word, Access, PowerPoint, and Outlook) Medical Software used: CSC (Medical Software), Advantix, Echo, AmiPro, CGX Laserfiche (Document Repository)

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