Care Consultant Resume Samples

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A Collier

Alexys

Collier

17786 Lura Underpass

Phoenix

+1 (555) 245 0400

17786 Lura Underpass

Phoenix

Phone

p +1 (555) 245 0400

Experience Experience

Dallas, TX

Patient Care Consultant

Dallas, TX

Murphy-Koss

Dallas, TX

Patient Care Consultant

Manage and report performance tracking information and metrics by working with your Regional Director
Manage referrals by working with existing patients
Coordinate with Practice Manager to schedule surgeries to meet surgical schedule
Develop and maintain relationships with potential and current Sono Bello patients, ensuring a smooth handoff between consultation and treatment
Other duties as assigned
Meet with new and existing patient’s to determine realistic goals with an emphasis on our surgical and non-surgical body contour solutions as well as provide education and value within our practice
Assist potential patients in the decision making process utilizing the Sono Bello consultation process

New York, NY

Technical Care Consultant

New York, NY

Cartwright LLC

New York, NY

Technical Care Consultant

Creating and removing users, suspending users and investigative work if system not working
Provide services for online platforms
Resolving network and access issues
Packaging, installation and support of enterprise applications in managed environments
Current networking technologies, topology and fault finding techniques
Willingness to take on additional tasks and flexibility to work additional hours/different shifts
Taking full ownership of complex issues/enquiries through to resolution

present

Philadelphia, PA

Senior Quality Care Consultant

Philadelphia, PA

McClure, Rowe and Wunsch

present

Philadelphia, PA

Senior Quality Care Consultant

present

Participate and manage customer assessments for quality care initiative and assist in developing plan for customer process standardization
Develops, plans and manages customer training programs
Assist with field and/or class room training of new sales consultants
Identifies and communicates opportunities for product improvement using direct customer feedback
Makes recommendations that will drive customer acceptance and utilization of new products and services
Participates in or leads pre-sales support, assessment and evaluation of new products and services
Participates in or leads the post-sales assessment, design, implementation and monitoring of new products and services

Education Education

Bachelor’s Degree in Social Work

California State University, Northridge

Bachelor’s Degree in Social Work

Skills Skills

Highly detail oriented
Strong communication skills
Strong initiative and problem solving abilities
Strong computer skills and comfort with various computer applications, including Windows, Adobe, Internet applications and others
Strong organization and time management abilities
Professional appearance and disposition
Quick-paced
Strong communication skills, both written and verbal
Ability to prioritize work for multiple clients and consistently meet deadlines
Ability to work within budgets

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Health Care Consultant Resume Examples & Samples

Review front, middle and back end processes of hospital revenue cycle to identify process and revenue improvement, recommend best practice solutions and assist in implementation of recommendations
Focus on all aspects of the hospital revenue cycle including registration, insurance verification, admission, clinical department operations, CDMs, charge capture processes, clinical and hospital IT system interfaces, health information management, billing and collection, bad debt and charity care
Review coding documentation and assignment as well as billing protocols and procedures to assure compliance with regulatory and government requirements including Medicare, Medicaid and other payers
Use technical knowledge and professional consulting experience to participate in project management and practice development
High School Diploma/GED required; Bachelor’s degree in healthcare, business, finance, or related fields preferred
Minimum of 2 years of external consulting experience to hospitals
5 years of external consulting experience preferred
Strong presentation skills required for training and implementation of educational programs for client staff and physicians
Highly experienced with MS Office Suite (Excel, Word, PowerPoint)
Strong interpersonal and presentation skills required for educational programs and client interaction
Strong analytical and writing skills required for proposal and report development

Health Care Consultant Senior Manager Resume Examples & Samples

Development, growth and management of the consulting group's Health Care Litigation support practice
Create and sustain relationships with Health care law firms and/or Managed Care organizations in house counsel
Manage/perform consulting engagements as required for Managed Care organizations in the areas of operations, systems and finance
Use technical knowledge and professional consulting experience to provide effective project management and practice development
High School Diploma/GED required; Bachelor’s degree in healthcare, business or finance fields preferred
Minimum of 10 full years of external consulting experience to healthcare organizations (consulting experience with healthcare payers considered a plus) required
Minimum of 3 full years of specific healthcare litigation support experience required
History of effectively managing healthcare consulting projects desired
Hands-on experience working with managed care information systems
Prior testifying experience a plus (both in arbitration and jury settings)
Strong proficiency with Microsoft Word, Excel and Outlook

