Patient Care Manager
Resume:
T
Treussia
Thompson
********@*****.***
Fredericksburg, VA
22408
PROFESSIONAL SUMMARY
Results-driven Chronic Care Manager Supervisor at Freedmen's Medicine, recognized for driving a 90% increase in care management revenue through strategic cross-functional collaboration and comprehensive care coordination. Expertise in patient care strategies and effective communication leads to improved healthcare delivery and enhanced patient outcomes. Proven leadership in navigating significant organizational changes, with a focus on strategic planning, staff development, and operational management. Committed to elevating patient satisfaction scores and implementing cost-saving measures while maintaining high-quality service delivery.
SKILLS
Database documentation
Health services coordination
Community outreach
Patient care strategies
Client relationship management
Quality improvement
Team leadership
Problem solving
Effective communication
Time management
Conflict resolution
Cultural history
Staff development
Program management
Medical chart documentation
Clinical documentation
Long-term care coordination
Discharge planning
Healthcare
Client assessment
Care transitions
Department review
Patient education
Workflow coordination
Treatment management
Care quality assessments
Medication reviews
Case assessments
Care planning
Vital sign monitoring
Patient & family support
Service coordination
Care oversight
Referral management
Medical terminology
Policy adherence
Project oversight
Multitasking Abilities
Financial operations oversight
Time management abilities
Drug utilization review
Heartsaver CPR AED
HIPAA guidelines
Regulatory compliance
Heartsaver first aid
Staff scheduling
Performance metrics
Immunizations
Records maintenance
Crisis management
Employee training program
Quality assurance
Active listening
Professionalism
Team collaboration
Hospital coordination
EXPERIENCE
Chronic Care Manager Supervisor
Freedmen's Medicine/ Mar 2023 to Current
Elevated revenue in care management by 90% upon acquiring the role. Collaborates on special projects with the owner to provide a question-and-answer session on care management software and how our company uses these programs to be successful.
Fulfill Freedmen Medicine's mission to enhance patients' lives through quality healthcare for those in need, while providing appropriate physical, mental, and emotional care for the whole person.
Collaborate with the care transition team and scheduler to balance patient loads for care managers.
Direct and supervise up to six employees in the care management team. Assist Care Managers in resolving any high-level care issues. Primary point of contact for problem- solving issues relating to patient care.
Cover essential patient care tasks to ensure continuity when the Care Manager is not present.
Monitor patient development and coordinate with care managers for essential modifications.
Assess patient care progress in meetings, with a focus on resolving management issues. If and when necessary, elevates those hard-to-resolve issues to the next level of supervision, the Director of Operations.
Regularly collaborate with the Director of Operations to discuss individual patient status and outstanding issues.
Document and instruct appropriate use of databases, tools, templates to meet HIPAA and Freedmen's standards for Care Managers.
Collaborate with the Director of Operations and executive staff to create and implement care management protocols.
Develop solutions in partnership with executives when issues arise, ensuring metrics conform to standards.
Chronic Care Manager
Freedmen's Medicine/ Jan 2022 to Mar 2023
Provided coordinated care services for a patient base of 80. Developed individualized care strategies based on comprehensive need assessments. Championed client care provisions and necessary services. Evaluate and adjust care plans continuously.
Identified specific care necessities for optimal placement solutions. Supervise and coordinate in-home client care.
Partnered with various community groups to ensure effective care services. Facilitated communication with client caregivers and home care agencies. Oversaw logistical arrangements to ensure quality caregiving for a distant relative. Scheduled and coordinated medical or specialty appointments for clients. Documented every facet of client engagement and healthcare appointments. Collaborates on special projects with oversight personnel. Performed evaluations to pinpoint improvement areas, including training material consolidation for new employee sessions.
Designed informative one-pagers to support community outreach. Project Manager
Cayuse Holdings/ Jun 2021 to Aug 2022
Managed team of 10-15 case managers overseeing the care of 5,050 Afghan refugees. Facilitated collaborations between US forces and an optometrist for pro bono refugee care, resulting in significant cost savings.
Coordinated with Case Managers across facilities in the DMV region regarding patient care.
Monitored patients and served as liaison for hospitals to distribute information. Delivered comprehensive patient care details.
