Open To Work
NYOKA H. CROMER
Pinnacle
Work Preference
Summary
Healthcare administrative professional with extensive experience in care coordination and patient advocacy. Focused on managing complex cases and collaborating with interdisciplinary teams to improve patient outcomes and access to care. Proficient in Epic EMR and knowledgeable in Medicaid and commercial insurance processes.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Care Management
Centene Corporation
St Louis
04.2024 - Current
- Coordinated care management activities for members with complex healthcare and social needs, ensuring comprehensive support.
- Developed individualized care plans and connected members with appropriate resources and services to enhance their care.
- Collaborate with providers, caregivers, and interdisciplinary teams to improve outcomes.
- Educated members on benefits, treatment options, and community resources to promote informed decision-making.
- Maintain accurate documentation while meeting quality and compliance standards.
Various Roles
Atrium Health Wake Forest Baptist
Winston-Salem
01.2022 - 01.2024
- Managed scheduling and workflow for neurosurgery and vascular teams to improve operational efficiency.
- Coordinated surgery scheduling, referrals, and authorizations to facilitate timely patient access to surgical services.
- Managed Medicaid and commercial prior authorizations to ensure timely access to services.
- Scheduled vascular medicine appointments to enhance provider accessibility and streamline patient care operations.
CMA/ PSC
Wake Forest Baptist Medical Center
Winston-Salem
10.2016 - 09.2021
- Coordinated authorizations, referrals, and scheduling to enhance efficiency of Heart and Vascular services.
- Supported multiple providers while maintaining high standards of patient care and communication.
- Managed front-office operations, ensuring accurate records management, testing coordination, and timely billing support.
- Performed patient intake, Epic documentation, and EKGs while supporting specialty clinic activities.
Internal Medicine
Novant Health
Winston-Salem
05.2013 - 01.2016
- Conducted patient intake, recorded vital signs, administered vaccinations, performed EKGs, and documented in EMR to ensure comprehensive patient assessments.
- Provided patient-centered care while optimizing workflow processes to enhance service delivery.
- Facilitated provider operations by managing referrals, authorizations, and prescriptions, contributing to seamless clinic workflow.
Certified Nursing Assistant
Northern Hospital of Surry County
Mount Airy
01.2013 - 01.2015
- Delivered compassionate patient care in acute care and step-down settings, ensuring safety and comfort.
- Assisted nursing staff with daily patient care and hygiene activities.
- Monitored vital signs and reported changes to medical personnel promptly.
- Maintained cleanliness and safety of patient areas following hospital protocols.
Education
Bachelor of Health Science - Health Science
Southern New Hampshire University
Manchester, NH12-2022
Associate of Applied Science - Medical Office Assistant Diploma
Surry Community College
Dobson06-2011
AAS - Medical Assisting
Surry Community College
Dobson, NC06-2009
Skills
- Care Management
- Care Coordination
- Care Transitions
- Referral Management
- Prior Authorizations
- Insurance Verification
- Cost Management
- Medicaid & Commercial Insurance
- Epic EMR
- Medical Documentation
- Process Improvement
- Member Outreach
- Patient Advocacy
- Team Collaboration
- Patient Education
Certification
American Medical Technologists (RPT, RMA)
Affiliations
MASO Treasurer & Secretary (Student Organization)
Timeline
Care Management
Centene Corporation
04.2024 - Current
Various Roles
Atrium Health Wake Forest Baptist
01.2022 - 01.2024
CMA/ PSC
Wake Forest Baptist Medical Center
10.2016 - 09.2021
Internal Medicine
Novant Health
05.2013 - 01.2016
Certified Nursing Assistant
Northern Hospital of Surry County
01.2013 - 01.2015
Bachelor of Health Science - Health Science
Southern New Hampshire University
Associate of Applied Science - Medical Office Assistant Diploma
Surry Community College
AAS - Medical Assisting
Surry Community College