Health Care Consultant Resume Examples & Samples

Strong initiative and problem solving abilities
Quick-paced
Bachelor’s degree in accounting and GPA of 3.0 or higher in major and overall
Ability to work within budgets

Conceptwave / Order Care Consultant Resume Examples & Samples

Work with teams of other Consultants and System Architects to Assess, Analyze, Plan and ultimately Implement industry best-in-class Order Management solutions for Global Telco clients
Create detailed and accurate As-Is and To-Be process maps and be able to quickly and efficiently understand Gaps based on industry best practices
Help recommend improvements by creating roadmaps and transition plans encompassing high ROI OPEX and CAPEX reductions and potential increased Revenue based on sound value propositions, benefit potential and business cases
Work with other members of Ericsson to develop Consulting Products and Services specific to Order Management that are compelling and repeatable
At Least 5 years in the Telcommunications Industry
A minimum of three years experience with Conceptwave order management products
A strong understanding of process design across Telcommunications and/or Cable Operators in at least some areas of Customer Care, Inventory, B2C & B2B Services, Assignment and Design, Back Office, Dispatch, Field Operations and Help Desk operational areas
An understanding of how Order Management within the Fulfillment area impacts the other eTOM functional areas of ILM, OSR, Assurance and Billing as well as interactions with the BSS in CRM and its fit to the overall Business Model
Knowledge of Fulfillment industry KPI/KQIs and KPOs, Operational and Diagnostic metrics and associated benchmarks
The ability to help create within a team structure robust value propositions and business cases for systems and process transformation
Excellent analytical skills are a must. Knowledge and certification in eTOM and ITIL frameworks is a plus
Ability to document to a level 5 eTOM flow is critical
Ability to quickly identify and document gaps and to identify the need for and to create business rules is required
A proven track record of success working on customer engagements. Has been part of at least 2 Process engagements
Able to interview operational staff and to document accurately the work flow
Able to create and present technical deliverables. Excellent Verbal, Writing and Presentation Skills are critical
Expertise in business process modeling tools, Visio and PowerPoint

Health Care Consultant Resume Examples & Samples

Health care accounting and/or consulting experience required
Solid knowledge of Medicare and third-party payer coding and billing regulations
Understanding of operations management issues for home health and hospice providers
Experience in developing and performing presentations
Strong project management skills are imperative

Dental Managed Care Consultant Resume Examples & Samples

Competitive pay, great benefits and vacation time. Benefits including medical, dental, vision, life insurance, 401(k) with company match and cash pension plan
Casual Dress
Fitness Facility
Free Parking
Dental/Vision terminology course work and industry courses with claims or customer service experience and experience in the dental/vision field required
Good written and verbal communication, planning and basic problem solving skills required
Strong communication, customer service and organizational skills required
Must be self-motivated, able to work in a team environment, able to multi-task, detail oriented and able to maintain strict confidentiality guidelines
Requires good computer skills and must have strong knowledge of utilizing dual monitors and multiple systems
Extended periods of sitting and PC exposure

Patient Centered Care Consultant Resume Examples & Samples

3 years health care experience; or any combination of education and experience, which would provide an equivalent background
Physician environment experience in practice transformation/quality improvement, ambulatory care setting quality and efficiency metrics, and electronic health records preferred
Requires travel (approximately 3-4 days per week, through the counties of southeastern West Virginia)

Consumer Care Consultant Resume Examples & Samples

2 years + experience in a similar role
Previous experience in processing consumer complaints and returns
Exceptional written and Verbal communication skills
Strong computer skills with experience using Salesforce

Senior Quality Care Consultant Resume Examples & Samples

Demonstrates thorough knowledge and understanding of relevant clinical education and training, products and services
Participates in or leads the post-sales assessment, design, implementation and monitoring of new products and services
Develops, plans and manages customer training programs
Makes recommendations that will drive customer acceptance and utilization of new products and services
Identifies and communicates opportunities for product improvement using direct customer feedback
Participate and manage customer assessments for quality care initiative and assist in developing plan for customer process standardization
Assist with field and/or class room training of new sales consultants
Ability to travel up to 50-60% within assigned territory
Must have valid drivers license and clean driving record
Clinical experience required for consideration

