Dawn Caldwell Email and Phone Number
Outcome-driven professional with progressive experience in providing administrative support to members and healthcare providers. Proven aptitude for verifying benefits, managing authorizations/claims inquiries, and maintaining accurate case documentation. Skilled in leading cross-functional teams, coordinating resources, and ensuring project objectives alignment within budget and time schedules. Well-versed in improving organizational performance and strategies in response to changing societal and healthcare environments. Committed to improving patient care and operational effectiveness by delivering high-quality outcomes. Proficient in interpersonal and communication skills to work with diverse workforce.Some of my core competencies are:• Task Prioritization• Workflow Analysis• Project Management • Influential Negotiation• Contract Administration• Leadership & Development • Strategic Planning• Conflicts Resolution• Cross-functional Collaboration
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Care Management Associate - Clinical Health ServicesAetna, A Cvs Health Company May 2023 - PresentHouston, TxIn this current job role, I work closely with the health coach to facilitate virtual group coaching sessions with members. I manage the initial assessment process, scheduling follow-up appointments for action plan reviews in coordination with the health coaches. By keeping track of these appointments, I ensure that members receive timely and comprehensive support. I am involved in monitoring and providing important updates to the coaches, ensuring they have the necessary information to guide and assist each member effectively.• Conduct pre-call research to build rapport, personalize conversation, overcome objections, and maximize efficiency. -
Care Management Associate - Aetna Community CareAetna, A Cvs Health Company Oct 2019 - May 2023Houston, TxDuring this tenure, I assigned key duties to a team of 10 nurses to ensure efficient coordination of patient care. Additionally, I supported care team of nurses in multiple duties, including assigning cases to primary care team members for goal achievement. I was responsible for logistics functions to schedule meetings as per requirements.• Led multicultural initiative projects as per stated specifications for four years in a row.• Supported care teams in monitoring workflow, including training and onboarding of new tasking coordinators.
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Claim Benefit SpecialistAetna, A Cvs Health Company Aug 2018 - Oct 2019Houston, TxThroughout the employment period, I played a vital role in upholding the integrity of the claims process and promoting the delivery of quality healthcare services. By adhering to guidelines, providing guidance to claims processors, and making well-informed determinations on medical necessity and coverage, I contributed to the effective management of claims and the provision of improved healthcare for patients.• Directed and prioritized complex claims to seniors for proper routing and expert handling.• Explored process discrepancies and implemented cost-containment measures to streamline claim adjudication process.
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Patient Access Representative Ii - Referral CoordinatorMemorial Hermann Health System Apr 2017 - Jan 2019Houston, TxThrough my contributions in steering the referral process, maintaining accurate records, processing urgent requests, and leveraging communication skills, I played a crucial role in supporting patient care and satisfaction within the primary care physician offices. Furthermore, I fostered clear and open lines of communication to improve patient experience, promote positive outcomes, and facilitate a collaborative approach to healthcare delivery.• Focused on enhancing efficiency and effectiveness of referral coordination process.• Ensured acquisition of all required patient authorizations as part of comprehensive administrative process.
Dawn Caldwell Skills
Dawn Caldwell Education Details
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Business, Management, Marketing, And Related Support Services -
Business Administration And Management, General
Frequently Asked Questions about Dawn Caldwell
What company does Dawn Caldwell work for?
Dawn Caldwell works for Aetna, A Cvs Health Company
What is Dawn Caldwell's role at the current company?
Dawn Caldwell's current role is Workflow Analysis | Business Management | Leadership & Development | Project Management.
What schools did Dawn Caldwell attend?
Dawn Caldwell attended Indiana Wesleyan University, Indiana Wesleyan University.
What skills is Dawn Caldwell known for?
Dawn Caldwell has skills like Leadership, Team Building, Multi Task And Handle High Volume Workloads, Research Skills, Troubleshooting, Healthcare, Strategic Planning, Microsoft Office, Microsoft Excel, Cross Team Collaboration, Cross Functional Team Leadership, Training.
Who are Dawn Caldwell's colleagues?
Dawn Caldwell's colleagues are Manmayee Thibirisetti, Wayne Kuykendall, Rachelle Hawkins, Vincent Pacquing, Adeola Waleola, Cfgm, Santoshkumar Vishwakarma, Allison Mcdaniel.
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Dawn Caldwell
Glenwood, Ar -
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1uwhealth.org -
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