Sandra Colter

Background

About Sandra Colter

Case Manager • Provide patients with information needed to promote health, reduce risk factors, or prevent disease or disability. • Provide patients or caregivers with assistance in locating health care resources. • Advocate for accessible health care that minimizes environmental health risks. • Counsel patients about drug regimens and possible side effects or interactions. • Develop treatment plans based on scientific rationale, standards of care, and professional practice guidelines. • Recommend interventions to modify behavior associated with health risks. • Maintain complete and detailed records of patients' health care plans and prognoses. • Considering the relative costs and benefits of potential actions to choose the most appropriate one. • Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form. • Knowledgeable about private payer systems, claims administration, medical necessity plan language. • Routinely perform claims reviews, review of medical documentation to determine appropriateness of medical care, request for surgical procedures, and length of stays. • Proficient with procedural and diagnostic coding. Advocacy Manager: 2012-2015 • Supervised or coordinated support staff activities. • Maintained departmental policies and procedures. • Encouraged and built mutual trust, respect, and cooperation among team members. • Identified the developmental needs of others and coaching, mentoring, or otherwise helping others to improve their knowledge or skills. • Handled complaints, settling disputes, and resolved grievances and conflicts, or otherwise negotiating with others. • Communicated with people outside the organization, representing the organization to customers, and the public. • Developed chronic disease management program.