Care Consultant, Seattle Resume Examples & Samples

Assist individuals, family members, and caregivers through assessment, care coordination, problem-solving, education, planning, referral and follow-up. Show results through evaluation and report outcomes of work
Interact and coordinate internally and with other health and human services providers
Maintain expert knowledge on Alzheimer’s disease, dementia, health/mental health care, and geriatrics
Maintain accurate records and statistics utilizing all internal & external systems; meet deadlines; collect and maintain case load data; perform ongoing evaluations
Represent the Association to a variety of community meetings or events for outreach, education, engagement, collaboration, fundraising, and referral purposes, including trainings and presentations
Support and participate in Association events, including but not limited to the Walk to End Alzheimer’s, A Reason to Hope, and chapter conferences, as requested
Support and participate in formal advocacy and public policy activities as requested

Specialist, Care Consultant Resume Examples & Samples

Help callers better understand Alzheimer’s disease and behaviors commonly associated with it
Link callers to emergency, chapter and/or community resources, as needed
Provide accurate and timely documentation and follow-up of call interactions and interventions
Work closely with Contact Center staff and chapter care consultation contacts
Uphold the Alzheimer’s Association policy on client confidentiality
Act as a resource to other staff with issues of legal competency, guardianship, and advance directives

Senior Quality Care Consultant Surgical Resume Examples & Samples

Participates in or leads pre-sales support, assessment and evaluation of new products and services
Serves as lead consultant and resource to internal and external customers
All support and duties will be on-label
Expertise with Office Tools including PowerPoint, Excel and Outlook
LI-VH1
Undergrad degree required
4-6 years of experience in related field

Health Care Consultant Resume Examples & Samples

Available to work 15-25 hours per week required
Working toward a bachelor's or master’s degree in accounting from an accredited college or university, with a minimum 3.25 GPA (overall and major)
Ability to balance academic schedule with workload for multiple clients and projects while consistently meeting deadlines
Fluency in Microsoft applications including Excel, Outlook and Word
U.S. citizenship or Lawful Permanent Resident status is required for this entry-level position

Care Consultant Senior Resume Examples & Samples

Physician environment experience in practice transformation/quality improvement, ambulatory care setting quality and efficiency metrics, population health and care management structures, data analytics and electronic health records preferred
Clinical background (i.e. RN license) and/or MBA not required but a plus
Expertise in Quality metrics with the ability to assist providers to achieve high quality scores
Computer skills: MS Office, with strong Excel skills
Strong written and oral communication skills; ability to present information as a subject matter expert, with professionalism and confidence, to an individual doctor or a group

Long Term Care Consultant Resume Examples & Samples

Strong process analysis skills and ability to work in a team and collaborative environment
Bachelor's degree in Nursing or equivalent nursing experience in the post-acute space or other related clinical industry experience
EMR solution experience
2-5 years of experience in Healthcare or Information Systems

Care Consultant, Seattle Resume Examples & Samples

Assists individuals, family members, and caregivers through assessment, care coordination, problem-solving, education, planning, referral and follow-up. Demonstrates results through evaluation and reports outcomes of work
Interacts and coordinates internally and with other health and human services providers
Maintains expert knowledge on Alzheimer’s disease, dementia, health/mental health care, and geriatrics
Maintains accurate records and statistics using internal & external systems; meets deadlines; collects and maintains case load data; and performs ongoing evaluations
Represents the Association at a variety of community meetings and outreach events for education, engagement, collaboration, fundraising, and referral purposes including trainings and presentations
Complies with all Association policies, procedures, standards, and applicable regulatory requirements
Advances the mission, goals, and priority activities of the Association-wide Strategic Plan
Supports and participates in Association events, including but not limited to the Walk to End Alzheimer’s, A Reason to Hope, and chapter conferences, as requested
Supports and participates in formal advocacy and public policy activities as requested

Care Consultant, Seattle Resume Examples & Samples

Assists individuals, family members, and caregivers through assessment, care coordination, problem-solving, education, planning, referral and follow-up. Shows results through evaluation and report outcomes of work
Maintains accurate records and statistics utilizing all internal & external systems; meet deadlines; collects and maintains case load data; performs ongoing evaluations
Represents the Association to a variety of community meetings or events for outreach, education, engagement, collaboration, fundraising, and referral purposes, including trainings and presentations

