Dynamic, dedicated, & detail-oriented healthcare professional with senior level experience in the healthcare community, leveraging strong customer service, organizational, and communication skills. Driven to engage, connect, & succeed as part of the diverse healthcare community with superior track record of 20+ years experience in customer service, 15+ devoted to healthcare, patient intake coordination, case management, health risk assessments, & Medicaid, Medicare, & Commercial healthcare insurance management clinically and telephonically. Built & nurtured patient relationships with improvement in patient healthcare solutions, patient compliance, & increased clients' accounts with new patients & members. Skilled in guiding patients through intake procedures, assessing suitability, & coordinating scheduling processes. Experience in utilizing EHR systems & business development experience to streamline operations & support business development initiatives. Bachelor of Science-Degree in Nursing holder with a strong commitment to healthcare, management, & customer service with healthcare management experience. Exhibit resilience & efficiency during periods of increased workload or tight deadlines and thrive in high-pressure environments. Strong operations & organizational background & am accustomed to the integration of new systems & restructuring of work. Formal training, education, and hands-on (field) experience allows me to be able to integrate multi-focused care, project proposals, & client program development with invaluable assistance & collaboration with multifaceted experience and knowledge. Exceptional record of successful crisis management including self-harm & suicide de-escalation. Committed to utilizing analytical reasoning, critical thinking, sound judgment, precision & accuracy creating project proposals, analyzing data needed for higher performance & quality with providers, insurance carriers, and state & federal government. Microsoft Office Programs | Keyboard 80-90 WPM | Adult & Pediatric CPR/AED/First Aid | Medical & Insurance Terminology | ICD-10 Codes & CPT Codes | Healthcare Administration | HIPAA | Strategic Planning | Customer Experience Management & Software | Team Leadership | Healthcare Administration | Medical Platform Knowledge | Electronic Medical Record Systems | Mental Health NAMI | Pharmaceutical Knowledge | Proficient Computer Literacy | Strong Attention to Detail | Data Entry | Prioritization & Adaptability | Organizational Skills | Oral & Written Communication | Analytical & Critical Thinking | Interpersonal Skills |
-
Intake CoordinatorRelief Mental Health Feb 2024 - PresentIl, Wi, Nj
-
Customer Experience Supervisor And Medical Resource AdvisorConduent Jun 2021 - Jun 2023Lead and mentored teams to deliver exceptional patient and member centric service. Possessed extensive knowledge of healthcare operations, policies, and compliance standards, adept at overseeing customer service initiatives to ensure seamless patient and member experiences. Proven ability to strategize and implement workflow improvements, optimizing customer service procedures while maintaining a compassionate and empathetic approach.● Managed 20+ Clinical Interaction Specialist in a telephonic management setting while optimizing accessibility and organization. Managed employee performance, performance improvement plans, and onboarded and terminated employees.● Operations oversight of daily staff, workflow, technical support, and production to assure client and program goals, SLA’s, and KPI’s were met to maximize productivity.● Conducted thorough reviews, detecting discrepancies and ensuring precision and that HIPPA and all other legal protocol and company protocols were being adhered to.● Leveraged persuasive communication to convert leads into loyal clients and worked on project proposals, developed and implemented mentorship program, and various cost saving solutions.● Worked with interdisciplinary team as client liaison to facilitate, organize, and achieve improving healthcare outcomes for various Government and Commercial Healthcare organizations' members and obtaining new clients and maintaining current clients such as Cigna, Humana, and Aetna.● Lead training development with business analyst regarding Medicaid Health Risk Assessments for CHPW specific to mental health and well-being establishing a plan of care, managed Humana EAP follow-up assessments, Care Management Assessments, and Health Reviews with Nationwide.● Streamlined processes, reducing inefficiencies by developing a Spanish Specific Program utilizing in-house Spanish speaking agents resulting in a $25,000 per month cost savings and a 25% increase in completions of health risk assessments. -
Clinical Interaction SpecialistConduent Jan 2009 - May 2021Pivotal link between patients and members, interdisciplinary teams, various stakeholders and clients, ensuring seamless communication and efficient processes within healthcare environments. Leveraged expertise in interpersonal skills to optimize interactions and support the delivery of quality of care.● Crisis management intervention when patients and members were actively in distress, threatened self-harm, suicidal thoughts and actions, or homicidal thoughts during health risk assessments.● Maintained meticulous records, minimizing errors and ensuring accuracy in documentation.● Acted as an advocate for patients and members, addressing concerns, ensuring their needs were met, and provided necessary guidance.● Educated patients and/or members on gap closures, treatment options, and case management follow-up with both specialists and primary care physicians.● Talked to patients and members or POAs and offered assistance, and provided information regarding resources available through their insurance carrier, policies, and community specific resources.● Addressed patient and member inquiries and concerns, ensuring a smooth transition to initial consultations.● Performed Health History Assessments for life insurance clients such as Nationwide, Select Quote, and John Hancock, Health Risk Assessments for Medicaid and Medicare such as CHPW and Aetna, and Gap Closure and Preventative Care Outreach programs with Humana. ● Collected and authenticated medical and prescription history with applicants and providers.● Provided accurate and detailed documentation of medical conditions, treatment, outcomes of care and translated the information to insurance underwriting standards.● Developed a comprehensive, individualized service plan and made appropriate and timely referrals to internal and external providers to coordinate services identified on the service plan. ● Used medical knowledge to determine treatment appropriateness, medical necessity, and cost effectiveness.
-
Student Nurse AssistantAscension 2005 - 2008Joliet, Illinois, United StatesUtilized judgement supported by nursing theory and practice in the delivery of exceptional care in the oncology, medical surgical, and telemetry inpatient department. Throughout this time completed clinicals ranging from psychiatric care to home health and community healthcare.● Proficiency of patient assessments, prioritizing, medication administration and IV placement under RN supervision.● Developed communication skills and collaboration with physicians and ancillary staff regarding patient conditions, test results, and collaborative evaluation and revision of plans of care when needed.● Maintained accurate patient records, including vital signs, intake/output, measurements, and other relevant date● Updated and organized patient charts and electron medical records (EPIC).● Built strong relationships with patients, internal providers and staff, external hospital departments, physician offices, vendors, and insurance companies.● Provided emotional support and comfort to patients and their families. ● Compliance to governmental regulations including HIPPA, ADA, EMTALA, and guidelines from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).
Amanda Dore Education Details
-
Bachelor Of Science -Degree In Nursing
Frequently Asked Questions about Amanda Dore
What company does Amanda Dore work for?
Amanda Dore works for Relief Mental Health
What is Amanda Dore's role at the current company?
Amanda Dore's current role is Intake Coordinator | Patient Advocate.
What schools did Amanda Dore attend?
Amanda Dore attended University Of St. Francis.
Not the Amanda Dore you were looking for?
-
3auburn.edu, halliburton.com, tenaris.com2 +128173XXXXX
-
Amanda Dore
Joliet, Il -
2yahoo.com, choicesccs.org -
Amanda Dore
Island Park, Ny
Free Chrome Extension
Find emails, phones & company data instantly
Aero Online
Your AI prospecting assistant
Select data to include:
0 records × $0.02 per record
Download 750 million emails and 100 million phone numbers
Access emails and phone numbers of over 750 million business users. Instantly download verified profiles using 20+ filters, including location, job title, company, function, and industry.
Start your free trial