Melissa Clow
Stoenville
Summary
At United Healthcare, I excell as a Navigator, leveraging my problem-solving abilities to enhance care coordination for vulnerable populations. I adeptly managed diverse member caseloads, achieving performance metrics in care quality and timeliness, while my empathetic approach and active listening significantly improved member well-being and access to necessary resources.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Navigator
United Healthcare
11.2021 - Current
- .Served as an advocate for vulnerable populations within the healthcare system, addressing disparities in access to care and treatment outcomes.
- Facilitated access to community resources for member's experiencing social determinants of health that impact their wellbeing.
- Managed a caseload of diverse patients with various health conditions, consistently meeting performance metrics for quality and timeliness of care.
- Streamlined communication between member's and healthcare providers for enhanced care coordination and timely treatment.
- Assisted member's in overcoming barriers to care, such as transportation, language, and financial challenges.
- Supported member's in managing their mental and emotional well-being through active listening, empathy, and appropriate referrals to specialized care providers.
- Ensured seamless transitions between levels of care by coordinating appointments, referrals, insurance authorizations, and follow-up communication.
- Maintained detailed records of all member interactions in accordance with privacy regulations and organizational policies.
Education
Associate of Science - Medical Assisting
National Business College
Martinsville, VA05-2005
Skills
- Multitasking
- Problem-solving abilities
- Caring and empathetic
- Active listening
- Adaptability and flexibility
- Professional telephone demeanor
- Follow-up skills
- Call management
- Microsoft Office Suite
- Attention to detail
Certification
- Certified Medical Assistant, AAMA
- NPS Champion
- M & R Certification 1-3
- 1st Level Leader Certificate
Timeline
Navigator
United Healthcare
11.2021 - Current
- Certified Medical Assistant, AAMA
- NPS Champion
- M & R Certification 1-3
- 1st Level Leader Certificate
Associate of Science - Medical Assisting
National Business College
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