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L RLR
Open to opportunities

L R

@lr03

I coordinate care and remove insurance barriers for patients with chronic conditions.

United States
Message

What I'm looking for

I'm seeking a patient-centered care coordination or case management role where I can navigate insurance barriers, advocate for access to treatment, and support people with complex medical, social, and behavioral health needs.

I've supported patients with chronic conditions, including HIV/AIDS, at The Alliance for Positive Change since 2014. I complete intakes and eligibility verifications, build individualized care plans, and coordinate appointments, referrals, and discharge planning.

I navigate Medicaid, Medicare, and commercial insurance barriers to help patients access medications and treatment. I also advocate in housing court and through social service and insurance appeals to resolve benefit denials.

I've managed caseloads of 50+ clients while maintaining accurate Health Home records and supporting treatment adherence through home visits, virtual visits, phone check-ins, and follow-ups. As an agency trainer, I bring experience in patient advocacy, harm reduction education, and community-resource navigation.

Earlier, I taught medical billing and coding, handled insurance verification and claims at a VA Hospital, and provided home care support for homebound patients.

Experience

Work history, roles, and key accomplishments

TC
Current

Case Manager / Case Manager Assistant / Consultant / Peer Specialist

The Alliance for Positive Change

Jan 2014 - Present (12 years 7 months)

Completed agency intakes and verifications, verified insurance benefits, developed individualized care plans, advocated for patients, and managed a caseload of 50+ patients. Provided emotional support and education on harm reduction and health promotion.

Education

Degrees, certifications, and relevant coursework

UU

Universidad del Este (UNE)

Bachelor of Arts, Social Work / Health Education

2001 - 2005

Pursued a Bachelor of Arts in Social Work and Health Education, focusing on community health and social services.

Tech stack

Software and tools used professionally

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