Oral Care Consultant Resume Examples & Samples

Key interface with the Dental Profession, number one priority is to drive Professional Recommendation and Usage of Colgate Total and Colgate Toothbrushes
Serve as the primary resource for in-depth product knowledge to include Colgate Total to accounts and 3rd party Field Sales Consultants (FSC) by articulating the science/clinical efficacy and features/benefits of the complete Colgate Oral Pharmaceuticals product line
Execute territory plan based on company assigned account segmentation, driving recommendations and sales results within existing and new accounts
Full ownership and understanding of territory sales numbers to include submission of monthly estimates
Build and maintain successful working relationship through effective communication with both internal and external customers to include Call Center, Marketing, HSD, and the Dental Professionals
Capitalize on networking opportunities to drive recommendations and sales to include participation in dental conventions, local dental/hygiene associations & study clubs and dental/ hygiene schools
Utilize Customer Relationship Management (CRM) system on a daily basis to document call activities, marketing attributes and surveys
Effective management of product samples to include compliance with monthly inventory of prescription products (PDMA - Prescription Drug Management Act)
Full management of all third party FSCs within their designated sales territories
Increasing account penetration, sales and contracts by increasing joint Colgate-Henry Schein Dental (HSD) accounts through the day-to-day management by HSD. Work with FSCs to develop target lists and on lead generation and conduct regularly scheduled work-with dates throughout each sales quarter. These work-with dates will provide a key up-sell opportunity in existing HSD accounts
Maximize call activity level and reach by utilizing 3rd party relationships. Participate in 3rd party sales meetings to strengthen relationships with FSCs and communicate new products, strategies, and sales results
Bachelor's degree is required OR Associates Degree in dental hygiene or dental assisting with 2+ years in practice As well as2-3 years required experience in selling/detailing, managing an outside sales geography is required
At least 2 years experience in professional, dental or medical clinical detailing is required
Experience managing 3rd party distributor relationship is preferred
Ability to travel up to 50% (depending upon geography) is required
Proficiency with MS Office is required

Oral Care Consultant Resume Examples & Samples

Bachelors degree (no specific major required) with 2-3 years experience selling/detailing and managing an outside sales geography in the dental health (preferred), pharmaceutical, or closely related industry ORAssociates degree in dental hygiene with the following years of experience
At least 2 years experience selling/detailing and managing an outside sales geography in the dental health (preferred), pharmaceutical, or closely related industry
And At least 2-3 years experience in dental assisting in practice

Oral Care Consultant Resume Examples & Samples

Minimum 2 years territory management or account responsibility and/or minimum 2 years dental experience or similar professional industry
Expert proficiency in Microsoft applications
Holder of a current motor vehicle license
Ability to travel up to 25% domestic (overnight), some travel to the US (requires a valid passport)

Agency Care Consultant Resume Examples & Samples

Advises supervisors of questionable risks and processes cancellations of unacceptable risks
3. Receives and attends to inbound servicing calls and may assist with outbound calls. Provides superior customer service responding to requests for interpretation of coverage, acceptability of risk, procedures, premium discrepancy, etc
4. Inputs endorsements into online systems in a timely and accurate manner
5. Accepts and processes payments over the phone ensuring to post payment information to all applicable systems
6. Provides information to supervisor on inquiries that require action from other units within the Department
Maintains internal records and produces ad hoc reports as needed
Perform all other duties as assigned
9. Must have regular and predictable attendance
Twelve (12) months previous customer service experience required. Call Center experience preferred
Good verbal and written communication skills required to represent the agency in a professional manner
Pleasant telephone demeanor, and multitasking skills required
Must be able to speak, read and write both English and Spanish proficiently
Must be well organized with ability to prioritize work and perform job duties in an accurate, timely manner
PC experience required with typing speed of 35 wpm and less than 5% error ratio
Proficiency with 10-key adding machine preferred
Knowledge of underwriting insurance principles, rate manuals, insurance laws and coverage is preferred
Above average initiative and independent thinking skills preferred
Experience with automated processing systems is preferred

