Global Strategy Consultant, Social Work Expert
Resume:
GISELLE M. WESOLOWSKI
Parkland, FL 33076
Cellular Phone: 954-***-****
E-mail: *.***********@*****.***
OBJECTIVE
To have the opportunity to obtain a job that allows me to aid and help those needing assistance. I am extremely passionate to continue to give back to my community.
EDUCATION
Florida International University - Miami, Florida August 2010- August 2013 bachelor’s degree in social work.
WORK EXPERIENCE
Baptist Health Boca Raton Regional Hospital Boca Raton, FL
September 12th, 2022-March 10th, 2024. (Full Time Employee) Transition to Per Diem as of 03/10/2024- End Employment on 08/2024
Care Management Discharge Coordinator Duties & Responsibilities:
●Coordinated and managed a wide range of complex and high-volume patient referrals to ensure continuity of post Discharge Care.
●Duties include frequent interactions with care managers, patient’s payers, and community care providers, data entry and analysis related to insurance coverage and availability of resources.
●Knowledgeable coordination of post discharge service including home health care, durable medical equipment, nursing homes, hospital transfers, transportation and services for the indigent population.
●Maintained current real-time work list to facilitate communication related to patient referral status for post discharge services.
●Performed hand-offs in accordance with departmental guidelines to ensure continuity of care and follow-up.
●Contact nursing homes, sub-acute facilities, and rehabilitation centers to ascertain bed availability and/or admission requirements and coordinate the patient’s transfer accordingly.
WORK EXPERIENCE
Sky Nurses, Boca Raton, FL
January 3rd,2022- August 1st, 2022
Case Manager/Patient Care Coordinator Duties & Responsibilities:
●Handled complex case management cases that focused on the repatriation of undocumented and/or unfunded foreign nationals. Cases with Latin America and all other parts of the World.
●In charge of finding Hospitals Evaluation and Admission for bed placement, either Long-Term Care Facilities, Hospitals, Nursing Homes or Residence Discharge.
●Communication with hospitals for Hospital approval endorsement/sponsorship letter.
●Communicated with government contacts as Consulates Embassies to obtain Emergency Travel documents.
●Maintain active communication with family to obtain original and/or supporting documents to prove citizenship of foreign country such as birth certificate, photo identification, etc.
●Gather all travel documents upon receival to provide to the medical escort team with patient travel documents for successful transfer.
●Coordinating of mission logistics.
●Inputting of tracking progress notes in real time provided by an inflight medical team.
WORK EXPERIENCE
Cleveland Clinic, Parkland, FL
December 2020- November 11th, 2021
Patient Services Representative/Front Desk & Check Out Duties & Responsibilities:
●Ensured accuracy and an outstanding patient experience.
●Facilitated billing functions, accurately meeting compliance and organizational quality and productivity standards.
●Maintained confidentiality of the patient’s information such as patient’s insurance, billing, patient’s demographics and payment information
●Performed telephone triage calls by routing messages to the appropriate medical staff in cases of emergency, Life Threatening cases or scenarios; for example: routing chest pain calls, shortness of breath, Covid-19 related symptoms questions regarding vaccine where to receive it or where to get tested.
●Scheduling and screening of interpreter services via third party affiliations in the community to facilitate patient care.
●Effectively collaborating and communicating with clinical staff, i.e. providers, nurses and other support staff.
●Committing & abiding to provide the highest level of satisfaction in quality service, caring and compassion to patients, their families and visitors.
●Possessing communication and organizational skills with a diverse patient population and workforce.
●Exhibiting high levels of customer service experience, exemplary interpersonal skills and ability to interact with patients and families in a wide variety of sensitive situations.
●Demonstrating interest in process improvement or adopting new processes and or technology.
●Demonstrated the ability to understand and interpret medical insurance information.
●Critical thinking, decisive judgment, and the ability to work independently with minimal supervision in an often-hectic environment.
●Demonstrated independent thinking and problem-solving skills, ability to exercise judgment to triage issues and concerns.
●Demonstrated the ability to switch from one task to another successfully in a fast-paced, ever-changing environment.
