Care Advocate Resume
Summary : A hardworking, energetic and vibrant individual with excellent communication and customer service skills looking for a career that exudes these qualities.
Skills : Medical Terminology, Leadership.
Description :
- Focused on initial and concurrent reviews for psychiatric and substance abuse patients.
- Obtained information from providers on outpatient requests for treatment.
- Determined if additional clinical treatment sessions are needed.
- Managed inpatient, partial hospitalization, intensive outpatient and outpatient mental health and substance abuse patients.
- Administered benefits and review treatment plans.
- Coordinated benefits and transitions between various area of care.
- Identified ways to add value to treatment plans and consults with facility staff on those ideas.
Experience
7-10 Years
Level
Management
Education
Psychology
Care Advocate II Resume
Headline : To continue professional growth where experience and personal initiative will be of immediate value and lead to increased responsibilities within the organization.
Skills : Customer Service, Database and Spreadsheet Management.
Description :
- Assist and educate families with obtaining access to and retaining memberships in all available healthcare services and programs.
- Navigate members through the selected programs and give instructions on premium payments, annual renewals and health plan systems as well as provide instruction on how to use the Healthy Families/Medi-Cal/AIM handbook.
- Schedule appointments for medical and dental services.
- Monitor enrollment, conduct follow-up on all applicants and track re-enrollments.
- Assist families with appeals, payment disputes and other complex issues.
- Participate in community outreach events as well as ongoing training and program updates.
- Prepare and maintain required paperwork and compile monthly reports and presentations.
- Maintain established departmental policies and procedures, quality assurance program, safety, environmental and infection control standards.
- Proven ability to establish and maintain good interpersonal relationships as well as the ability to work creatively, independently, and meet deadlines.
Experience
5-7 Years
Level
Executive
Education
MS
Care Advocate/Executive Resume
Headline : Experience working with mentally ill and co-occurring disordered clients for many years resulted in excellent diagnostic and treatment skills. Work well within a team and strive to keep skills and education.
Skills : LPCC, Computer , EMDR; EFT, Nutrition Coach.
Description :
- Reviewed cases for self-insured business, involving extensive knowledge of the DSM IV-TR, treatment, and discharge planning.
- Wrote up reviews following HIPPA and UBH guidelines.
- Coordinated with Discharge Program and discharge planners.
- Attended team meetings and training as scheduled; provided special services.
- Scheduled and facilitated peer-to-peer reviews with doctors when necessary.
- Provided innovative suggestions for improving workflow in the corporation.
- Provided timely reports to supervisors and did the follow up with facilities.
Experience
5-7 Years
Level
Executive
Education
Professional Counseling
Care Advocate/Representative Resume
Summary : Licensed Mental Health Counselor with an extensive background in group and individual work with children, adolescents, adults and couples. Prior experience in residential treatment programming.
Skills : Microsoft Office, Technical Skills.
Description :
- Processed telephonic initial inpatient and intermediate admissions for psychiatric and chemical dependency patients.
- Evaluated patient assessments and determined appropriate levels of care.
- Obtained information from providers on outpatient requests for treatment received electronically.
- Determined if additional clinical treatment sessions were needed.
- Handled inbound calls via Avaya One System and utilized electronic databases.
- Administered benefits and review treatment plans.
- Coordinated benefits and transitions between various levels of care.
Experience
7-10 Years
Level
Management
Education
Masters Of Arts
Care Advocate/Analyst Resume
Headline : Five years experience in an office setting providing customer service and office support. Two years experience in photography and using photographic software, like Adobe Lightroom.
Skills : Medical Terminology, Physician Order Transcription.
Description :
- Reviewed with Mental Health and Substance Abuse providers and facilities.
- Across the United States to monitor the efficiency and effectiveness of treatments.
- Case consultation and licensed supervision for non-licensed intake counselors.
- Researched and recommending treatment options.
- Created a resource Manual on Centers of Excellence across the United States.
- Provided excellent customer service. Clear and timely documentation of all communications.
