Camilo Aguila
Medical Case Manager @UnitedHealthcare
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WORK HISTORY
Medical Case Manager @UnitedHealthcare
US
Responsible for the comprehensive coordination of medical care for members enrolled in Long Term Care (LTC) programs, with a focus on clinical management, functional assessment, and person-centered planning. Key responsibilities include: • Assessing medical, psychosocial, and environmental needs through home visits and review of clinical documentation. • Developing and implementing individualized care plans aligned with Medicaid policies and members’ health goals. • Coordinating services with physicians, nurses, therapists, caregivers, and community agencies to ensure access and continuity of care. • Identifying barriers to treatment and mobilizing resources to improve clinical outcomes and reduce avoidable hospitalizations. • Documenting in electronic systems in compliance with federal and corporate standards, ensuring regulatory adherence and quality performance. • Promoting patient autonomy and efficient use of medical services through proactive interventions and member-centered approaches.
EDUCATION
Nova Southeastern University
Associate's degree, Business Administration and Management, General
Universidad de Sancti Spíritus "José Martí Pérez"
Bachelor of Business Administration - BBA, Business Administration and Management, General
Tourism School Sancti Spiritus, Cuba
Certification as Tour Guide / Group Manager, Communication and Media Studies
Universidad de Sancti Spíritus "José Martí Pérez"
Certification in Audit & Internal Control, Business Administration and Management, General
Cowater International
Organizational Training Expert, Business Administration and Management, General
Ibero-American Network of Public Relations
Certification in Public Relations, Business, Management, Marketing, and Related Support Services
Ibero-American Network of Public Relations
Certification in Business Administration & Branding, Business Administration and Management, General
Amalia’s CBM
Case Manager, Mental and Social Health Services and Allied Professions
ABOUT CAMILO AGUILA
Healthcare operations professional with 10+ years of experience analyzing caseload data…
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