Niralda ILORY

Experience

• 

  SalusCare Inc.

  Dec 2011 - Mar 2014

  Intake Specialist

  Provide intake triage of individuals presenting at the Emergency Services department to include data entry, inventory of personal items, body searches, recording of vital signs, monitoring individuals for safety and recording observations, assist with precertification of insurance and preparing charts.

• 

  Healthcare Network of Southwest Florida

  Sept 2014 - Oct 2018

  Responsible for improving the health of members of the community who may not be cared for by traditional medical institutions. This often includes the uninsured, migrant worker and immigrants. Those served include people of all different ethnicity and cultural backgrounds. Community health workers may be responsible for ensuring that culturally diverse populations and underserved communities are understood and received the proper medical attention. CHW will support providers by helping patients and their families to understand the importance of making smart health care choices. CHW provide social support and informal counseling for patients and families, by acting as an advocate for individual's and community health needs. CHW will engage patients in clinics and through community outreach, including home visits and health related events (health fairs). Show less

  • Community Health Worker

    Sept 2014 - Oct 2018

  • Outreach & Enrollment Coordinator

    Sept 2014 - Oct 2018
• 

  WellCare Health Plans

  Nov 2018 - Nov 2021

  Community Health Worker

  Frontline public health workers who are trusted members of and/or have an unusually close understanding of the community they serve. This trusting relationship enables CHWs to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. Educates clients on how to use the health care and social service systems. Gathers information for medical providers and insurers and informs medical and social service providers about community needs. Provides individual support and informal counseling and delivers Culturally Appropriate Health Education. Assesses health risk factors and barriers to accessing care and develops a Personal Health Plan based on the client’s vision for personal health and wellness. Provides education and support on Lifestyle Modifications (healthy diet, importance of exercise). Teaches concepts of health promotion and disease prevention and helps to manage chronic illness. Additional Responsibilities: Advocate for service environments that are supportive, welcoming and recovery oriented by implementing Trauma Informed Care service delivery approaches and other initiatives. Collaborates with state or local agencies. Show less

• 

  Centene Corporation

  Nov 2021 - now

  Behavioral Care Coordinator

  Conduct screening and risk assessment interventions per program guidelines. Provide outreach and preventative care to members seeking services in the least restrictive environment. • Identify special needs members through the completion of health screens and other resources. • Educate providers, members and their families on behavioral health issues including symptoms, relapse prevention, stress reduction, lab work, and healthy lifestyle choices. • Coordinate behavioral health treatment with PCP’s and behavioral health providers. • Participate in the development and modification of care plans in conjunction with member, member’s family and managing physician to include, monitoring for treatment compliance and assisting with problem solving in breaking down barriers to treatment to include referrals to community resources. • Coordinate urgent care evaluations when necessary. • Assist members with locating providers and scheduling appointments as necessary. • Assist with development of plan specific literature and education materials in conjunction with medical director and corporate oversight. • Conduct field visits with members. Show less