- Utilized the company, Federal, and State policy and law as a framework for decision making.
Experience
5-7 Years
Level
Executive
Education
MSS
Care Advocate I Resume
Objective : Experienced private duty manager/provider with experience in multiple settings; at home, in nursing facilities and in hospitals Seeking a rewarding position.
Skills : Intellectual Disabilities, Outpatient Clinic Setting.
Description :
- Initiated both telephonic and face-to-face outreach to a caseload of Medica AccessAbility Solutions.
- Conducted needs assessments, developing care plans, and providing case management.
- Reviewed utilization and level of care guidelines to process provider and member requests for service.
- Promoted collaboration between providers across levels of care and advocating for member's needs.
- Participated in the MN Care Advocacy Center's Crisis Triage line to aid members with both commercial and government plans.
- Served as a senior clinician on a team of care advocates during a period of department expansion.
- Assisted Clinical Program Managers in streamlining assessment and care plan tools.
Experience
2-5 Years
Level
Junior
Education
Psychology
Associate Care Advocate Resume
Summary : Extensive experience in creating, developing and implementing a multitude of health care education initiatives targeted to a variety of populations and settings.
Skills : Healthcare Training, Education.
Description :
- Received management recognition for outstanding project leadership by overseeing.
- Directed the successful implementation of new Medicaid acquisition account.
- Awarded the recipient for excellent clinical performance and team leadership in delivering exceptional care.
- Increased productivity by designing and implementing cost-saving measures to streamline operations and eliminate redundancy.
- Awarded promotional delegation as a mediation director for transitional account services.
- Provided functional analysis and development of business operations.
- Honored by peers for numerous merit recognition awards for exceptional customer service.
Experience
10+ Years
Level
Senior
Education
Masters Of Arts
Lead Care Advocate Resume
Summary : Seeking a receptionist position that allows to utilize customer service, and client relation skills with Accuracy and efficiency while maintaining a motivated, productive, and goal oriented environment.
Skills : Technical Skills, Leading Skills.
Description :
- Answered inbound calls and make outbound calls Create cases for customers per call.
- Worked with Microsoft Word and Outlook.
- Answered questions related to vehicle concerns and features.
- Checked Recalls and Extended Warranty info.
- Worked with the dealership to further assist the customer as needed.
- Cased documentation and escalation Accomplishments With a short time.
- Advocated which is having the ability to make decisions without a review from a Supervisor.
- Utilized more resources to better assist customers.
Experience
7-10 Years
Level
Management
Education
M.S
Asst. Care Advocate Resume
Summary : Detail-oriented and versatile professional, with highly responsible operations experience gained in fast-paced environments, multitasking through critical acts of decisiveness delivering research and results on time.
Skills : Inventory Management, Management , Stocking, Unloading.
Description :
- Provided technical customer support services for business and residential customers.
- Trained and monitored others to perform customer support services under management supervision.
- Respond to customer action inquiries regarding Affiliate (non LEC) Internet Services.
- Performed standard isolation analysis and a variety of duties within the Affiliate Service Center.
- Received, recorded, initiated, and coordinated corrective action for statewide trouble calls from customers.
- Performed test analysis and isolation activities with customers.
- Established new facility records or updates existing records.
Experience
7-10 Years
Level
Management
Education
Bachelors Of Science
Care Advocate Resume
Summary : Customer Service professional with experience in both the not-for-profit and for-profit fields. Strong skills in customer service, clinical and case management, writing, editing and fundraising.
Skills : Microsoft Office Suite, Analytical Skills.
Description :
- Expressed Scripts Handle customer service inquiries from members, providers, physicians, and members.
- Worked to research and resolve problems in a timely manner.
- Assisted members in understanding and maximizing the use of their pharmacy distribution program.
- Computerized system to gather information and respond to questions.
- Documented issues and resolutions in a common database.
- Managed mental health and chemical dependency services for UBH members.
- Responsible for referring plan members to the appropriate levels of care.
Experience
7-10 Years
Level
Management
Education
Physical
