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PROFESSIONAL SUMMARYEXPERIENCECRISTOBAL LUJAN SUAREZ Miami, FL 33125PHONE NUMBER AVAILABLEEMAIL AVAILABLEI am a highly organized and motivated healthcare professional seeking to deliver exceptional healthcare services with a focus on humanizing patient care and ensuring the provision of top-quality treatment. I possess exceptional teamwork skills, active listening abilities, and the ability to remain focused in high-pressure situations that demand heightened attention to detail. Accomplished Foreign Physician with extensive experience caring for patients in various capacities. Medical Case ManagerLeon Health Plan, Miami, FL(Oct 2022- Current) Determines patients requirements by completing HRA (Health Risk Assessments); determining need for therapeutic medical, psycho-social, and psychiatric evaluations; reviewing general evaluations, treatment objectives, and plans. Monitors cases by verifying patients' attendance; observing and evaluating treatments and responses; advocating for needed services and entitlements; obtaining additional resources; intervening in crises; providing personal support. Communicates patients progress by conducting interdisciplinary care team meetings and evaluations; disseminating results and obstacles to the therapeutic team and family; identifying treatment influences. Coordinate discharge and post-discharge requirements; orienting and training family members; providing resources. Reduce hospital admissions by coordinating outpatient care. Creating and updating care plans for all patients actively enrolled in Care Management/ Disease management program.Mental Health Targeted Case ManagerOasis Mental Health Center LLC-Hialeah, FLJanuary 2022 to October 2022 Work in a variety of settings, supporting individuals, families, and groups within the community. Specialized in supporting either children and families, or vulnerable adults. Proficiency in early interventions roles that aimed to prevent the escalation of problems in society to where services were required. Provide home assessments, document progress of client based on service plan interventions and case management coordination. Provide education to the client as well as the client support system to enable the client to reach his or her maximum potential. Maintain case records in accordance with guidelines under HIPPA and other federal and state regulation. Provide collaboration with law enforcement, probation and parole agents, PCPs, INS, SS and other treatment providers as requested and released by the client. Provide case management services for individuals residing in treatment centers such as ALFs, Nursing homes etc. Participate in staffing client reviews and in in-service trainings to maintain standards/certification. Attend training in areas that relate to clients served. Medical Case ManagerCano Health, Miami, FL(January 2021- December 2021) Manage symptoms, provide emotional support, guide treatment, and offer additional information to patients and families. Ensure all discharged patients receive necessary services, resources, and referrals for continued care Develop, implement, and maintain all policies, procedures, and standards for case management Lead team of case managers and social workers Review and coordinate member cases with Medical Director Supports standards that are consistent community and nationally recognized evidence-based practice. Identifies process improvement opportunities within Care Management As a medical case manager, the primary responsibility is to coordinate comprehensive care services for patients with complex medical needs in high-demanding situations. The role involves working closely with healthcare providers, insurance carriers, and other stakeholders to develop and implement tailored care plans that ensure cost-effective medically necessary treatments. Medical DirectorHOSPITAL SAN CAMILO, LOS ANDES, CHILEJanuary 2018 to February 2021 Discuss various treatment options with patients and families, educate patients regarding conditions and treatment options and meet with pharmaceutical representatives. Supervised clinical staff, providing continuous professional development opportunities and training to maintain and strengthen competencies. Interpreted results and provided recommendations to treat variety of disorders. Medical DoctorCESFAM SAN ESTEBAN, SANTIAGO, CHILEJanuary 2019 to January 2020 Implemented therapeutic regiments involving medications and other interventions to mitigate symptoms and prevent reoccurrence. Interviewed patients concerning physical complaints, discussed symptoms, asked questions and suggested treatment options. Treated patients undergoing substance abuse treatment, detoxification and recovery in in-patient treatment facility.EDUCATIONLANGUAGEBachelor's degree  Bachelor of Sciencein Nursing (registered Nurse)Hebrew University, ChicagoAug 2023Bachelor's degree - MedicineUniversidad del Sinu, Cartagena,Colombia Dec 2014My medical education has fostered proficiency across various fields. Notably, my surgical internship refined my practical skills and crisis response. I also developed a comprehensive approach to diagnosis in internal medicine, gained insights into female health in gynecology, managed critical cases in emergency rotations, and understood unique pediatric needs. These experiences have prepared me as a competent, compassionate physician for modern medical challenges. Skills Proficient in MS Word, Excel, and Power Point. Medicare and Medicaid knowledge. Accomplishes clients care by assessing treatment needs, developing, monitoring, and evaluating treatment plans and progress; facilitating interdisciplinary approaches; monitoring staff performance. Knowledge about EMR. Bilingual in English and Spanish, fluent in Portuguese. HIPAA EMR systems Databases Vital signs Medical records Hospital experience Social work Clinical documentation improvement Medical terminology ICD-10 Care plans Microsoft Office Microsoft Excel Customer service Spanish English Case management Communication skillsREFERENCES:LAURA SANCHOSUPERVISOR OF CASE MANAGEMENT DEPARTMENTLeon Health Plan.PHONE NUMBER AVAILABLELazaro AmableSUPERVISOR OF CASE MANAGEMENT DEPARTMENTCano HealthPHONE NUMBER AVAILABLESPANISHNativeENGLISHAdvance