Nicole White
@nicolewhite
Accomplished leader in healthcare services and social welfare.
United StatesWhat I'm looking for
I am an accomplished customer-focused leader with over 20 years of experience in social services, specializing in Medicaid eligibility and client service enhancement. My proven track record in healthcare advising, grievance resolution, and compliance with essential regulations has fostered trust and satisfaction among clients. I excel in both independent and collaborative work, remaining current with program changes and implementing innovative solutions within health insurance frameworks.
In my recent role as a Member Advocate at Aetna, I delivered superior customer service by addressing member needs, coordinating transportation, and managing Medicaid waivers to enhance member satisfaction. My experience as a Social Welfare Examiner at Rensselaer County Department of Social Services involved determining client eligibility for Medicaid programs and resolving client complaints while ensuring compliance with Medicaid documentation regulations. I am dedicated to improving client outcomes and navigating complex healthcare systems.
Experience
Work history, roles, and key accomplishments
Member Advocate
Aetna
Jan 2021 - Present (4 years 5 months)
Delivered superior customer service, assisting members with durable medical equipment and coordinating transportation, while specializing in Medicaid and Medicare Extra Help renewals. Enhanced member satisfaction by resolving issues with Medicaid/Medicare and managing Medicaid waivers for home healthcare. Utilized MedCompass and Salesforce to access member demographics, coverage details, and medic
Social Welfare Examiner
Rensselaer County Department of Social Services
Jan 2001 - Dec 2021 (20 years 11 months)
Determined client eligibility for Medicaid programs, documenting potential issues and compiling financial information to prepare applicant budgets. Interviewed applicants and beneficiaries, ensuring compliance with Medicaid documentation regulations and resolving client complaints and queries. Evaluated grievances and appeals against private health insurance companies, utilizing Electronic Medicai
Daily Living Skills Worker
Mohawk Opportunities
Supported clients' mental health by strengthening rehabilitation skills, providing crisis intervention, coping mechanisms, and medication management. Ensured a clean, sanitary, and healthy environment for clients, and facilitated leisure activities to expand socialization and reduce stress. Represented the organization professionally during client appointments.
Education
Degrees, certifications, and relevant coursework
HCHudson Valley Community College
Associate's Degree, Human Services
Completed an Associate's degree in Human Services, focusing on foundational knowledge and skills relevant to social services and client support.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
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