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