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Elizabeth Pardo

Extensive experience and knowledge of healthcare programs and resources, manage


d care (HMO, PPO, Medicare and Medi-Cal), and geriatric care.
Self starter, superior communication skills, highly adaptable, with exceptional
strategic, analytical, and multi-tasking skills. Extremely well organized, thor
ough and diligent.
Masters of Arts in Business Management with an emphasis on employee development
, HR management, organizational design and development, instructional design, an
d leadership skills.

Azusa Pacific University


Master of Arts in Business Management
January 2010
Member of Alpha Chi National College Honor Society
California State University, Fullerton
Bachelor of Arts in Psychology
June 2002
Deans List

SCAN Health Plan Long Beach, CA May 2004- June 2010


Care Manager (Multi-Purpose Senior Services Program)
Managed caseload of 45-50 clients.
Integral to the increase the Asian-American clientele base.
Responsible for preparing and recording case documentation, care plans, service
plans and treatment authorizations to ensure clients needs are met in a timely
manner.
Conducted in-home assessments to determine eligibility for MSSP Program.
Coordinated services with various vendors, medical professionals, counselors, h
ospitals, nursing care facilities, home health services, hospice and other servi
ce providers.
Communicated with clients and clients family/guardians on a regular basis to en
sure that necessary services are provided and services are updated. Informed cl
ients of their benefits related to federally-funded programs, Medicare, and Medi
-Cal.
Managed budget allocation for client purchases and services. Approved expenditu
res and ensured that expenses are tracked and documented.
Audited client charts to ensure records program requirements and accuracy
Contributed in team conferences to improve team efficiency, consider ways to be
tter meet clients needs and meet company goals.
Participated in various work committees and projects to streamline work process
, provide ongoing training for employees regarding current business trends, and
facilitates care plan training for new employees.
Promoted company services through outreach programs and participation in health
fairs.
New Orange Hills (Skilled Nursing Facility) Orange, CA July 200
2-May 2004
Resource Manager
Developed, organized, and directed the admission, social service, case manageme
nt, and utilization review programs as part of the Patient Care Team.
Maintained accurate records of bed availability within facility. Received inqui
ries for admission from referring hospitals. Communicated all patient informatio
n to facility staff prior to admission. Verified insurance coverage/information
of patient and obtained authorizations for treatment.
Interviewed patients upon admission to perform psychological assessments. Compl
eted appropriate MDS assessments and patient care plans. Provided resources to
meet patients health and mental care needs. Clarified financial aid options to
patients including information about Medicare/ Medi-Cal and other financial prog
rams available. Knowledge of payment systems (HMO, PPO, various insurance payers
).
Resolved grievances and complaints filed by customers.
Assisted patients with transition from facility to Long-Term Care Facilities an
d Residential Care Facilities for the Elderly. Ensured all discharge needs are m
et by preparing Home Health referrals and follow up care.
Participated in departmental studies and projects to improve facility and patie
nt services.
Facilitated training programs regarding patient care. Assisted in new employee
orientation.

Microsoft Suite (Word, Excel, Powerpoint, Outlook, Access)


Social Services Certification
Completed course for Licensed RCFE (Residential Care Facility for the Elderly)
Administrator

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