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Rafael v. Tejada's avatar
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Rafael v. Tejada

Novato, California, United States

Clinical Case Manager with patient care coordination expertise

  • Provided scheduling review and support for Medicare beneficiaries, ensuring adherence to protocols.
  • Handled inbound and outbound customer interactions, resolving issues through research and interdepartmental coordination.
  • Facilitated patient care by working closely with physicians to assess, evaluate, and follow up over the phone, enhancing clinical outcomes.
Patient Care Coordination
Advanced
Coordinated patient care plans and follow-ups to improve health outcomes and patient satisfaction.
Customer Service
Advanced
Managed inbound and outbound calls with professionalism, listening to needs and resolving issues efficiently.
Interpersonal & Communication Skills
Expert
Engaged effectively with patients and colleagues to facilitate understanding and support.
Administrative & Documentation Skills
Advanced
Maintained comprehensive clinical records and detailed documentation for clinical cases.
Organizational Skills
Intermediate
Managed multiple responsibilities such as scheduling, record-keeping, and follow-ups efficiently.
See Full Skillset on CazVid
2023 - 2024
Medicare Advocate
Medicare Advocate
Providing scheduling review both inbound and outbound call support to Medicare consumers while following protocols and guidelines., Providing proactive member outreach and education about program benefits and transferring recipients to qualified dept.
2020 - 2023
Customer Service Representative
MCI
Handle inbound and outbound contacts in a courteous, timely, and professional manner., Listen to customers, understand their needs, and resolve customer issues by researching systems to find missing information as applicable and coordinate with other departments to resolve issues as applicable.
2018 - 2020
Clinical Case Manager (CCM)
Working with physician coordinating and facilitating patient care through assessment, evaluation, implementations and follow up accordingly over the phone., Following up and coordinating care progress in order to improve clinical outcomes & increase patient satisfaction maintaining patient's comprehensive clinical record & detailed documentation.
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2101 E Broadway Rd Ste 1
Tempe, AZ 85282, USA

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