Claribel Capeles
Worcester
Summary
Leverage my experience in medical and behavioral health to support individuals in achieving their needs and goals while ensuring high-quality, patient-centered care, with a focus on continued professional growth.
Overview
21
21
years of professional experience
Work History
Care Team Lead
Cityblock Medical Practice
Worcester
01.2022 - 01.2026
- Provided day-to-day leadership and management for a multidisciplinary care team, ensuring effective coordination and team performance.
- Oversaw daily operations, facilitated team meetings, mentored staff, and supported interdisciplinary collaboration.
- Supervised non-clinical care management staff, providing guidance and oversight to enhance team effectiveness.
- Monitored metrics and data weekly to ensure quality performance met contractual expectations and fostered accountability.
- Ensured compliance with care management and treatment standards, maintaining adherence to organizational and regulatory requirements.
- Partnered with nursing staff to track transitions of care and inpatient encounters, supporting appropriate clinical recommendations in collaboration with providers.
- Collaborated with leadership to develop and implement strategies for continuous improvement in care delivery, quality outcomes, and compliance.
- Supported service level optimization by aligning resources and care intensity with member needs.
Senior Community Health Partner
Cityblock Medical Practice
Worcester
01.2020 - 01.2022
- Manage care delivery for a population with complex medical and behavioral health needs, ensuring comprehensive, person-centered support.
- Lead and coordinate a multidisciplinary care team, maintaining consistent communication to address members' needs and align with their health goals across all domains.
- Provide supervision and leadership to a team of Community Health Partners (CHPs), supporting performance and accountability to population-level outcomes.
- Delivered guidance, coaching, and training to CHPs on engagement strategies, care planning, and longitudinal care management to improve service delivery.
- Supported CHPs in member outreach and engagement efforts, enhancing access, retention, and care experience.
- Collaborated with POD Care Team Lead, ensuring team alignment and operational effectiveness through consistent support.
- Contribute to process improvements and operational changes, developing and implementing strategies to enhance quality, efficiency, and outcomes.
Community Health Partner
Cityblock Medical Practice
Worcester
02.2020 - 11.2020
- Coordinated care to identify and address barriers to health, including social determinants, effectively improving access to necessary resources for overall well-being.
- Maintained communication with care team members and patients to align care with individual needs and health goals, fostering engagement and adherence.
- Managed care for population with complex medical and behavioral health needs, ensuring coordinated, person-centered support that enhances overall health outcomes.
Intake Manager
Spectrum Health Systems
Worcester/Millbury
04.2009 - 09.2019
- Managed and executed timely intake processes for referrals, maintaining high standards of client care and customer service.
- Oversaw daily operations and supervised Intake staff, ensuring efficiency, accountability, and high-quality service delivery.
- Managed Same Day Admissions process for Outpatient Division, enhancing access and responsiveness for clients.
- Conducted clinical and medical reviews of inpatient cases to ensure appropriate transition and continuity of care into outpatient services.
- Built and maintained strong community partnerships to improve care transitions and develop streamlined referral processes for clients entering outpatient treatment.
- Led the development, revision, implementation, and communication of departmental goals, policies, and standards in alignment with organizational objectives.
- Assisted Outpatient Centralized Intake Department in planning and coordinating client care through effective troubleshooting and support.
Intake Coordinator
Spectrum Health Systems
Worcester
07.2005 - 04.2009
- Guided patients to suitable programs based on individual needs
- Managed calls for outpatient services, ensuring appropriate patient support
- Performed insurance verification for services to facilitate patient access
Education
LADAC Program -
Westfield University
Worcester, MA01-2012
Diploma - General Studies
Doherty Memorial High School
Worcester, MA01-2001
Skills
- Case Management
- Crisis Intervention
- Patient Advocacy
- Task Prioritization
- Time Management
- Decision-making
- Record keeping
- Microsoft Excel
- Microsoft Word
- Microsoft Outlook
- Detail-oriented
- Bilingual
References
Available upon request
Timeline
Care Team Lead
Cityblock Medical Practice
01.2022 - 01.2026
Community Health Partner
Cityblock Medical Practice
02.2020 - 11.2020
Senior Community Health Partner
Cityblock Medical Practice
01.2020 - 01.2022
Intake Manager
Spectrum Health Systems
04.2009 - 09.2019
Intake Coordinator
Spectrum Health Systems
07.2005 - 04.2009
LADAC Program -
Westfield University
Diploma - General Studies
Doherty Memorial High School