Trina Cham
@trinacham
Dedicated healthcare professional with expertise in patient care management.
What I'm looking for
I am a dedicated healthcare professional with extensive experience in patient care management and utilization review. Currently, I serve as a Care Manager at Med Assist USA, where I monitor vital health data and engage with patients to ensure their well-being. My role involves identifying health trends and collaborating with healthcare providers to develop individualized care plans, ensuring that each patient receives the attention and support they need.
Previously, I worked as a Utilization Review Specialist at Memorial Sloan Kettering, where I analyzed patient medical records and treatment plans to assess the necessity of proposed treatments. My ability to engage with multidisciplinary teams and communicate effectively with insurance companies has been crucial in ensuring that patients receive appropriate care while adhering to insurance guidelines. My commitment to maintaining patient confidentiality and compliance with HIPAA regulations has always been a top priority.
With a strong foundation in nursing and medical billing and coding, I am passionate about improving patient outcomes and providing high-quality care. I continuously seek opportunities to enhance my skills and contribute positively to the healthcare field.
Experience
Work history, roles, and key accomplishments
Care Manager
Med Assist USA
Aug 2024 - Present (9 months)
Monitored vital signs and health data collected through remote devices, identifying trends and escalating critical readings to appropriate personnel. Engaged with patients via various communication channels to provide support, guidance on healthy lifestyle habits, and manage chronic diseases.
Utilization Review Specialist
Memorial Sloan Kettering
Apr 2011 - Aug 2024 (13 years 4 months)
Analyzed patient medical records, treatment plans, and insurance claims in real-time to assess the necessity and appropriateness of proposed treatments and length of stay. Utilized clinical guidelines like InterQual and MCG to make informed decisions, ensuring care was medically necessary and aligned with insurance guidelines.
Utilization Review Analyst
Montefiore Medical Center
Oct 2009 - Apr 2011 (1 year 6 months)
Conducted initial and ongoing assessments of patients' needs, identifying health problems and developing individualized care plans. Coordinated various healthcare services and communicated with patients, families, and professionals to provide education and support.
Education
Degrees, certifications, and relevant coursework
Iona College
Certificate in Practical Nursing, Practical Nursing
Completed a comprehensive program focused on practical nursing skills and patient care.
Borough of Manhattan Community College
Certificate in Medical Billing and Coding, Medical Billing and Coding
Pursued a certificate program to gain expertise in medical billing and coding practices. This education is aimed at enhancing skills for healthcare administration roles.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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