Andromeda Scott
Columbia
Summary
Dedicated and detail-oriented Care Coordinator II with 2 years of experience working in behavioral health (BH) and Healthcare Effectiveness Data and Information Set (HEDIS) metrics within the health plan industry. Adept at coordinating patient care, ensuring quality outcomes, and improving HEDIS scores by streamlining processes and Strong ability to work under pressure and handle sensitive, confidential information while ensuring optimal care delivery.
Overview
6
6
years of professional experience
Work History
Care Coordinator II
Absolute Total Care
03.2023 - Current
- Coordinate care for members with behavioral health needs, ensuring seamless service delivery and
appropriate follow-up across all levels of care. - Lead efforts to improve HEDIS performance by identifying and addressing gaps in care, resulting in a
measurable improvement in BH-related metrics. - Provide education and support to members with behavioral health conditions, assisting them in navigating the healthcare system and adhering to treatment plans.
- Collaborate with a multidisciplinary team of providers, care managers, and specialists to develop
individualized care plans and monitor patient progress. - Perform data set reviews and ensure that all documentation is accurate and complete to HEDIS denominator standards.
- Conduct outreach and follow-up calls to members to ensure timely preventive care and behavioral health
screenings. - Manage referrals to community resources and behavioral health services as needed, ensuring
comprehensive care coverage. - Track and report progress on HEDIS measures related to behavioral health, working with the quality
improvement team to address barriers and optimize patient outcomes. - Support the creation of care coordination policies and procedures to improve program efficiency and
member engagement.
Office Services Coordinator
Absolute Total Care
01.2022 - 03.2023
- Inventory Coordination, Records Management, Mailing and Shipping Oversight.
- Assist with member outreach for Absolute Total Care Member Advisory Committee Virtual Meetings.
- Assist as back up for Appeals and Grievances Office Services Coordinator.
- Use TruCare and Omni to research members who have returned mail or requesting replacement medical cards. Order supplies using Coupa, WebCRD, and vendors such as Xerox and Pitney Bowes.
- Point of Contact for Vendors such as Xerox, Pitney Bowes, and Iron Mountain.
- Created job aide for current role to reflect daily, weekly, and monthly duties.
Office Services Coordinator
Healthcare Support Staffing
08.2021 - 01.2022
- Monitored stock of office supplies to report shortages to management.
- Used scanner and copier to scan important documents into computer system.
- Maintained monthly, weekly and daily reports of transaction.
- Operated postage equipment to register weight of packages, automatically open letters and apply meter postage on outgoing mail.
- Distributed incoming mail from shipments, couriers and postal delivery to departments within organization.
Office Administrator
PSMI Group
12.2018 - 01.2020
- Maintaining files and ensuring files are up to date and with ease of access
- Sorting and distributing incoming mail and prepare outgoing mail
- Answering the phone to take messages or redirecting calls to appropriate colleagues
- Oversee inventory and order additional products and supplies when needed
- Support budgeting and bookkeeping procedures
- Create and update records and databases
- Track stocks of supplies and place orders when necessary
- Submit timely reports and prepare presentations/proposals as assigned
- Assist colleagues whenever necessary
Education
Associate of Science - Accounting
Colorado Technical University
Colorado Springs, CO08-2023
High School Diploma -
Eau Claire High School
Columbia, SC05.2002
Skills
- Behavioral Health Coordination
- HEDIS Metrics & Compliance
- Resource Referral & Management
- Strong Analytical Skills
- Time Management Skills
- Excellent multi-tasking ability
Timeline
Care Coordinator II
Absolute Total Care
03.2023 - Current
Office Services Coordinator
Absolute Total Care
01.2022 - 03.2023
Office Services Coordinator
Healthcare Support Staffing
08.2021 - 01.2022
Office Administrator
PSMI Group
12.2018 - 01.2020
Associate of Science - Accounting
Colorado Technical University
High School Diploma -
Eau Claire High School
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