●Minimum of 1 year of patient registration, almost 3 years in appointment scheduling, 1 year in insurance processing 3 years of customer service/concierge experience.
●Demonstrating exceptional customer service and conflict resolution.
WORK EXPERIENCE
Cleveland Clinic, Weston, FL
January 2019 – December 2020
Office Coordinator Clerical Duties & Responsibilities:
●Supported clinic operations by direct involvement with the physicians and nurses of the pulmonary department.
●Answered telephone calls by triaging the call, scheduling appointments, scheduling diagnostic testing and procedures, obtaining referral/authorization, maintaining physician calendar and other administrative duties.
●Facilitated the access of patients to CCF through direct patient appointment scheduling or by serving as a liaison between patient and or other medical departments.
●Communicated and related phone messages for the respective areas in a clear and concise manner in accordance with CCF Policy.
●Assisted with calendar, meeting, and travel arrangements as requested and ensuring proper forms were completed.
WORK EXPERIENCE
Uromedix, Aventura, FL
May 2016 - February 2017
Front Desk/ Scheduler Duties & Responsibilities:
●Answered a multi-line phone system to greet and assist patients in communicating with doctors with medical questions and concerns.
●Processed co-payments, deductibles, and patient balances, making deposits (closing batch), verifying insurance benefits, requesting authorizations from primary doctors' offices, verifying daily chart prep. Scheduling patients for different procedures and appointments such as, (New Patient, Follow Up, Prostate Biopsy, TUMT Procedure, Cystoscopy, etc.)
●Managed Doctor’s schedule. Called patients to confirm, re-schedule or cancel appointments. Routed messages to doctors for prescriptions refill & questions regarding treatments options.
WORK EXPERIENCE
Archways, Fort Lauderdale, FL
March 2015 - October 2015
Case Manager for Broward Housing Solutions II Department Duties & Responsibilities: ●Provided a holistic and comprehensive case management services to all mental health clients including intake assessment, benefit assessment, goal setting, long-term care plan development, weekly case plan development, progress monitoring, advocacy and referrals.
●Optimized the functioning of individuals who had complex needs by coordinating the
provision of quality treatment and support services in the most efficient and effective manner.
●Reviewed client’s living situation, which included a determination of the client’s
strengths and weaknesses, the client’s needs and resources, and the strengths and weaknesses of the client’s support systems.
●Linked clients with resources in the community.
●Collaborated information with previous psychiatric hospitalizations, outpatient treatment, primary care providers and evaluations, summaries and progress notes from other involved human service individuals or agencies to provide the best practice.
●Conducted home visit every 60 days to assess client’s needs and to monitor
client’s mental/medical/physical and emotional state.
●Managed a caseload of 25 clients, developed and completed treatment/service plans for each client every 6 months.
WORK EXPERIENCE
The Non-Violence Project, Sunset, FL
August 2013 – January 2015
Compliance Coordinator Duties & Responsibilities:
● Contract/Medicaid Auditing, Filing, & Organization
● Staff invoices
● Medicaid Eligibility Reviews.
● Handle the completion of Outpatient Behavioral Health Request Form for Psychosocial Rehab.
● Collected and Inputted Client Intake Form
● Closed groups once the school year had ended.
● Reviewed clients that had dropped out from our program and needed to be discharged from our system
● Informed LCSW when treatment plans reviews were due in a report format.
WORK EXPERIENCE
Business Office Support Systems Inc, Coral Gables, FL
May 2007- February 2012
Social Services Duties & Responsibilities:
● Helped self-pay and uninsured patients obtain medical insurance through the Medicaid program to assist patients with the coverage of their medical stay.
● Helped vulnerable patients who were unable to work for more than 12 months, obtaining disability benefits.
● Aid patients with financial hardship by applying for the charity program that Baptist Hospital provided.
● Coordinated communication between patients, family members, medical staff, administrative staff, or regulatory agencies.
● Interviewed patients or their representatives to identify problems relating to their care. Maintained knowledge of community services and resources available to patients.
● Investigate and direct patient inquiries and complaints to the appropriate medical staff member and follow up to ensure satisfactory resolution.
Work References are available upon request.
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