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Title Practical Nurse Care Manager
Target Location US-FL-Punta Gorda
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
https://my.indeed.com/p/alexandrat-upxrvStreet Address
Brandon, FL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLECompetent Hedis chart review, care manager,documentation review, pre-authorization nurse. Competent in caregiver to patients on ventilators, tracheostomy, and tube feeding. Energetic geriatric License practical nurse with over 19 years In Florida, Experienced working in long term care facilities, hospice, case management, primary care, obstetric and gynecology clinic while also volunteering at church food banks centers in my free time. Has provided compassionate care to patients and family members thru out my career. Experienced Life, Property And Casualty insurance agent. Proficient in Microsoft and excel. Infection control nurse. SPEAK English, French and Creole Read English, French and Creole Write English,French and CreoleAuthorized to work in the US for any employerWork ExperienceNurse Case ManagerOptumNovember 2022 to PresentPrioritizes patient care needs upon initial visit and addresses emerging issues. Meets with patients, patients' family and caregivers as needed to discuss care and treatment plan as delineated in Transitions of Care program.Identifies and assists with the follow-up of high-risk patients in acute care settings, skilled nursing facilities, custodial and ambulatory settings.Uses protocols and pathways in line with established disease management and care management programs and approved by medical management in order to optimize clinical outcomes. Oversees provisions for discharge from facilities including follow-up appointments, home health, social services, transportation, etc., in order to maintain continuity of care. Maintains effective communication with the physicians, disease management, hospitalists, extended care facilities, patients and families.Demonstrates a thorough understanding of the cost consequences resulting from Care Management decisions through utilization of reports and systems such as Health Plan Benefits, utilization of metrics and CM. Approve or deny referrals based in patients needs. Licensed Practical NurseBaycare client services - Brandon, FLSeptember 2022 to PresentManage care for patients on ventilator, g-tube, tracheostomy care. Clinical Care Manager AssistantGulfside Hospice - Zephyrhills, FLOctober 2022 to November 2022Monitor medication refills, monitor census, visits to facilities, communication with providers for patients status, new orders and refills.Clinical SupervisorTAMPA FAMILY HEALTH CENTERS - Tampa, FLMarch 2022 to September 2022Supervisions of medical assistants in the primarily care and OB GYN clinic, assist providers with their task buckets, communicating with insurance companies on approving medications, administer medications and injection, monitoring refrigerators and freezers temperatures for vaccine for children and private insurances. Floor inventory of all medications in the center. Wound care for patients and administering Depo-Provera injections and educating patients on the schedule. Keeping a log of all equipments in the center. Experience in Epic and Athena. OB GYN experienced, Hedis chart review for Gyn, depression assessment. Disney and jog blood pressure education. Medication pre-authorization. Review of medical records. Experienced in Medicaid and other insurance pre-authorization. Education for diabetic patients, chronic disease, high blood pressure. Teaching patients and employees about infection control. Covid-19 nurseMedex - Bradenton, FLMarch 2020 to March 2022Read rapid test results, swab patients, perform par, register patients for covid-19 testing, medical interpreter French, creole. Teaching patients about infection control. LPN Case ManagerOmega Healthcare Management Services Pvt. Ltd.. - Orlando, FL March 2018 to February 2020Managing patient care after discharge from the hospital. Review their chart to manage their chronic disease. Often contacting their provider to give patients updates and sometimes requesting medication change or dosing. Providing resource to patients for food pantry, transportation for their doctors appointment. Provider communication for new medication orders. Medication pre-authorization. Manage care of patients with chronic kidney disease, high blood pressure, and diabetic patients. Meet deadlines after discharge, attend financial meetings with the medical director and the treatment team. Crisis Care NurseTideWell HOSPICE AND PALLIATIVE CAREMay 2013 to October 2018Provide end of life care to patients, assess patient conditions, medications administration, communicating with physicians to get medications orders. Emotional support to family members. Contacting funeral homes. Wound care per hospice protocol. Home Health NurseNurseCore Management Services, LLC - Port Charlotte, FL September 2017 to May 2018Home visitsMedication management boxWound careBlood sugar checkVentilatorTube feedingTracheotomyIV certificationAdminister insulinMonitor patients with for pacemaker check when the company calls. Teaching patients about infection control.Charge Nurse LPNSolaris Health Care - Port Charlotte, FLOctober 2008 to May 2013Collaborated well with team members to carry out daily assignments . Filed records to keep system efficient and information organized. Maintained and updated files and records to support efficient nursing operations. Medication administration, wound care, computer charting, tracheotomy care, colon ostomy care. Taking orders from the physicians, medical interpreter French, creole. Medical Records audit charts. Administer injections. Residents admissions care plans and discharge for residents in the rehab. Paper work for specimen to be picked up by laboratory. Interview and recruit certified assistants to be on my floor. Supervise certified nursing assistants. Review nursing staff documentations. Discharge planning. Documentation trainer for the nurses, chart review. Teaching certified nursing assistants about infection control. CNA - Certified Nursing AssistantDeep creek rehab - Punta Gorda, FLOctober 2003 to June 2006Provide activity of daily living to elderlies, take vital signs, feed the residents.(Inbound Call Center Representativtative)Sprint Telephone company - Fort Myers, FLMay 2001 to September 2003Customer service and billing, sell sprint products.French, creole I interpreter. Getting 150 calls per day . Inbound sales call center.(Travel Consultant)American Express Platinum Travel - Miami Lakes, FL February 1999 to May 2001Was among the first 10 co-workers who were hired to open the call center to service American Express platinum card members. Handled 250 calls everyday selling airline tickets, making car and hotel reservations, cruise reservations. Handling members complaints. Award for best travel consultant of the month for sales and no issues with platinum members. Customer satisfactions.(Inbound Call Center Representative)Worldex travelApril 1995 to February 1999Make resort reservations, sell airlines tickets, car and hotel reservations, customer service and complaints. Inbound sales call center. Handled 80 calls per day, reward for best seller of the month. Ticket AgentALM Antillean Airlines - Miami, FLJanuary 1987 to February 1993Sell airlines tickets to passages, gate agent boarding and un boarding flights, follow immigration guidelines, list and found, suitcase recovery .EducationCertificate in Medical Billing And CodingAshworth College - United StatesJanuary 2022 to PresentCertificate-completed in Electronic Medical Records Ashworth College - United StatesJanuary 2022 to February 2022Diploma in NursingSarasota County Technical Institute - Sarasota, FL April 2007 to June 2008High School DiplomaCOLLEGE MARIE ANNE BourdonJuly 1986Certificate in ScribeScibeamericaNursing LicensesPNExpires: July 2023State: FLSkills Medication Administration Vital Signs EMR Systems Triage Home Care Experience Administering Injections Hospice Care Nursing Patient Care Medical Records Case Management Documentation review Microsoft Word French Translation Tube Feeding Interpretation Infection Control Training Phlebotomy Insurance Sales Quality Assurance Laboratory Experience HEDIS Supervising Experience Medical Coding Computer Networking Medical Billing Epic Medical office experience Filing Clerical experience Motivational interviewing Negotiation Communication skillsLanguages French - Expert Haitian Creole - ExpertCertifications and LicensesBLS CertificationFebruary 2021 to PresentLPNJuly 2021 to July 2023CPR CertificationFebruary 2021 to October 2023Property & Casualty LicenseScribeMarch 2022 to PresentDocumentation for providersLVNAdditional InformationLicense life insurance agent with Primerica since 2019

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