Case Manager Management

Mario Marquez

Crandall, TX 415-***-**** *************@*****.*** Linkedin.com/in/mario-marquez-33a70120

ACA Certified Navigator/Case Manager/Outreach Coordinator

An accomplished, innovative professional with strong communication and interpersonal skills. Quickly and accurately understands needs and consistently provides outstanding service. Brings substantial experience as a Health Educator, Case Manager, and participant at Outreach Events within communities and businesses. Productive and energetic professional offering success providing organizational, planning, problem-solving skills and guiding cross-functional teams. Quickly learns new processes and thrives in challenging work environments with an emphasis on results. Adept at working effectively to create positive change individually or in team-based settings. Fluent in English and Spanish.

Leadership Impact

Trusted Case Manager partner who consistently delivers quantifiable value by leveraging emerging technology and business insights to optimize value.

Case Management strategist with an entrepreneurial mindset and a contemporary approach to solving diverse problems through innovation, scalability, and reliability.

A results-driven, decisive leader who is highly skilled at building stakeholder relationships and managing change, developing measurable procedures and counseling/developing individuals and teams.

In-depth expertise in Case Management process optimization, security and governance, continuity and leading projects through the complexities of varying priorities, agendas, and cultures.

Signature Competencies

Behavioral Management Rehabilitation Programs Case Management

Bilingual-English/Spanish Case Strategies Risk Management

Cross-functional Collaboration Public Speaking Community Networking

Computer-based Proficiency Safety Protocols Training & Mentoring

Regulatory Compliance Personnel Management Critical Thinking

Electronic Medical Records

Professional Experience

ACA CERTIFIED NAVIGATOR- – Prism Health North Texas – March 2022 to Present

• Successfully complete all required federal Navigator trainings, pass the required Navigator certification exam, participate in relevant and assigned webinars, and comply with continuing education and ACA Navigator recertification requirements throughout the program lifecycle within 30 days of employment.

• Conduct consumer outreach and marketing within local communities about health insurance options through the Health Insurance Marketplace and assist consumers to enroll for healthcare coverage.

• Assist consumers to enroll for marketplace coverage during open enrollment, special enrollment periods, and engage consumers in ACA related activities throughout the year.

• Work independently and with team members, travelling throughout the 12 designated counties to provide in-person and virtual ACA consumer group or individual enrollment activities.

• Serve as a resource for consumers seeking to understand the Federally Facilitated Marketplace, health insurance options and provide courteous, professional and confidential assistance to all consumers seeking healthcare coverage access and information.

• Identify and build strategic partnerships with community-based groups and organizations to amplify program efforts.

• Handle sensitive and personal information with an understanding and respect for consumer confidentiality.

• Provide documented consumer engagement, follow-up and data-entry to capture consumer referrals and outcomes.

• Achieve performance targets, working closely with the other Navigators, program supervisor and consortium partners to identify and overcome challenges.

• Remind potential participants of appointments through reminder postcards and calls and track all consumer contacts.

NON-MEDICAL CASE MANAGER/INTAKE SPECIALIST/ELIGIBILITY – Prism Health North Texas Aug 2014 – March 2022

Conduct initial intake process, assess patient needs.

Provides appropriate non–medical case management for assigned clients.

Follows case management standards and establishes agency procedures related to providing non-medical case management services.

Conducts initial assessment for patient needs and eligibility to access services; schedules initial medical appointments and provides ongoing case management.

Obtains all necessary documents to provide client care.

Maintains client confidentiality and privacy; ensures informed consent.

Develops and implements a comprehensive care plan in collaboration with client.

Assesses/evaluates client needs and refers clients to medical care, prevention, psychosocial and other treatment and/or support services; follows-up on referrals to ensure linkage.

Manages caseload by maintaining contact with clients based on acuity level and protocols regarding contact standards.

Conducts home and other off-site client assessments as appropriate.

Apprises supervisor of challenges related to barriers to care, systems abuse, duplication of services, and performance by referred providers, client grievances and new emerging resources.

Follows all protocols, completes accurate and timely documentation of each client encounter into requisite databases and submits necessary reports to supervisor on time.

Identifies clients for case management graduation, inactivation, or file closure.

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Education & Certifications

Bachelor of Arts Degree, Sociology – San Francisco State University (GPA: 3.6/4.0)

Associate of Arts Degree, Justice Studies with a Minor in Psychology

HIV Education and Prevention Certification

Sex Educator Certification

Group Facilitation Certification

Community Outreach Certification

Case Management Certification

Technical Proficiencies

Athena/Centricity EMR, Adobe PDF, Microsoft Office: Word/Excel/PowerPoint/Access/Outlook, Internet, electronic document portal/storage

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