Monica Tejeda
La Puente
Summary
Results-oriented healthcare coordinator known for strong time management and effective communication skills. Successfully collaborated with multidisciplinary teams to enhance care strategies and consistently exceed referral targets. Experienced Patient Care Coordinator proficient in directing patient care programs that are both high-quality and efficient. Skilled in leading healthcare facilities through periods of significant change and improvement, with hands-on experience in strategic planning, staff development, and operational management. Known for strengths in enhancing patient care quality, implementing cost-saving measures without compromising service delivery, and fostering interdisciplinary collaboration. Demonstrated ability to improve patient satisfaction scores and streamline hospital processes for better efficiency across various departments.
Overview
7
7
years of professional experience
Work History
UM Care Coordinator
Optum
Arcadia
04.2020 - Current
- Supported Manager for Legacy Healthcare Partners and Legacy AppleCare teams from January 2023 to April 2024.
- Collaborated with multidisciplinary teams to enhance comprehensive care strategies.
- Maintained confidentiality and compliance with healthcare regulations across all interactions.
- Utilized electronic health record systems for efficient data entry and management tasks.
- Trained coordinators in various departments on new implementation systems.
- Assigned daily tasks to care coordinators and nurses for effective operations.
- Reviewed referrals on HealthFortis Associates website, approving and prepping cases for nurse review.
- Established strong relationships with providers to improve communication and expedite processes.
- Demonstrated expertise in ICD-10 and CPT codes, including Commercial, Medicare, and Medi-Cal health plans.
- Ensured compliance with all HIPAA regulations to protect patient information.
- Utilized Microsoft Word and Excel for documentation and data management.
- Consistently met and exceeded daily, weekly, and monthly referral targets.
- Established strong relationships with providers and staff to enhance communication.
- Responded to inquiries via Cisco Finesse from providers, staff, and patients regarding referrals.
- Navigated modifications to referrals efficiently.
- Reviewed benefit checks using DOFR, Availity, PRN LINK, and Health Plan sites, confirming details through calls as necessary.
Certified Nurse's Assistant
PIH Health Hospital - Whittier
Whittier
04.2018 - 12.2019
- Assisted patients with daily living activities and personal hygiene.
- Documented patient care details in electronic health records accurately.
- Supported mobility by transferring patients safely between beds and wheelchairs.
- Provided companionship and emotional support to enhance patient comfort.
- Maintained cleanliness and organization of patient care areas consistently.
- Educated patients and families on health management and safety practices.
- Collaborated with healthcare team to implement care plans effectively.
- Observed and reported unusual symptoms and changes to charge nurse.
- Conducted routine checks on patient vitals, blood pressure, blood sugar, and heart rate.
- Turned and repositioned residents using proper body mechanics to prevent pressure ulcers.
- Used mobility devices to transport patients.
- Answered signal lights, bells or intercom systems to determine resident needs.
- Safeguarded patient privacy with strict adherence to HIPAA protocols.
Education
Associate of Science - Nursing
Rio Hondo College
Whittier, CA05-2025
Skills
- Time management
- Team collaboration
- Medical terminology
- Effective communication
- Data entry
- Bilingual: English and Spanish
- Analytical problem solving
- Self-starter
- Organizational skills
- Leadership abilities
- Multitasking and prioritization
- Customer service excellence
- Growth-oriented mindset
References
References available upon request.
Timeline
UM Care Coordinator
Optum
04.2020 - Current
Certified Nurse's Assistant
PIH Health Hospital - Whittier
04.2018 - 12.2019
Associate of Science - Nursing
Rio Hondo College