Inpatient Case Manager with extensive experience at University of New Mexico Hospital, specializing in case management and patient advocacy. Demonstrated expertise in discharge planning and interdisciplinary collaboration, leading to improved operational efficiency and enhanced staff training. Committed to achieving optimal patient outcomes and satisfaction in a dynamic healthcare environment.
Overview
26
26
years of professional experience
Work History
Inpatient Case Manager
University of New Mexico Hospital
Albuquerque
02.2022 - Current
Interim Inpatient Case Management Supervisor:
Evaluated employee performance and provided constructive feedback regularly.
Supervised daily operations and ensured adherence to company policies and procedures.
Provides guidance and direction to subordinates regarding job duties and responsibilities.
Participates in weekly meetings with hospital management to optimize Length of Stay and operations. Monitored workflow to enhance staff efficiency and resolve operational challenges.
Coordination with Patient Advocacy to assist in resolving patient/family complaints in a timely manner while ensuring patient satisfaction.
Monitor employee productivity to provide constructive feedback and coaching.
Support new and traveling staff members in assimilating into the hospital atmosphere and mastering procedural guidelines.
Participates in project management activities aimed at designing workflows, promoting streamlined processes that enhance overall efficiency of departmental staff.
Charge for Inpatient Nurse Case Management:
Onboarding of new employees on company policies and procedures as well as training staff new to case management role and fostering positive learning environment for future growth.
Supervision of daily operations and ensured adherence to company policies and procedures.
Provided guidance and direction to subordinates regarding job duties and responsibilities.
Monitored employee productivity to provide constructive feedback and coaching.
Collaborated with other departments to coordinate workflow processes between teams.
Contributes to daily multidisciplinary discussions with providers, nurses, ancillary staff, and senior hospital executives to analyze challenging placement cases and enhance outcomes for patients and families.
Facilitating patient discharge logistics to diverse facilities like hospitals, inpatient rehabilitation centers, skilled nursing facilities, group homes, and corrections departments or home with or without home health care services while maintaining highest possible outcomes and lowest costs for all participants.
Registered Nurse
Sandia National Laboratory Occupational Medical Clinic
Albuquerque
03.2021 - 02.2022
Directed clinic operations as Acting Nurse Administrator, overseeing provider and staff scheduling, managing inventory procurement and maintenance, facilitating interdepartmental training coordination, screening and hiring new staff.
Implemented medical case management for expectant parents' program to enhance support services.
Conducted COVID-19 contact tracing initiatives to identify and mitigate virus spread.
Managed workman's compensation cases, ensuring compliance and timely resolution.
Collaborate with occupational medicine, OSHA department, and Environment, Health and Safety departments to assess Workman's Compensation eligibility.
Function as primary resource for patients involved in Workman's Compensation claims and EPP programs, guaranteeing clarity on claim process from initiation to maximum medical improvement/FMLA referral.
Convene with WC claims and senior management to evaluate and address cases, respond to inquiries, and facilitate next steps for patient care in compliance with New Mexico Workman's Compensation laws and regulations.
Registered Nurse
Presbyterian Hospital Systems
Albuquerque
01.2019 - 12.2020
Analyzed monthly clinic and patient metrics to drive performance enhancements.
Executed lab orders based on standing protocols to maintain compliance.
Initiated telephonic outreach to patients, focusing on effective disease management.
Facilitated coordination between patients and local clinics for optimal care delivery.
Collaborated with clinic managers and providers to review scorecards and tailor patient solutions.
Analyzing individual clinic HEDIS measures and obstacles to achieving goals.
Regional Clinical Practice Specialist:Coordinated standardization of care across 14 regional family and 6 pediatric clinics in New Mexico.
Facilitated quarterly clinic walk-through visits to assess compliance and operational effectiveness.
Assisted local clinics in achieving Joint Commission compliance through targeted support.
Developed and implemented training modules for new services to enhance staff competencies.
Led hiring and training processes for local regional care managers to strengthen service delivery.
