BLAINE MAXINE CORPUS
Registered Nurse
Antipolo CIty
Summary
Detail-oriented team player with strong organizational skills. Proven ability to effectively manage multiple projects simultaneously while maintaining a high degree of accuracy. Adept at prioritizing tasks and meeting deadlines in fast-paced environments. Consistently recognized for exceptional attention to detail and commitment to delivering high-quality work.
Overview
13
13
years of professional experience
2
2
Certifications
Work History
CARE COORDINATOR
Bright Heart Health
07.2024 - Current
- Assist all existing patients in the following programs: Mental Health, Opioid Use Disorder, and Substance Abuse Disorder
- Assist the patients coming to the Virtual Clinic
- Manage provider's calendars and provide schedules
- Managed patient caseloads effectively, ensuring timely follow-up and appropriate interventions.
- Assessed patient needs and connected them with appropriate resources to ensure optimal health outcomes
- Maintained accurate and up-to-date documentation of patient records in accordance with HIPAA regulations
- Provided emotional support for patients and families during difficult times, fostering resilience and coping skills
- Monitored progress towards patient goals, adjusting care plans as needed to achieve desired results
- Built strong relationships with clients to deliver emotional support and companionship
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery
- Contributed to the development of organizational policies and procedures related to care coordination, ensuring alignment with industry standards and best practices
- Coordinate with Case Managers for concerns relating to medical records, partnership, and referral sources
CARE NAVIGATOR, MANAGER
Bright Heart Health
06.2022 - 07.2024
- Manage Transitions, Group Management, and SMS teams
- Manage staffing in the PM shift
- Conducts real time coaching, and performance evaluation
- Conducts/facilitates team briefings
- Attend weekly care team meeting
CARE NAVIGATOR, LEAD
Bright Heart Health
09.2021 - 06.2022
CARE NAVIGATOR
Bright Heart Health
08.2020 - 09.2021
CONTENT MODERATOR
Navee
05.2023 - 11.2023
- Help clients protect themselves against counterfeit/scams by moderating contents posted on the web
- Moderate a total of 7000 posts every month
- Contributed to a positive online community by consistently applying fair judgment when moderating diverse types of content
- Collaborated with cross-functional teams to develop comprehensive content guidelines and policies
- Improved internal communication by providing constructive feedback on content moderation tools and systems to the development team
- Proactively identified areas requiring policy updates or clarifications, reducing the occurrence of inconsistencies in content moderation decisions
OPERATIONS TEAM LEADER
Hinduja Global Solutions
01.2017 - 08.2020
- Managed daily operations, ensuring smooth workflow and timely completion of tasks
- Coordinated team schedules, ensuring optimal staffing levels were maintained at all times
- Optimized team performance, providing clear guidance and setting achievable goals
- Enhanced team productivity through regular performance evaluations and targeted coaching sessions
- Achieved superior service levels by closely monitoring performance metrics and addressing any issues promptly
- Boosted employee morale with proactive recognition programs, ultimately improving retention rates
- Improved operational efficiency by streamlining processes and implementing more effective procedures
- Sat on new hire interviewing panel and made recommendations
- Evaluated customer needs and feedback to drive service improvements
CUSTOMER SERVICE REPRSENTATIVE / SECOND LINE SUPPORT TEAM / QUALITY ANALYST APPRENTICE
Concentrix
03.2015 - 12.2016
- Receives bill queries (phone, TV, broadband) from members and do up-selling of package
- Take escalated calls from front liners
- Weekly meeting with the client to update the Knowledge-based tool
- Listen to surveyed calls and provide feedback and coaching
- Audit routine calls, provide coaching, and provide necessary disciplinary action to agents
- Attend weekly internal and client calibrations
CUSTOMER SERVICE REPRESENTATIVE / CLAIMS REVIEW ANALYST
Alorica (formerly Known as APAC / EGS)
08.2011 - 12.2014
- Receives inquiries regarding eligibility, benefits, pre-certification requirements, authorization status, and provider's network status
- Receives claims inquiries from health care providers (professional and institutional)
- Review and resolve contract inquiries of the provider
- Coordinate with third parties (Magellan, Orthonet,etc.) for claims questions or authorization status
- Sends provider claims for reprocessing if any processing error has occurred (incorrect provider contract was applied, claim information was incorrectly keyed, etc.)
- Makes outbound calls to health care providers to provide updates regarding claims that are pended for reprocessing/reconsideration
- Sends system-generated or manual explanation of benefits per providers' request
- Review if claims being sent back to the processing team are appropriate, and provide feedback and coaching if inappropriate
- Process vendor escalation
Education
Bachelor of Science - Nursing
University of The East Ramon Magsaysay Memorial Medical Center, Inc
Quezon City, Metro Manila, Philippines 05.2007 - 2011.05
Skills
Patient Education
Interdepartmental Collaboration
Process Improvements
Scheduling
Case Management
Medical terminology understanding
Patient Education
Certification
Nursing Licensure Exam - Board Exam Passer
References
Available upon request.
Timeline
CARE COORDINATOR
Bright Heart Health
07.2024 - Current
CONTENT MODERATOR
Navee
05.2023 - 11.2023
CARE NAVIGATOR, MANAGER
Bright Heart Health
06.2022 - 07.2024
CARE NAVIGATOR, LEAD
Bright Heart Health
09.2021 - 06.2022
CARE NAVIGATOR
Bright Heart Health
08.2020 - 09.2021
OPERATIONS TEAM LEADER
Hinduja Global Solutions
01.2017 - 08.2020
CUSTOMER SERVICE REPRSENTATIVE / SECOND LINE SUPPORT TEAM / QUALITY ANALYST APPRENTICE
Concentrix
03.2015 - 12.2016
CUSTOMER SERVICE REPRESENTATIVE / CLAIMS REVIEW ANALYST
Alorica (formerly Known as APAC / EGS)
08.2011 - 12.2014
Nursing Licensure Exam - Board Exam Passer
07-2011
Bachelor of Science - Nursing
University of The East Ramon Magsaysay Memorial Medical Center, Inc
05.2007 - 2011.05
General Average rating of 83.40%
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