Open to opportunities

Kirsten Sharpe

@kirstensharpe

Trauma-informed case manager and social work graduate student delivering patient access, benefits resolution, and crisis support.

United States

Message

What I'm looking for

I’m looking for a role where I can support clients with trauma-informed case management, connect people to resources, and ensure timely access to care. I want a team that values confidentiality, strong documentation, and interprofessional collaboration.

I’m a social work graduate student in DP Mental Health and Substance Abuse, and I bring hands-on experience supporting people through complex, high-stakes situations—truancy, homelessness, and barriers to healthcare access.

In my Garland Independent School District Student Services internship, I provided case management and family engagement to address chronic truancy, using home visits, court documentation, and advocacy grounded in family-centered, trauma-informed practices. I also conducted crisis intervention outreach, needs assessments, and eligibility screenings for McKinney-Vento students to help ensure educational stability and supportive services.

Across remote and healthcare roles, I’ve specialized in resolving coverage and access issues—navigating payer portals, interpreting Explanation of Benefits, reviewing medical records, and supporting prior authorizations, appeals, and claims. In case management and utilization review work, I managed high-volume intake and coordination, including 80+ weekly follow-ups and care coordination across 15+ physician offices.

I’m consistently motivated by confidentiality, accurate documentation, and equitable access. Whether I’m coordinating wraparound services, streamlining workflows for timely turnaround, or connecting people to resources, I focus on practical, ethical solutions—and I communicate with empathy and clarity to move cases forward.

Experience

Work history, roles, and key accomplishments

Current

Participant Services

Current

Fringe Benefit Group

Apr 2023 - Present (3 years 3 months)

Resolved unpaid claims (30+ days) by researching payer portal denials, requesting documentation, and facilitating timely reimbursement. Provided member and provider support through benefits education, eligibility verification, and appeals for denied or partially denied claims.

Claims Resolution Denials Appeals Medical Record Review Benefit Verification Appeals Quality Review

Student Services Intern

Garland Independent School District

Jan 2026 - Apr 2026 (3 months)

Provided case management and family engagement services to address chronic truancy, including home visits and advocacy to reduce barriers to school attendance. Coordinated with school personnel, courts, families, and community agencies to support student compliance and access to services.

Case Management Family engagement Home Visits Student Advocacy Crisis Intervention McKinney Vento Support Referrals Resource Navigation Wraparound Services

Utilization Review Intake Coordinator

Injury Management Organization

Sep 2025 - Nov 2025 (2 months)

Processed patient referrals and utilization review requests for preauthorization or continuation of treatment by reviewing medical records and verifying information. Entered clinical data into an electronic system using diagnosis and procedure codes and ensured HIPAA-compliant, confidential record handling.

Utilization Review Continuation Of Treatment Requests Medical Record Review Data Entry ICD 10 HIPAA compliance Confidentiality Workers' Compensation Processes Fax Document Labeling

Case Manager

McKesson/Remx

Sep 2024 - Apr 2025 (7 months)

Conducted weekly patient follow-ups to support medication adherence and address barriers to treatment. Coordinated onboarding across physician offices and pharmacies using PBM systems and managed benefit verification and prior authorization documentation to initiate pharmacy services.

Adherence Services Care Coordination Patient Onboarding Pharmacy Services Coordination PBMs Benefit Verification Prior Authorizations Fax Documentation Data Entry Psychosocial Barrier Identification Resource Referral And Advocacy

Benefits Verification Specialist

AmerisourceBergen

Sep 2022 - Feb 2023 (5 months)

Coordinated benefit verification for infusion therapies by reviewing coverage and identifying restrictions or financial barriers that could delay treatment. Initiated and tracked prior authorizations, appeals, and claims processes while performing documentation quality reviews to support continuity of care.

Benefit Verification Cost Sharing Responsibility Review Financial Barrier Identification Prior Authorizations Appeals Claims Processing Documentation Review

Specimen Technician

Quest Diagnostics

Aug 2021 - Jul 2022 (11 months)

Performed specimen-related responsibilities and worked to maintain production and accuracy standards. Followed compliance policies for test ordering and completed required written documentation within assigned timeframes.

Specimen Type Problem Resolution Compliance Policies For Test Ordering And Accuracy Standards

Vaccine Site Lead

Curative, Inc

Dec 2020 - May 2021 (5 months)

Supervised daily vaccine operations, ensuring safe administration practices and compliance with public health guidelines. Managed inventory and site logistics for high-volume patient care and coordinated COVID-19 testing processing and documentation.

Vaccine Operations Supervision Safe Administration Practices Inventory Management Supply Chain & Logistics Daily Site Setup Process documentation Drive Up Vaccination Support De escalation COVID 19 Testing Coordination Follow Up With Laboratories

Patient Care Technician

Oxford Healthcare

Dec 2020 - May 2021 (5 months)

Provided patient care in home and hospital settings by assisting with medications and supporting daily routines to promote stability and comfort. Completed documentation of patient conditions and monitored vital signs while delivering compassionate 1:1 care, including end-of-life support and safe patient transfers.

Medical Documentation Monitoring Vital Signs Bathing Mobility Support Light Exercise Support Comfort Focused Interventions

Customer Service Representative

Aetna

Jul 2018 - Jan 2019 (6 months)

Processed prescription-related customer requests by managing labels, order fulfillment, and inbound/outbound calls. Resolved customer concerns and coordinated with doctors or insurance companies for prior authorization while maintaining confidentiality and HIPAA compliance.

Pre Labeling Prior Authorizations Confidentiality