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Title Case Management Registered Nurse
Target Location US-FL-Orlando
Email Available with paid plan
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GRACERAMOSREGISTERED NURSEEXPERIENCEEndoscopic RN Pre/Post Surgery ORMC AM-Surg Orlando FLOctober 2022-December 2022Prepared patients for endoscopic procedures: Vital signs, administration of IV medication and IV fluids, as needed. Collected health information and authorization signature for pre-procedures. Followed up on PACU patients (post procedures) for vital signs and administration of medication. Checked for side effects of sedation medication and administration of Oxygen, IV fluid and medication, as necessary. Discharge coordination per procedure and orientation for F/U patient after discharge. Work in Am-Surg 10/22/ to 12/22 as a PRN Endoscopic RN. Work as the same of above 8/21 to 12/21.Acute Register Nurse Med-Surg Dept. and as Case Manager ORMC AM-Surg Orlando FLAugust 2021-December 2021 and February 2021 to May 2021Inpatient Utilization review and Case management working in Med- surgery and neuro departments. Admission and Discharge to home, SNF/HHC. Tasks: assign medical equipment, review patient medication history, confirm patient address, POA and history of previous admission to SNF/HHC. Responsible for validation of patient admission as inpatient. Discuss cases with medical provider/attending and plan of discharge.Concurrent Review RN Orlando Family Physicians Orlando FLAugust 2019-August 2021Working in a Corporate position in Department of Ergonomics. Informed management a daily list of patients in excel form containing: Length of stay, High-cost admission, weekly and monthly bases as well as patient listed in LTAC admission and COVID 19 admitted patients in Hospital.Utilization Management RN II Anthem, Inc. Tampa FLMay 2018-August 2019Precertification for inpatient and outpatient surgeries and procedures. Surgery specialties include Pediatric Tonsillectomy, Mastectomy, renal surgery, sinus surgery. Procedure specialty includes Cystoscopy, Endovascular surgery, Sleep studies for children and Adults. Office services that required precertification from Live calls per Medicaid services, such as non-Par providers visit, vascular services, etc. Also provided services in other states like Kentucky, N.Y, Tx, Fl, Virginia, and AR, ETC.RN Case Management and Pre-authorization RN Humana Care Plus San Juan PR USAJanuary 2011-October 2017Bilingual Case management for patients in Florida. Referrals for social service and social workers. Management for admissions and follow up for special programs for patients for high-risk conditions such as DM, COPD, CHF, ETC and Multiple inpatient admission, Polypharmacy, Psych conditions. Work Medicare advantage patient for authorization for DME, Radiology studies: CT Scan, MRI, Pet CT, Biopsy, Home Health Care, wound care and Home infusions.CONTACT7126 Matchet RoadOrlando FL 3280913329 Willow Bluestar LoopTampa FL 335579PHONE NUMBER AVAILABLEEMAIL AVAILABLEhttps://LINKEDIN LINK AVAILABLECOMMUNICATIONI fluently speak English and Spanish and can work very well with different settings, cultures and backgrounds.REFERENCESCheryl Craig - PHONE NUMBER AVAILABLE(Anthem)Jeannette Adams - PHONE NUMBER AVAILABLE(CT Radiology complex)Idabelle Matos - PHONE NUMBER AVAILABLE(Humana Care Plus MMM)EDUCATIONUniversidad de Puerto RicoBachelors of Science in Nursing

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