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Click here or scroll down to respond to this candidateCandidate's Name , RN, BSN, MHAStreet Address , PHONE NUMBER AVAILABLE EMAIL AVAILABLEDedicated Bilingual (Spanish/English) RN with greater than 20 years of experience, including home care management, training, education, occupational health coordinator, emergency trauma, and pediatric trauma. Offer a solid foundation in Nurse Case Management, emergent care, trauma care, analytical tools and methodologies, pharmaceuticals, mentoring and current healthcare advancements. Special interest in education benefiting nursing staff. Strong background in education, with experience developing and delivering training programs to staff, community organizations and medical providers on a range of healthcare management topics.GRADUATE NURSEEDUCATION / CREDENTIALSAssociate Science in Nursing, 1998Broward Community College, Hollywood, Fl.Bachelor of Science in Nursing, 2009Phoenix University, Phoenix AZMaster Health Administration, 2011Pfeiffer University, Charlotte, NCCurrent NC Multi State Registered Nurse License #211453CPR; BLS, CCM, CertificationsNURSING EXPERIENCEField Pediatric Care Infusion Nurse03/2013 2015 Bayada Home CareProviding Pediatric Home Infusion to several pediatric patients who require a weekly enzyme replacement. Some with central venous ports, and others who require an PIV weekly.Nurse Case ManagerJuly 2015 August 2016 Hoover Rehabilitation ServicesIdentify and intervene when necessary to ensure efficient and cost-effective delivery of patient care services for clients who have reported work injuries. Establish and promote collaborative relationships with physicians, patients, families, attorneys and additional members of the healthcare team. Educate members of the recovery team on utilization review and managed care concepts. Act as a resource for routine and complex problem solving as it relates to utilization review and case management. Anticipate the needs of customers and work proactively to improve services. Work with others to improve customer satisfaction and participates in special projects as needed. Travel extensively to address issues with physicians, attorneys, and clients in order to assure the best quality outcome.Worked independently and office out of my home, organizing and controlling my own calendar. Highly organized and able to document details that would hold up in court of law if required. Worked with both Spanish and English clients to address all needs, demonstrating professionalism, openness, and innovative ways to educate and guide care. Practiced excellent communication skills.Medical Nurse Case Manager03/2013- January 2015 GENEX Services, LLCResponsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Working as an intermediary between carriers, attorneys, medical care providers, employers and employees, you will closely monitor the progress of the injured worker and report results back to the employer and insurance carrier. Ensure appropriate and cost-effective healthcare services lead to a medically rehabilitated individual who is ready to return to an optimal level of work and functioning.Main responsibilities will include but are not limited to: Using clinical/nursing skills to help coordinate the individual's treatment program while maximizing cost containment. Explaining physician's and therapists' instructions, and answers any other questions the claimant may have in an effort to facilitate his/her return to work. Working with the physicians and therapists to set up medical assessments to develop an overall treatment plan that ensures cost containment while meeting state and other regulator's guidelines. Researching alternative treatment programs such as pain clinics, home health care, and work hardening. Coordinating all aspects of the individual's enrollment into the programs, and then monitors his/her progress, in an effort to maximize cost containment and minimize time away from work. Working with employers on modifications to job duties based on medical limitations and the employees functional assessment. May provide testimony on litigated cases. Coordinating injured workers' appointments and arranges and/or personally escorts him/her to the appointments. Documenting and reporting all case activity for accurate case management and billing procedures. Preparing detailed evaluation reports, as per account guidelines, and case recording documenting for each phase of activity as it is completed. Reporting billing hours in accordance with case activity and billing practices. Maintaining phone contact with all parties involved to monitor, update, and advance case activity to ensure the progress of the case. Compiling a case inventory on a monthly basis for submission to the branch manager to allow for proper billing and to calculate hours for bonus purposes. Completing insurance carrier reports on a monthly (or as required) basis, as well as other necessary paperwork for the insurance company, state, or other regulatory bodies. Maintaining the necessary credentials and demonstrates a level of professionalism within the work place and in dealing with injured workers reflects positively on the company as a whole. acquiring and maintaining knowledge of developments in the medical case management field. Keeping abreast of local workers' compensation laws and regulations, as well as other issues related to the case management/managed care industry.Clinical Case Manager10/2011 03/2013 Bayada Home Care, Raleigh, NCProviding excellent clinical management and care service and with focus on delivery and coordination of clinical goals and services, growth and development of clinical field staff and client families (through relationship building) and on-going case management. I remain highly motivated and possess a strong work ethic with the desire to help staff grow and develop professionally.Answer clinical inquires, take referrals, and schedule home care servicesInterview, select, and train field