Facilitated seamless information exchange among general providers, specialty service providers, and community agencies.
Scheduled appointments with specialty healthcare providers and community agencies. Coordinated urgent care scheduling with Role 2 staff, local hospitals, and Health and Human Services.
Verified that provider follow-ups resulted in accurate updates to primary care charts with details from various medical events.
Ensure accurate and thorough referrals by maintaining a comprehensive file with patient referrals, and clinical recommendations.
Insurance Notification Coordinator
Parallon (HCA)/ Jun 2019 to Nov 2021
Executed timely and accurate delivery of insurance notifications. Documented eligibility and benefit information for patient accounts. Engaged in professional communication with facility case management staff. Accurately interpreted managed care contracts within the ConTrak software system. Excelled in a fast-paced team environment through strong work ethic and organization. Possesses six or more years of experience with medical terminology, ICD-10 codes, and insurance communications.
Lead Certified Clinical Medical Assistant (CCMA)
Premier Orthopedics of Virginia (HCA)/ Nov 2017 to Jun 2019 Processed imaging requests, referrals, and laboratory orders for healthcare providers. Secured necessary approvals for diagnostic imaging procedures. Communicated diagnostic imaging and lab results swiftly as instructed by the provider. Arranged meetings and forwarded calls to relevant departments. Utilize ECW on a daily basis.
Safely removed medical devices including casts, splints, sutures, and staples. Referral and Prior Authorization Coordinator/ Certified Clinical Medical Assistant Spotsylvania Multi-Specialty (HCA)/ Sep 2016 to Nov 2017 Communicated diagnostic imaging and lab results to patients following provider's guidance.
Worked alongside various medical professionals from different fields to achieve collective objectives.
Utilized Electronic Clinical Works (ECW) software on a daily basis. Managed vaccinations and therapeutic shots.
Organized and digitized patient records.
Exhibited advanced expertise in medical terminology. Scheduled both new and returning patient appointments. Coordinated patient appointments, cancellations, and rescheduling. Recorded no-show details, and tracked appointment requests from various electronic systems.
Engaged in daily huddles with office associates and clinic staff. Managed scheduling for inpatient and outpatient appointments. Verified accuracy of patient data during the check-in process. Screened and answered calls courteously and promptly, determined nature of requests. Obtained prior authorizations for diagnostic imaging and referrals. Handled information release requests.
Coordinated coverage across front and back office seamlessly. Executed back-office duties such as nebulizer treatments, ancillary testing, blood draws, EKGs, urinalysis, rapid strep tests, mononucleosis tests, spirometry, etc. Trained new hires for front and back staff
Lead Surgical Coordinator/Medical Assistant
Reston Breast Care Specialists (HCA)/ Jul 2015 to Sep 2016 Supported physicians and office operations.
Managed procedures for patient preparation before examinations. Conducted patient interviews and recorded vital signs. Organized exam and treatment rooms with essential instruments. Extracted blood samples for genetic analysis.
Maintained and prepared supplies and equipment for in-office procedures. Supported physician during minor surgical procedures. Arranged tests, treatments, and significant surgeries. Guided new hires on stocking patient rooms, scheduling patients and surgeries, and obtaining authorizations.
Lead Medical Assistant
Nova Cardiovascular Care/ Feb 2014 to Nov 2014
Recorded patient vital signs and guided them to the examination room. Connected event monitoring devices to gather initial and final reports. Transcribed dictations for various vascular and cardiac procedures. Prepared patients for treadmill exercises.
Facilitated coordination of surgeries including Cardiac Catheterizations, Angiograms, TEEs and Pacemaker implantations.
Coordinated pacemaker, life vest, and CardioNet appointments with hospitals. Scheduled new and established patients
Secured prior authorizations for medications, office studies and surgeries. Supported room stocking and managed inventory.
Facilitated training for new hires in OR scheduling and patient management. EDUCATION
Medical Assistant Diploma: Medical assistant
Career Training Solutions Dec 2011
Fredericksburg, VA
Some College (No Degree): Entrepreneurial Studies
Hampton University 2010
Hampton, VA
CERTIFICATIONS AND LICENSES
CPR Certification
Certified Clinical Medical Assistant (CCMA), 2023
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