Stacey Gamez Email & Phone Number

United States

• Provide family support to customers or who have a family member with complex medical needs.• Independently solving problems creatively• Using sound judgement and critical thinking• Consistently following up through on commitments and framing realistic expectations for members.• Managing project time to ensure follow- up and outreach work is completed in a timely manner.• Adhering to state and federal laws, statutes, and regulations based on policy status and customer residence.• Using multiple internet databases as sources of truth to assist customers.

• Supervises and directs clinical staff to gather information, assess, and provide direct care to patients• Developing and coaching staff• Supports Office Manager in the daily operations • Serves as a liaison between physicians, families, nursing staff, and ancillary departments to promote high patient, physician, and other team member satisfaction• Provides general patient care as needed• Assists provider, as directed, during treatments, examinations, and testing within scope of position• Training staff and daily activities. • Complete monthly quality reports • Initiates and manages clinical referrals for pre-authorization.• Verifies insurance coverage and completes pre-authorization process for radiology and other imaging exams (CT, MRI, MRA, PET, et.) following established process and procedures.• Participates in coordinating care for Patients

• Triage patients - gather all information needed, assess and provide direct care to patients within the pediatric age range (neonate to eighteen years old)• Administer medications and immunizations within my scope and per protocol• Assist with education of patients and family members• Collect specimens and perform laboratory tests• Communicate with pharmacies to assist in prior authorizations and patient forms • Employee Training• Immunization Coordinator• Clinical lead on patient satisfaction committee• NCQA Coordinator

Master Of Business Administration - Mba, Business

Master Of Science - Ms, Health/Health Care Administration/Management

Bachelor Of Science - Bs, Healthcare Administration