staff to meet the goals and mission of our companyMonitor, assess and create best care plan possible to meet the needs of clientsCoordinate care of clients with their primary MD, insurance case managers, and PT/OTSource, interview and orient reliable and compassionate clinical staff (nurses and or home health aides)Develop strong and lasting relationships with referral sources and community resourcesFacilitate local marketing and recruiting events to build a strong presence in the communityManage a caseload of clients including staffing, scheduling and operations and administrationEmergency Room RN/Trauma One Center2/2006 - 2011, WakeMed Health and Hospitals, Raleigh, NCHands on part of the emergency response team for the pediatric population. Providing individual care, fast and accurate stabilizing care to crisis situations. Providing overall general health, comfort and ease to those who present to the emergency room.I have a special passion for empowering qualified members of my health care professional team. I do this through the establishment of a mentoring program that supports both new and established nursing staff members.Triage is another role I perform. This involves prioritizing emergent situations to determine the needs of each patient, making quick and accurate decisions.Charge Nurse is also one of my roles. Familiar with my facilities policies, procedures and protocols, I facilitate the flow of patient care in the emergency room. Providing accurate communication with patients and their families and all of the emergency medical professionals serving them to ensure safe, professional care is provided.Assist in the preparation and care of patients undergoing conscious sedation. Administer proper medications that maintains patient sedated, protecting airway during procedure, and properly document procedure and interventions.Highlights of Contributions: Participated in JCAHO survey with resultant score of 96 percent with commendation. Ensured ER readiness by maintaining stringent quality standards and safety standard. Contributed to organizational growth initiatives as active member of patient education and procedural committees, along with preceptor duties instructing new residents and nurses in crisis intervention, medication administration and resuscitation. Planned and executed mentoring for continuing education and support to all nursing staff. Currently sit on the Nurse Council Board, providing input on nursing regulations, nursing policies, and exploring ways to continually improve nursing care and education. Currently sit on Education Council Board, providing support and setting standards for patient and staff quality care. Authored asthma patient pamphlet and worked closely with outpatient asthma program to improve quality and patient participation in ongoing asthma management and education. This is an ongoing endeavor to decrease emergency room visits for our asthma patients.BREAK1/2004 - 2/2006Both senior parents became very ill and needing care, I made the decision to relocate to Florida and become the primary caretaker for them until their death.Nurse Administrative Assistant/Pediatric Outpatient Department1/2002-1/2004 Sound Shore Medical Hospital, New Rochelle, New YorkPerformed a comprehensive range of clinical management functions in the 250-bed community based hospital. Managed the flow and care of pediatric patients in outpatient setting, providing management to 10 member staff, including 3 MD, 1 NP, 3 nurses, 3 support staff. Ensured ongoing QA/QI measuring, exploring and implementing better clinical flow of patients. Implemented a FAST TRACK clinic several mornings a week to provide care for patients needing non urgent care.Highlights of Contributions: Managed all phases of pediatric clinical care, overseeing patient care, staff assignments, emergency response/transport and management of family crises. Built solid, trusting relationships with staff and patient families, generating positive PR through extra efforts in care treatment and one-on-one communications. Initiated special committee to address the needs of Hispanic (non- English speaking) patients. Collaborated with multidisciplinary team members, working closely with physicians, nurses, technicians and therapists to formulate, implement and modify safer, more cohesive pediatric care.Travel Nursing RN5/1999-1/2002 Fastaff Travel NursingProvided 3months-10month assignments at various hospitals as a professional RN. Assignments included 10 months at National Childrens Center, Washington, DC in the capacity of pediatric trauma RN. The variety of assignments fulfilled the need for challenges to keep nursing skills sharp and updated in a variety of settings.Patient Care Associate 09/1996-07/1998RN/Pediatric 07/1998-1999 Surgical and Medical floorDemagio Childrens Hospital, Hollywood FloridaSkill NameSkill LevelLast Used/ExperienceCase / Patient ManagementIntermediateCurrently used/9 yearsClinical Research ProceduresIntermediateCurrently used/4 yearsData Collection / Analysis / ReportingIntermediateCurrently used/4 yearsData Management & DocumentationIntermediateCurrently used/10 yearsHealthcare EducationExpertCurrently used/15 yearsJCAHO Standards / ComplianceExpertCurrently used/ 5 yearsPatient InterviewsExpertCurrently used/10 yearsPublic / Community RelationsExpertCurrently used/ 5 yearsPublic SpeakingExpertCurrently used/15 yearsQuality Assurance / Quality ControlExpertCurrently used/ 5 yearsPerformed comprehensive range of nursing functions in both the surgical and medical wings of the pediatric floors. Functions included safe delivery of medication administration, post-surgical care, orthopedic care, and pediatric oncology care.Additional Information:Known as a loyal team player with an unwavering commitment to providing quality care and preventive medicine advocacy. Passionate about providing care to the indigent population. I am willing to relocate nationally for right opportunity. Served as a Health Educator prior to career change into nursing. |