Care Consultant Resume Examples & Samples

Provide short-term telephone consultation with callers in a professional and compassionate manner
Provide outreach (outbound call) to individuals who may be in need of our services
Apply empathetic listening skills to assess callers’ needs
Access appropriate information and make recommendations for care and follow-up
Follow established Association Contact Center/Care Consultation policies, procedures and clinical protocols
Bring cases with legal, risk management, or ethical implications to the attention of the director in an expedient manner

Patient Centered Care Consultant Resume Examples & Samples

Strategic thinking and planning capabilities; organized and detail-oriented
Excellent relationship building skills with both internal and external partners
Enthusiasm and motivation essential; a confident change-agent; strong selling and presentation skills (oral and written)Business and financial acumen in the health care field

Patient Care Consultant Traveler Resume Examples & Samples

Manage follow up process by reaching out to potential patients who have already expressed an interest in Sono Bello to help educate them on the process, identify where they are in their decision making process, and/or follow up on patients who may have delayed treatment
Meet with new and existing patient’s to determine realistic goals with an emphasis on our surgical and non-surgical body contouring and facial aesthetics solutions as well as provide education and value within our practice
Maintain and develop a patient pipeline and regularly follow up with prospective patients who did not move forward in their initial consultation
Provide informative information to patients regarding all aspects of the procedure, consultation documentation and financing/payment options available
Manage referrals by working with existing patients. Partner with the Practice Manager and center staff to ensure a world-class patient experience for all who come to Sono Bello
100% Travel
Proven track record of ability to excel in a sales process as well as ability to thrive in a high- energy environment
Must have excellent interpersonal skills that allow effective working relationship with patients, physicians and other team members
Must be a self-starter and highly motivated
Excellent presentation and communication skills, with the ability to assess patients’ needs

Patient Care Consultant Resume Examples & Samples

Meet with new and existing patient’s to determine realistic goals with an emphasis on our surgical and non-surgical body contour solutions as well as provide education and value within our practice
Assist potential patients in the decision making process utilizing the Sono Bello consultation process
Develop and maintain relationships with potential and current Sono Bello patients, ensuring a smooth handoff between consultation and treatment
Provide informative one-on-one consultations to potential patients in a confident, respectful and professional manner to ensure a positive patient experience
Coordinate with Practice Manager to schedule surgeries to meet surgical schedule
Carefully listen to concerns, identify solutions to problems and provide customers with the products and knowledge for their needs
Manage referrals by working with existing patients
Partner with the Practice Manager and center staff to ensure a world-class patient experience for all who come to Sono Bello
Manage and report performance tracking information and metrics by working with your Regional Director
A minimum of 5 years of documented successful consultant/sales experience, including strong networking skills
Documented history of successfully exceeding pre-defined volume goals
Experience with MS Office and Internet Explorer applications
Must have excellent interpersonal skills that allow effective working relationships with patients, physicians and other team members
Maintains professionalism at all times, even when working under pressure
Must be organized and proactive with a strong work ethic and a passion for consulting
Excellent presentation and communication skills, with the ability to assess patients’ needs immediately
Self-motivation, drive and initiatives with an outgoing and confident approach
Must possess a customer service orientated, problem solving mind set

Signature Care Consultant Resume Examples & Samples

This position requires previous Director of Nursing (DON) experience in a Long Term Care facility and Regional multi-site experience. Ideal candidate with also have experience with Regulatory, Quality Measures, as well as experience doing Mock Surveys
3 years: Regional/multi-site experience in the LTC setting
3 years: Director of Nursing in long term care setting

Patient Care Consultant Resume Examples & Samples

This role will require a highly motivated sales consultant with strong negotiation and closing skills with the ability to overcome objections in a face-to-face consultative environment while using the Sono Bello consultation process
A minimum of 3 years of documented successful sales experience
Must be organized and proactive with a strong work ethic

