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Magellan Health Services - Sr Care Worker Resume Example

Isaac Wright
XX XXXXXXXXXX XXXXXX, Chatham, NJ 07928
XXXXXXXXXXXXXXXXXXXX
Ph: XXXXXXXXXXXX
Professional Summary

Service-oriented Team Leader with ten years experience in fast paced environment. Core competencies include Customer and Personal Service, Critical Thinking, and as well as excellent Communication and Time Management skills. Handles tasks with accuracy and efficiency.

Skills
  • Customer and Personal Service Education and Training Critical Thinking Judgment and Decision Making Time Management Troubleshooting
Experience
Sr. Care Worker/Follow up Lead Specialist May 2011Jun 2014 Magellan Health Services Parsippany, NJ Lead and manage team of 10 Care Workers, under guidance of team supervisor, including:
Quality audits via Q-finiti tool.
Reported facility incidents to improvement team.
Developed and implemented procedures for improved workflows.
Achieved HEDIS goals of Ambulatory Follow-up rate of 72%/for 7day and 87%/ for 30day. 
Reported bridge appointments to increase ambulatory follow-up rates for those facilities engaged in bridge appointments.
Care Worker Jul 2005May 2011 Magellan Health Services Parsippany, NJ Trained clinicians and colleagues on information systems, policies and procedures.
Researched and located appropriate and effective treatment methods and facilities. Manage turnaround times and deadlines to comply with   company goals and regulatory standards. 
Administrated single case agreements when appropriate in-network care was not available.
Assisted management on special projects (Targeted Care Management) 
Researched and located appropriate and effective treatment methods and facilities. Manage turnaround times and deadlines to comply with   company goals and regulatory standards.
Customer Service Associate Aug 2003Jul 2005 Magellan Health Services Parsippany, NJ Exceeded required accuracy rate on all quality audits.
Responded to all incoming calls from members and providers, resolving issues and routing to clinical team as appropriate.
Educated facilities and providers on claims submission,  treatment policies and procedures, and benefit limits and regulations.
Trained and directed junior team members.
Education
Bachelor of Science: Business Administration Dec 2014 University of Phoenix Jersey City , NJ GPA 3.3
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Resume Details

This is a real resume for a Sr Care Worker in Chatham, New Jersey with experience working for such companies as Magellan Health Services. This is one of the hundreds of Sr Care Worker resumes available on our site for free. Use these resumes as templates to get help creating the best Sr Care Worker resume.

Previous Companies:

  • Magellan Health Services

Previous Job Positions:

  • Sr Care Worker
  • Follow up Lead Specialist
  • Care Worker
  • Customer Service Associate

Schools:

  • University of Phoenix

Level of Education:

  • Bachelor of Science

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