Utilization Management: Referrals, authorizations, insurance and eligibility. Case management and care coordination duties.

Comprehensive insurance benefits verification, referrals processing and case management. Assisted with English/Spanish Medical translation in person and over the phone.

Assisted with the planning of the Medicaid Expansion Advocacy project. Planned and executed strategies to achieve regional goals, training volunteers and working in collaboration with social leaders and other organizations involved in the project.

Assisted minority individuals living with HIV/AIDS in accessing medical care and other services available to those enrolled in the ARTAS program. In-home visits, assessments, referrals and linkage to health insurance and other programs. Electronic case note documentation. Conducted informational group discussions on safe sex practices and one on one educational interviews with newly diagnosed patients.

Determined eligibility of persons applying to receive assistance from Ryan White programs and assisted the applicant in completing applications while maintaining confidentiality a top priority.