Life Care Consultant Resume Examples & Samples

Builds and maintains short and long term waiting lists for all size living accommodations
Tracks all communications with prospective resident, accurately using the proper codes and tracking procedures as set by the sales and marketing department
Meets the current requirement for the number of follow-up phone calls made to prospective residents for the purpose of enrolling them on the priority list
Monitors current inventory of living accommodations in order to be fully informed regarding the status of occupancy of all units. Monitoring includes being aware of any potential transfers of residents from independent living to higher levels of care
Maintains ongoing contact with priority list to ensure quick acceptance and occupancy of vacated units
Generates accurate and timely reports as required by the Director of Sales and the Executive Director
Delivers professional presentations as outlined by supervisors to prospective residents at group sessions and at individual appointments
Serves as a member of various community committees as requested, such as the Admissions Committee and the Utilization Review Committee
Works with the Executive Director and department heads to assist in the coordination of the apartment restoration process
Responsible for the complete and accurate processing of the life care contracts and any rental contracts, including the completion of the paperwork and the collection of fees
Solicits resident referrals actively
Highly effective communication skills
Good speaking voice in fluent English
Group presentation skills
Computer literate with keyboarding skills
Self-starter with good organizational/time management skills
Team player attitude
Basic math skills

Patient Centered Care Consultant Senior Resume Examples & Samples

Requires a BA/BS
5 years health care experience; or any combination of education and experience, which would provide an equivalent background
Strongly prefer Claims knowledge / experience
Strongly prefer Provider Relations experience
Strongly prefer HEDIS / Quality of Care knowledge / experience

Hospice Care Consultant Resume Examples & Samples

Serve as a public awareness representative for Encompass
Responsible for public education relative to home health care and hospice services available through the agency and methodologies for obtaining such services
Must have a college degree, or at least one year of sales or business experience, or be a licensed nurse

Helpline Coordinator / Care Consultant Resume Examples & Samples

Responds to the needs of Helpline callers
Information and referral, and/or
Level 1 care consultation, and/or
Level 2 care consultation
Provides all aspects of care consultation services
Documents caller information in designated databases & provides complete data for each contact in order to provide accurate measures for the Helpline program
Follows up on National Contact Center calls and direct referral requests via calls, fax, email, and website
Tailors informational mailings and phone contacts to clients’ assessed needs
Completes training and uses the TCARE Caregiver Assessment tool as well as any other tools deemed necessary for the position in accordance with government grant requirements
Assists in training staff, students, and volunteers to ensure the continued provision of a professional quality caller response system
Oversees Helpline volunteers and assists in mentoring students
Assists with efforts to support and enhance service delivery and program content, as directed
Participates in clinical, programs, and staff meetings and trainings to enhance skills and knowledge base as part of ongoing education
Provides community-based trainings and outreach as designated
Manages Helpline resources, specifically
Maintains quality printed and electronic materials for topical files and updated resource information and materials as needed
Manages Chapter lending library and resources
Supports and participates in Association events, including fundraising events, chapter conferences and in formal advocacy and public policy activities

Care Consultant Resume Examples & Samples

Master's degree in social work, preferred. Master's degree in counseling, nursing or psychology, or Master's degree with equivalent experience, especially in the areas of dementia care or elder services may be considered
Three years experience working in the geriatric field and the provision of psycho-social assessments and related action planning
Experience with diverse communities preferred
Knowledge of Alzheimer's disease and related disorders
Experienced clinical/counseling skills in listening, assessment, empathy, advocacy, negotiation, referral, and closure
Professional experience conducting health evaluations, diagnostic intakes, and/or crisis intervention counseling
Public speaking experience, preferred
Persons from diverse backgrounds are strongly encouraged to apply
Personal computer
Multi-line telephone, Conference phone
Photocopier, Fax machine
Google Suite: Mail, Calendar, Docs and Hangout
Personify and/or other databases
Word processing, database and spreadsheet software