Registered Nurse
Physician Surgery Center of Albuquerque
Albuquerque
08.2013 - 12.2018
Operating Room nursing: Established and maintained sterile environments to prioritize patient safety in operating rooms.
Executed secure practices for staff and patients throughout surgical processes.
Participated in ophthalmic procedures by scrubbing in and assisting the surgical team.
Recorded surgical cases and supplies used, ensuring thorough documentation.
Pre-Op nurse: Conducted pre-anesthesia screenings to evaluate patients' readiness for surgery.
Assessed vital signs to ensure patient safety prior to procedures.
Performed pre-operative interviews on day of surgery to gather necessary medical history.
Started intravenous therapy to facilitate medication administration.
Administered medications per standard orders to support patient care.
PACU nurse: Monitored patient vital signs to determine need for intervention following day surgery procedures.
Administered medications according to patient necessity and provider orders.
Instructed patients and families on aftercare protocols and expected outcomes.
Applied aftercare devices to ensure optimal recovery post-surgery.
Managed ordering and inventory maintenance for facility supplies.
Orchestrated selection of Electronic Medical Records software to modernize clinic operations.
Served as super user of EMR, leading optimization efforts for enhanced performance.
Created dynamic forms within EMR to facilitate efficient data collection.
Logged facility inventory into EMR for comprehensive oversight.
Led training initiatives for staff to boost proficiency in EMR usage.
Coordinate efforts with anesthesia providers, surgeons, and provider offices to sustain optimal health of patient.
Relief Nurse Manager. Directed staffing assignments to optimize case load and employee hour organization.
Implemented procedures ensuring staff compliance with Medicaid Services Regulations and AAAASF.
Developed QAPI projects to enhance quality assurance and performance initiatives.
Established protocols for new surgical services, including cornea transplants.
Certified Pharmacy Technician
Smith's Food and Drug Centers
Edgewood
01.2000 - 08.2015
Supported Pharmacist in processing up to 450 prescriptions daily
Facilitated training and orientation for new employees, emphasizing teamwork and daily workflow priorities.
Directed daily, monthly, and annual recording of controlled substances and audits.
Functioned as company super user for managing inventory returns and product recalls.
Collaborated with team to achieve complete pharmacy inventory checks.
Ensured par levels were consistently maintained for effective stock management.
Enhanced efficiency of inventory processes related to returns and recalls.
Compounding prescriptions based on medical recommendations following state standards and safety practices.
Registered Nurse
Albuquerque Surgery Center
Albuquerque
06.2012 - 08.2013
Perform screening calls to obtain information from patients and their current and past healthcare providers in order to get a complete health history.
Assessing patient records and promoting interaction between doctors and anesthesia consistent with facility policies, guidelines, and commitment to patient wellbeing.
Coordinating pre-op procedures including conducting physical assessments, inserting IVs, administering medications and preparing patients for surgery while ensuring proper patient understanding and consent are obtained
Delivered comprehensive in-service training addressing code blue and malignant hyperthermia situations
Managing full inventory and propriety.
Confirmed immunization of all staff and ancillary providers, facilitating adherence to required compliance measures
Supervised multiple student nurses in PACU throughout final rotations, directing patient evaluations, record-keeping, and instructional strategies
Education
Bachelor of Science - Nursing
Chamberlain College of Nursing
Chicago, IL (Online Program)
01.2015
Associate of Science - Nursing
Pima Medical Institute
Albuquerque, NM
01.2009
Pharmacology Studies -
University of New Mexico
Albuquerque, NM
01.2007
Health Sciences Curriculum -
Central New Mexico Community College
Albuquerque, NM
01.2005
Skills
Case management
Discharge planning
Patient Advocacy
Patient Education
Interdisciplinary collaboration
Regulatory Compliance
Training development
Peri-Operative Nursing
Effective communication
Professional Licenses Certifications
Registered Nurse, New Mexico Board of Nursing, 04/30/27