Senior Case Management Consultant
CurrentAdvocates for those who are unable to independently navigate the medical ecosystem to deliver preventative dental care for thousands of patients in the state of Florida. Achieved a 15% improvement in oral health outcomes by implementing evidence-based interventions and monitoring patient progress. Assess members and determine care eligibility based on clinical judgment, collaborating with support networks and local health organizations. Manage a caseload of 50 + members… Show more Advocates for those who are unable to independently navigate the medical ecosystem to deliver preventative dental care for thousands of patients in the state of Florida. Achieved a 15% improvement in oral health outcomes by implementing evidence-based interventions and monitoring patient progress. Assess members and determine care eligibility based on clinical judgment, collaborating with support networks and local health organizations. Manage a caseload of 50 + members ensuring timely and accurate completion of care plans and documentation. Oversee cases for optimization, improvement of HEDIS Measures and waste prevention, saving 1,800 dental hours. Conduct monthly training series fostering best practice adherence among staff. Forged strategic partnerships and effectively functioned as a liaison with Medicaid plans and community organizations, significantly augmenting accepted referral rates. Instituted an integral, comprehensive case management training program including onboarding standards and mentorship practices currently in widespread use. Synthesized data into Excel dashboards for clear reporting on program efficacy metrics. Represents DentaQuest in Community Outreach events. Show less