Care Consultant Resume Examples & Samples

Provide care consultations by providing support, information, problem solving techniques and planning for future needs. Conduct assessment of constituent needs and create action plans/recommendations based on identified needs. This may also include the provision of resource materials to constituents as needed
Care consultation to individuals and families, on the phone and in person, in a professional, culturally competent and compassionate manner. Empower constituents to take action as a result of receiving support, advice and counsel
Educate constituents on Alzheimer's disease or related dementia, care giving strategies, communication skills and dementia related behaviors. Education may be one on one or group education. Link constituents to emergency, chapter and/or community resources
Facilitate, and/or work with members of the Programs team to recruit, train, support and/or coordinate a volunteer workforce to lead support groups within the designated counties. Groups may be held in person, over the phone, or virtually and will include emotional support, socialization and/or education
PROGRAM DEVELOPMENT
Increase and coordinate development and implementation of services to diverse communities and populations in the region
Work collaboratively with the Programs team to secure program support via grants and assist with the program delivery, data collection and preparation and submission of reports for grantors and other stakeholders
Conduct outreach and education with physicians, builds working relationships with service providers, care facilities and other stakeholders who collaborate on Association initiatives as necessary
Remains knowledgeable about current in information related to Alzheimer's disease and related dementias as well as national, state, and local initiatives that affect the targeted population
RELATIONSHIP MANAGEMENT
Work collaboratively with chapter staff to support the Alzheimer's Association's vision, mission, core values and strategic goals and promote Association programs such as TrialMatch and Advocacy
Participate in, and assist with insuring the success of The Longest Day, Walk to End Alzheimer's and other Alzheimer's Association special events
Assist Senior Care Consultant in identify business opportunities; strengthen relationships with key individuals, organizations and businesses. Build relationships that will enhance client services and assist in growing service contacts. Report on outreach and relationship building activities
Represent the chapter at appropriate and assigned meetings and events
Collaborate with staff for referral process and other Chapter activities
QUALITY ASSURANCE, MONITORING, REPORTING
Administer client tracking system from referral to closure. Provide accurate and timely documentation of interactions and interventions
Conform to all legal and other requirements with respect to patient records and documentation, and meet Association standards for quality services
Collect and enter relevant and appropriate data for grant reporting, measuring progress toward strategic goals, and submitting monthly reports to the Director of Programs and Senior Care Consultant
Assist liaising between Chapter, National Alzheimer's Association, and grantors and coordinate systems for collection and reporting of data and outcomes; work with team to meet performance outcomes

Senior Care Consultant Resume Examples & Samples

CLINICAL CARE
Responsible for overseeing a team of care consultants and assuring that the team meets service provision goals and maintains a high quality of care
Manage the provision of care consultations by triaging Helpline calls, assessing constituent needs and providing support, information, problem solving techniques and planning for future needs. This may also include the provision of resource materials to constituentsand developing tailored strategies and tools to ensure that services are provided in a high quality, culturally competent and compassionate manner
Oversee the development of a robust program of support groups that serve the diverse needs of the New York City community. Including recruiting, training, supervision and coordination of a professional and volunteer workforce to lead support groups within the 5 boroughs
Develop policies, procedures and processes to deliver safety services, respond to caregivers in crisis and assess caregiver needs for respite services
Educate constituents on Alzheimer’s disease or related dementia, care giving strategies, communication skills and dementia related behaviors. Education may be one on one or group education. Link constituents to emergency, chapter and/or community resources
The Senior Care Consultant will also oversee the work of Care Consultants and as such will provide clinical supervision, oversight, guidance and assistance to Care Consultants as they conduct their clinical, program development, relationship management, quality assurance, monitoring and reporting tasks

Technical Care Consultant Resume Examples & Samples

Taking full ownership of complex issues/enquiries through to resolution
Resolving network and access issues
Provide services for online platforms
Creating and removing users, suspending users and investigative work if system not working
Tertiary qualifications in Information Technology (preferred
Microsoft and / or ITIL Certification (preferred but not essential)
Previous customer service experience, preferably in a mixed contact role (phone, email, F2F)
At least 18 months experience in a helpdesk/technical support environment
Using Salesforce (SFDC) and/or SAP OTC/Entitlement (distinct advantage)
All currently supported Windows operating systems (incl. 7, 8, 8.1 & 10)
All currently supported OSX, iOS and Android operating systems
Current networking technologies, topology and fault finding techniques
Current internet browser suites and associated technologies, including Javascript
Packaging, installation and support of enterprise applications in managed environments

Technical Care Consultant Resume Examples & Samples

At least 4 years inbound call centre experience, including email correspondence
Outstanding interpersonal and influencing skills
Experience working within a B2B or banking/finance call centre or service desk highly desired
SAP and Salesforce.com experience preferred, but not essential
Willingness to take on additional tasks and flexibility to work additional hours/different shifts

