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0-5 years of experience
- Manage New Member Assessment Call Centers in St. Petersburg, Florida and San Antonio, Texas simultaneously
- Generated over $500k in additional wave work/ stars campaign projects for Humana Behavioral Health for the year of 2016.
- Successfully managed and integrated the Health Guide Pilot from Humana at Home to Humana Behavioral Health, representing $250 million in revenue drivers including referrals to broad-based business lines for 2016.
- Exceeded EOY target of our referral resource partners resulting in 1.2 million in pre-tax, profit dollars.
- Successfully developed and managed the Existing Member Pilot, Diabetic Pilot and Sales Pilot that created over 2,100 new touch points for the business.
- Increased productivity by 25% within the first 60 days in my role as Manager
- Efficient in Word, Access, Excel, GCP, CCP2, CGX, Dimension, RX-Look Up, Avaya Dialer, CMS Supervisor, Telnet, Monitor, Analyst and Qlikview Reporting Suite.
- North Star Award Recipient in 2016
0-5 years of experience
- Managed telephonic care management operations for 110 Personal Health Coaches – 7 PHC Coaches as direct reports.
- Increased Production by 40% resulting in 7500 more member contacts monthly, and 90,000 more contacts annually.
- Increased Remote Monitoring market penetration by 65% resulting in 6200 more members enrolled and improvements in cost reduction per member per month.
- Utilized strategic planning as the hiring manager of hundreds of new Personal Health Coaches resulting in our ability to meet our business goals; Realignment of regional assignments to support our membership and regional partnerships to meet our organizational goals and pilot needs.
- Developed internal talent resulting in 4 out of 8 direct reports moving into higher leadership positions.
- Partnered and collaborated with corporate sponsors and project managers in the successful rollout and implementation of key reporting and process enhancements – Contributed to the HEDIS/STARs compliance report, Care Roster enhancements, and PHC documentation improvement project which has improved our compliance, quality, and efficiency in time management of our care managers and leadership team.
0-5 years of experience
- Managed operation of clinical research sites- site selection, initiation, regulatory, patient enrollment, site maintenance, patient follow up, and study close out for PMA and 510(k) dialysis access trials
- Proctored and trained investigators and staff during surgical implant for study enrollments and interventional follow up events
- Coordinated site enrollment strategies and spearheaded referral outreach programs.
0-5 years of experience
- Meets regularly with VP, Clinical Milieu Manager, and Unit Coordinators individually to keep informed of student and staff issues, to encourage suggestions, and be available for consultation.
- Collaborates with the Clinical Milieu Managers and Unit Coordinators in the provision of a therapeutic milieu for the students served in the residential units.
- Provides assistance to the Clinical Department ensuring a smooth flow of information and services from the department.
- Oversees efficient staffing, scheduling, and coordination of services including maintaining the department budget
- Collaborates with the VP of Clinical Services in the development and implementation of departmental orientation programs, regular training programs, needs assessments, mandatory trainings, and skill specific training and evaluation of trainings.
0-5 years of experience
- Responsible for the daily operations of four home health agencies in Central PA and Maryland
- Budget preparedness
- Clinical Excellence
- Strategic Planning and Implementation
- Extensive Clinical Program initiations
0-5 years of experience
- Management of Medical assistants to ensure timely support of physicians and accurate documentation
- Ensure a high level of patient care.
- Coordinate activities among scheduling, coding and billing
- Assure appropriate flow of daily clinical operations
- Create reports to upper management
- Liaison between home health agencies and providers
- Assure accurate documentation to optimize reimbursement
- Work closely with internal departments
- Attention to detail and commited to management solution
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Clinical Operations Manager
Last edited by: Gabriela Barcenas, CONTENT STRATEGIST -
Gabriela Barcenas
CONTENT STRATEGISTGabriela is a Certified Professional Resume Writer (CPRW) and career adviser. With 10 years of digital media experience and five years of resume writing expertise, her publication history includes fashion, education, travel, social justice, equitable design and career advice.
