Outreach Coordinator Case Manager
Resume:
ELVIS TAN
Bronx, NY ***** 347-***-****
**********@*****.***
Summary of Qualifications: Coordinate preventive care measures and medical transportation for plan members to complete their preventive care exams. Handle all outbound communication to Plan Members and mail correspondence including but not limited to Plan updates, incentives letter, medical appointment reminder letter. Assist Member Service Representee and offer coverage when need it. Document in/out bound calla in eCare and update PCM per program director.
Work Experience:
Villagecare Max, Manhattan, NY 2018-2020
Outreach Coordinator
Handles incoming telephone calls and answers questions for members and providers assist members in accessing all necessary covered and non-covered services in conjunction with plan of care.
Assists members in arranging appointments with physicians and other health care providers.
Coordinates and schedules pick up /drop off transportation to and from scheduled appointments.
Complete task sent by MSR or Case Manager members needing assistance with covered services.
Contact providers to confirm appointments.
Faxes attestation /checklist to provider.
Documents in eCare and PCM all scheduled appointments.
Provides plan information to new members, family members or other representatives.
Assists members with accessing translation services.
Villagecare Health Home, Manhattan, NY 2016-2018
Community Searcher/Assist Care Manager
Conduct home visits to ensure patient care plan goals are met.
Follow MIA protocol to re-engage patients in services.
Identify clinical issues that requires immediate attention to reduce the risk of unnecessary hospitalization ER visits.
Outreach by phone and face to face when required to monitor patients’ medical and social needs according to care plan.
Meet all deliverables on monthly basis. Ensuring that all patients in caseload are services.
Understand and adhere to all compliance according to program demands.
Work in team setting to ensure quality of service to patients are delivered.
Close the gaps in care and assess risk patients to medical care.
Oversee a caseload of 50+
Harbor Terrace Adult Home & Assisting Living, Staten Island, NY 2012-2015
Residential Care Aide
Escorted residents to their medical appointments.
Collected and distributed resident’s mail and laundry.
Monitored floors to make sure residents are safe and hazard free.
Follow up with residents to ensure they take their medications on time.
TCI College of Technology, Manhattan, NY 2009-2011
Attend college to further my education.
Education:
TCI College of Technology, New York, NY
Associates of Applied Science
Major: Health Information Technology
Language: Bilingual Fluent in Spanish
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