Senior Managed Long Term Care Consultant Resume Examples & Samples

Manage the day-to-day relationship with the key members of the client team; individually or in conjunction with the Senior Client Manager, present on project results to clients, carriers, managed care entities and other related entities
Work with the Senior Client Manager to initiate the project after a project is sold to the client. This includes meeting with the client and clearly defining the scope, timelines and deliverable of the project. Also develop and propose essential project documents, including the budget and work plans
Provide technical assistance and support to state Medicaid programs regarding Managed Long-Term Services and Supports (MLTSS) assessment protocols and service integration
Work with policy experts on managed long-term care program requirements
Be responsible for assisting state’s in designing and implementing managed long-term services and supports (MLTSS) and related waiver programs; projects are diverse and can include
Active, unrestricted license as an RN, BA/BS required and MA/MS preferred)
Minimum 10 years of relevant experience in Medicaid LTSS programs. Knowledgeable of Home- and Community-Based Service (HCBS) requirements managed care experience preferred
Strong data analytic skills; strong command of Excel
Excellent project management and interpersonal skills

Managed Care Consultant, Physician Services Resume Examples & Samples

Serve as primary source of managed care information, such as health plan specific policies, to internal department and be a Conifer representative to resolve managed care issues with the health plans
Analyze payment data related to client manage care contracts to ensure payor compliance. Communicate results to clients and client delivery team members. Negotiate managed care contracts when necessary. Maintains Client contract terms within various contract management databases
Develop policies and procedures, manuals and other internal documentation when necessary. Maintain fee schedule and contract database by collecting client contracts and loading terms and preparing fee schedules
Associates Degree or higher
5-7 years managed care experience within a managed care organization, physician, IPA or billing environment with a minimum of 3-5 years’ experience in revenue cycle management and managed care contracting related fields
Comprehensive understanding of reimbursement methodologies, fee schedules, HCPCS, CPT4, ICD9, CCI edits, and industry standard physician billing and claims adjudication practices
Ability to analyze financial and operational information
Knowledge of EPIC and IDX billing systems preferred
Proficient knowledge with Microsoft Office applications (Outlook, Excel, Word, Power Point, Visio)
Knowledge of CPT, ICD-9, ICD-10, HCPCS codes and RVUs
Previous experience with practice management and contract management systems preferred; EPIC, GE Centricity or Experian’s Contract Management experience a plus
Knowledge of government carriers and other commercial/managed care rules, regulations and processes in a professional billing environment

Managed Care Consultant Resume Examples & Samples

Negotiate contracts for new locations
Assist agency’s with any issues such as contract cancellation and denials/appeals
Assess resource utilization, cost management and negotiate effectively
Demonstrated ability to work with and understand physician and managed care organizations
Must be knowledgeable about the managed care environment; including capitation, PPO, HMO, IPA, ACO and POS
Knowledge of CPT-4, HCPCS, Revenue and ICD coding
Knowledge of contracts and contractual interpretations for payment and benefit issues.Assists in analysis and coordination of amendments, reimbursement, and language changes
Excellent verbal and written communication skills, as well as excellent critical thinking skills
Ability to deal with responsibility with confidential matters
Superior technical skills in managing complex and high-profile health plan negotiations
History of actively drafting and negotiating contracts in the health care operations and health care plan functional areas
Understand the competitive pricing levels in the local market, and improves the company's cost position through unit costs strategies
Serves as internal consultant to Presidents, Executive Directors, and Cluster Leaders
Strategizes for facility census growth and retention. Working knowledge of medical terminology, claims payment, contract negotiations, and problem resolution; ability to work collaboratively in a team setting Knowledge of Home Health and Hospice
Minimum 5 years’ experience as Managed Care Contractor in a hospital or health system or in a Managed Care organization is desirable
Must be willing to work out of home office and our locations
Willing to travel 50% of the time
Verbal and written communication skills necessary to explain complex and/or confidential information and communicate with all levels of management
Time management and organizational skills necessary to manage multiple projects, appropriately prioritize workload, plan for resources to meet deadlines and goals, and work independently in responding to day-to-day functional needs
Demonstrated ability to interact effectively with employees
Ability to anticipate and identify problems and use sound judgment and fact-based analysis to develop effective and efficient solutions
Software skills, including use of Microsoft Office software and web-based applications