Jacqueline DiCristina

Coordinate medical, behavioral, and educational linkages for high-risk youth and families. Develop measurable service plans and document progress in compliance with Medicaid standards.

Completed psychosocial assessments and supported families navigating complex medical, emotional, and end-of-life needs. Facilitated care planning discussions and connected families with community and financial support resources.

Managed a caseload of 35+ high-risk, chronically ill Medicare patients, providing proactive outreach and barrier reduction. Performed insurance navigation, including coverage checks, prior authorizations, and coordination with providers and pharmacies.

Supported members with insurance claims, benefit inquiries, and documentation needs across high-volume inbound calls. Coordinated claim intake, documentation, and communication across departments to support timely claim resolution.

Coordinated patient scheduling, insurance verification, referrals, and prior authorizations across primary care, pediatrics, and urgent care services. Collaborated with providers, specialists, and insurance companies to facilitate continuity of care.

Master of Social Work (MSW) degree from Ana G. Méndez University, completed in 2026.

Bachelor of Social Work (BSW) degree from Ana G. Méndez University, completed in 2023.

Certified Behavioral Health Case Manager (CBHCMP) certification from Families First of Florida.

Training in HIPAA and Medicaid compliance.