Marlene Almanzar

External Case Manager at The W Group
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Contact Information
us****@****om
(386) 825-5501
Location
United States, US

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Experience

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • External Case Manager
      • Nov 2020 - Present

      Marketing and External Case Management for our Assisted Living facilities OBTAIN RESIDENT REFERRALS FROM A WIDE VARIETY OF SOURCES (E.G. COMMUNITY, NURSING HOMES, HOSPITALS) •CONDUCT ASSESSMENTS AND SCREENINGS OF POTENTIAL RESIDENTS • ACT AS A LIAISON BETWEEN THE ADMISSIONS TEAM AND THE REFERRING FACILITY TO OBTAIN AND COMPILE APPROPRIATE DOCUMENTATION INCLUDING MEDICAL AND MENTAL HEALTH PAPERWORK TO DETERMINE AN APPROPRIATE ADMISSION CAN OCCUR •ORGANIZE AND ATTEND COMMUNITY FUNCTIONS AND HEALTHCARE ORGANIZATION MEETINGS /EVENTS Show less

    • United States
    • Airlines and Aviation
    • 700 & Above Employee
    • Trainer & Supervisor
      • Jul 2019 - Dec 2019

      Conducted orientation for all new hire classes of 15-46 employees at a time • Completed all documents pertaining to OSHA standards • Provide physical hands on training at the airport of all job duties • Maintained airport standards and taught all operations, policies and procedures • Maintained files and data entry of all new hires through the ETS database Conducted orientation for all new hire classes of 15-46 employees at a time • Completed all documents pertaining to OSHA standards • Provide physical hands on training at the airport of all job duties • Maintained airport standards and taught all operations, policies and procedures • Maintained files and data entry of all new hires through the ETS database

    • United States
    • Wireless Services
    • 1 - 100 Employee
    • Training Store Manager
      • Mar 2019 - Jul 2019

      Empowered staff to reach sales goals by providing essential selling skills imperative to the workplace • Delegated all daily operations for opening and closing procedures • Coached the staff using the salesforce database • Raised company stats by 150% by training staff to achieve sales goals • Executed all managerial duties such as scheduling and assisting all escalated matters Empowered staff to reach sales goals by providing essential selling skills imperative to the workplace • Delegated all daily operations for opening and closing procedures • Coached the staff using the salesforce database • Raised company stats by 150% by training staff to achieve sales goals • Executed all managerial duties such as scheduling and assisting all escalated matters

    • Medicaid Coordinator
      • Nov 2017 - Jun 2018

    • United States
    • Hospitals and Health Care
    • 200 - 300 Employee
    • Intake Specialist
      • Aug 2016 - Aug 2017

      Obtain referrals from Home Care Vendors, Senior Buildings, Nursing Homes and Adult Homes perform data entry to the LYCHEE database Responsible for managing all referrals from the Westchester, Bronx, and Manhattan County Confirm medical insurance coverage using the Electronic Provider Assisted Claim Entry System (EPACE) to refer to the appropriate plan Heavy caseload management consisting of printing appropriate documents for potential patients for nurses to take on home visits Upon receival of completed cases conducted internal audits to attest that all documents are completed correctly and signing off thereafter for future Department of Health (DOH) audits Submitting all enrollments to Maximus for patients to be enrolled into the Managed Long Term Care on the 1st of the month Add upcoming enrollment to the Uniform Assessment System (UAS) database Adhere to the NY Medicaid Choice deadline with new submissions Conduct all administrative duties for the Vice President of Intake Prepare all documents for Intake meetings with RN’s and confirm progress on all potential enrollments Confirm Vendors are contracted with our MLTC with the legal department before submissions are entered Keep track of all Care Management Reviews (CMR) documents that await approval from Director for patients to receive more that 5 hours of care Show less

    • 1 - 100 Employee
    • Patient Care Coordinator
      • Feb 2016 - Aug 2016

      Staffing and managing Home Health Aides(HHA) for patients that have been deemed eligible for home care services by Maximus Managing any unanticipated events or unstable situations such as hospitalizations, discharges, resumption of services and incidents to maintain a safe environment for Patients Assisted with Pre-billing by entering time sheets accordingly and assisted with payroll issues that pertained to my staff Maintain communication with patients, families, and contracts to ensure that care is ongoing and all identified needs are met Show less

    • United States
    • Government Administration
    • 700 & Above Employee
    • Enrollment Counselor
      • Dec 2014 - Feb 2016

      Answer calls in a high volume call center and maintain customer satisfaction Assist consumers with health plan selections by processing enrollments, transfers, and disenrollment’s from Medicaid health plans Maintain Health Insurance Portability and Accountability (HIPPA) confidentiality Document call events in case notes that all demographics were verified to keep track of any changes to members insurance coverage Record daily attendance,log in & log out times, monitor breaks and performance within the unit to make sure that staff is available to answer incoming calls and keeping up with Quality Assurance Standards Show less

    • Italy
    • Retail Apparel and Fashion
    • 700 & Above Employee
    • Keyholder
      • Apr 2014 - May 2015

    • Switzerland
    • Retail Luxury Goods and Jewelry
    • 700 & Above Employee
    • Sales / Visual Lead
      • Mar 2011 - Oct 2012

      Leading sales weekly goals by accomplishing a record breaking 70 jewelry pieces Trained all new hires Updated all new visual updates on a weekly basis Always strategized new ways to develop and grow the jewelry department by translating sales management. Accomplished with my teammates a 20% improvement from LY . Leading sales weekly goals by accomplishing a record breaking 70 jewelry pieces Trained all new hires Updated all new visual updates on a weekly basis Always strategized new ways to develop and grow the jewelry department by translating sales management. Accomplished with my teammates a 20% improvement from LY .

Education

  • Monroe College
    Associates Degree, Criminal Justice
    2010 - 2012

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