Experience

• 

  Molina Healthcare

  • Case Management Specialist
• 

  Molina Healthcare

  • Waltham, Massachusetts, United States

  • Case Management Specialist

    • Apr 2021 - Present
    • Waltham, Massachusetts, United States
• 

  Senior Whole Health

  • United States
  • Insurance
  • 200 - 300 Employee

  • Member Support Coordinator

    • Apr 2013 - Present

    >Collaborate with providers and SWH care management staff to address and resolve the needs and concerns of member and caregivers.> Meet periodically with members, their families, and providers in office or home settings.>Manage issues related to care plan services in coordination with GSSC and SWH NCM>Schedule and participate in regular meetings at the ASAP with GSSC and NCM.>Assist members and providers in the timely resolution of problem or complaints.>Conduct follow up call to determine the status of member according to established guidelines.

  • Community Resource Coordinator

    • Sep 2006 - Present

    >Facilitate orientations and inform members in wide array of health benefit services.>Serve as an interpreter for physicians, nurses and colleagues to ensure open and interpersonal communication.>Assisted in creating care plans, and other reports necessary to provide ongoing tracking of client’s progress.

• 

  BMC HealthNet Plan

  • client service

    • Sep 2002 - Sep 2006

    > Demonstrates a basic understanding of BMCHP Plan particularly in the area of marketing, enrollment, provider relations, claims and member services.>Resolve member’s grievances, questions, and complaints

• 

  State Street Bank

  • Office Assistant

    • Jun 2000 - Aug 2002

    > Worked in custody services coding and closing both security and cash exceptions.> Assisted custody specialists with accounting and custody systems.