Experienced healthcare professional with expertise in developing & implementing individualized care that meets diverse patient needs. Known for strong focus on achieving results & seamlessly adapting to changing healthcare environments. Skilled in communication & conflict resolution. Skilled in patient advocacy, care coordination, education, & direct patient care. Completes work with a compassionate approach that fosters trust & respect.

Applied extensive experience in acute hospital settings and utilization management to advance nursing practice and patient care outcomes.

Dynamic Registered Nurse with extensive experience at Aetna and Trinity Health, excelling in patient stabilization and emergency triage. Proven ability to enhance patient outcomes through comprehensive assessments and tailored care plans. Skilled in wound care and effective communication, fostering collaboration among healthcare teams to ensure optimal resource utilization and patient education.

Obtain a position as a customer service representative with a company that allows for the application of strong organizational, communication and customer service skills when interacting with clients/patients and providing them with the level of support they expect.

Results-driven Senior Customer Service professional with deep experience coaching and mentoring peers in a behavioral health and insurance environment. Strong problem-solver skilled in analyzing and explaining claims, navigating benefits, and resolving complex member issues. Fast learner who masters new systems by repeatedly practicing application workflows to understand processes end-to end. Provides day-to-day team support through escalations, performance trend awareness, and reinforcement of KPIs and quality standards. Trusted to work independently while contributing to onboarding, process improvements, and a people first service culture.

To be an integral member of the management team attacking strategic challenges, innovating new solutions for clients and executing on growth and profitability targets
Collaborative leader partners with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings.
Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Multi-tasking Manager well-known for creating positive workplace culture and high-performing teams. Demonstrated health industry expertise, including competitive offerings, pricing, and market positioning.

Grievance Coordinator with over 4 years of experience in resolving complex member complaints and enhancing satisfaction through innovative strategies. Demonstrates strong skills in team building, mentoring, and performance management, effectively leading teams to deliver exceptional service. Passionate about utilizing critical thinking and communication skills to drive continuous improvement and achieve organizational goals.

Experienced leader and LPN with 20+ years experience in Managed Care/Utilization Management with a proven track record in staff leadership, creating a positive workplace culture, high-performing teams and quality improvement through effective training and mentoring while driving operational efficiency. Eager to bring a positive attitude, contribute to team success and commitment to continuous learning and growth.

Detailed oriented with strong problem-solving, analytical, communication, and teamwork skills with a proven ability to quickly adapt to new environments. Able to multitask and manage complex projects. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team and organizational objectives.


Smart financial professional that applies strong problem-solving and decision-making skills in job tasks. Self-motivated with strong work ethic, and highly dependable.
Demonstrates strong analytical, effective communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.

A premier healthcare benefits company, Aetna has made it to the Most Admired Companies list compiled by Fortune magazine. A workforce of nearly 50,000 professionals has been a part of Aetna in various roles such as consulting, insurance, customer service, research, medical, and health fields, amongst others. Combining in-office and virtual work arrangements, CVS Health and its subsidiaries plan to cater to the needs of its associates and customers. The company offers a comprehensive benefits package for eligible employees that includes professional development opportunities, paid time off, access to on-site fitness centers, community involvement programs, tuition reimbursement, and financial wellness programs. Aetna's mission, values, and goals are reflected in "The Aetna Way," which stands for integrity, excellence, inspiration, and care for the consumers. Established in 1850, Aetna provides high-quality healthcare and financial safety to consumers. Aetna joined CVS Health in 2018 to revolutionize healthcare by offering innovative models at lower costs. Aetna caters to over 50 million network members and offers medical, dental, pharmacy, behavioral health, disability, and group life plans across all 50 states in the United States. The company's healthcare network comprises of over 1 million healthcare professionals and 5,700 hospitals.

Aetna

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