Ana Aguirre
Humana Health Care
Gulfport,MS
1
Certification
8
years of professional experience
Compassionate Registered Nurse (RN) and case manager with six years of experience delivering exceptional patient care and ensuring regulatory compliance. Veteran with strong analytical, communication, and teamwork skills, capable of adapting to diverse environments. Committed to enhancing team success and pursuing continuous professional development.
Work History
Humana Care Management (remote)
9 Months- Provides case management to Humana Medicare/Medicaid insurance members
- Provides transition of care, ER follow-ups, and impending hospitalization care to members to ensure members have resources needed to get maximum care and maintain maximum health.
- Document in CGX, HCAT, and ability to maneuver multiple databases to ensure member gets resources available through humana membership such as ready to eat meals, educational pamphlets, benefits such as OTC catalog to get OTC medication, provider lists for pcp and specialist.
- Using critical thinking to ensure member gets education provided and resources needed for disease process and other needs verbalized.
- Implement a nursing care plan and provide education, interventions and follow-ups with member while documenting correctly to ensure other case managers handle member’s care as needed.
- Communicate with providers and collaborate with staff to ensure member’s needs are met, such as wellness visits, colon cancer screenings, mammograms, and diabetic eye exams.
- Inputing referrals to several humana disciplines such as: social services, pharmacy, and behavioral health to ensure member is getting needs met at home and within the community
- Perform medication reconciliation with members to update current medications with members
- Helping with Medicaid and medicare members
- Coordination of care with behavioral health, social workers, pcp offices, pharmacy staff, and other employees with humana.
- Work with CGX, AI documentation CODI, HCAT, and multiple charting systems
- Tour: Full Time/40 hours a week
- Address: Corporate 645 Lakeland East Dr STE 101 Flowood, MS 39232
Medicaid Waiver CM
1 Year 10 Months- Provides environmental safety solutions and provides medicaid and environmental programs
- Manage acute and chronic illness states using whole health concepts and transformative nursing modalities.
- Ability to maneuver and document in an electronic health record (EHR)Flexible to float to additional patient care areas as needed.
- Using ICARE values, providing population specific and culturally and ethnically sensitive care.
- Maintaining a caring and safe environment, coordinating the care across settings and among caregivers.
- Safely administers medications and assesses response to medications.
- Adapts treatments, procedures, and equipment based on population specific patient needs.
- Performing ongoing cardiac monitoring for patients with acute and chronic health conditions.
- Demonstrates cardiac rhythm recognition, detects cardiac arrhythmias, understands arrhythmia significance, recognizes symptoms, and anticipates or initiates appropriate nursing measures.
- Performs ongoing assessments, noting changes in condition, and provides appropriate interventions.
- Performs emergent care in acute/ crisis situations.
- Active participant of the facility Hospital Emergency Response Team (HERT).
- Implement health promotion and prevention interventions.
- Assist veterans in the attainment of optimal levels of functioning through rehabilitation.
- Hospice care: provides supportive measures for the dying patient and significant others.
- Communicate and interact appropriately and courteously with internal and external customers.
- Maintain confidentiality of patient/employee information electronically, verbally, and written.
- Work and function within a safe manner including infection control and operation of equipment.
- Integrate and apply pertinent aspects of the Medical Center performance improvement programs into his/her professional practice.
- Flexible, able to rotate to other assignments as needed and able to adjust to ever-changing work environment.
- Tour: Full Time / 40 hours a week
- Contact: Katherine Thames Medicaid Waiver Director 228-868-2311
- Address: 10441 Corporate Drive, Gulfport MS 39503
Internal Medicine Clinical Nurse
10 Months- Provides knowledge based care to patients in an outpatient setting
- Delivers fundamental knowledge-based care to assigned clients while developing technical skills.
- Provides urgent and emergent care to patients with acute and/or chronic medical, surgical, and psychiatric conditions.
- Nursing care ranges from basic nursing care to stabilization, resuscitation, and life-support measures.
- Assesses, plans, implements, and evaluates care based on age-specific components.
- Demonstrates integration of biopsychosocial concepts, cognitive skills, and technically competent practice while providing care to clients.
- Assesses, plans, implements, and evaluates care based on age-specific components.
- Demonstrates proficiency in practice based on conscious and deliberate planning.
- Self-directed in goal setting for managing complex client situations.
- Demonstrates respect for cultural and spiritual values.
- Additional duties as assigned.
- Tour: Full Time / 40 hours a week
- Contact: Tosha Lee Clinical Nursing Management. 228-867-4000
- Address: 4500 13th Street. Gulfport, MS 39501
Outpatient Nurse Navigator/PHN
3 Years 1 Month- Providing assessments for health wellnesses and providing case management in an outpatient setting.
- Strict adherence to sterile technique, infection control and safety practices.
- Functions as an integral member of the surgical team, Interfacing with patients, surgeons, and anesthesia staff in the surgical setting.
- Implement the pre-operative plan of care demonstrating knowledge of the responsibilities of the RN pre-operatively, intra-operatively and post-operatively.
- Scrubs and circulates surgical procedures independently.
- Works in partnership with the health care team in implementing standards of care during the operative and immediate post-operative phase in accordance with the purpose, philosophy and objectives of nursing, while being a positive team player.
- Tour: Full Time / 40 hours a week
- Contact: Robin Swarthout, Navigator Director 228-867-4000
- Address: 4500 13th Street Gulfport, MS 39501
Home Health RN /Patient Care Manager
1 Year 2 Months- Provided care for a patient population in patient residence while providing a supervisory role.
- Leads the provision of nursing care to patients with complex care needs utilizing the nursing process in alignment with the ANA Standards of Nursing Practice.
- Applies clinical knowledge/judgment to lead staff involvement in planning, decision-making, and evaluating outcomes within the immediate practice setting.
- Led teams to enhance operational efficiency in the immediate practice setting.
- Enhanced Veteran/patient driven care by addressing coordination, timeliness, and environment of care issues, leading to improved patient satisfaction in the immediate practice setting.
- Applies patient, family, and caregiver knowledge, values, and beliefs into care delivery without judgment or discrimination.
- Advocated for patients, families, and caregivers, contributing to better health outcomes within the immediate practice setting.
- Serves as a resource for patients, caregivers, and staff to address and resolve ethical issues in the immediate practice setting.
- Improved communication and interactions with team members, fostering cooperation and confidence for safe and effective patient outcomes in the current practice setting.
- Leads teams, contributes to team conferences, and actively collaborates in all phases of patient care planning. Successfully integrates objectives, opportunities, and resources.
- Effectively sets group goals and keeps self and team informed of the latest trends and developments.
- Tour: Full Time / 40 hours a week
- Contact: Carol Donaldson Home health director 228-539-3636
- Address: 12261 US 49, Suite 14 Gulfport, MS 39503
Education
Masters of Science - Nursing
GPA: 36 credit hours
Bachelors of Science - Nursing
GPA: 60 credit hours
Associate of Science - Nursing
GPA: 66 credit hours
Skills
Patient assessments
Care management
Assessments and Discharges
Documentation Management
Data Analysis
Care transitions
Charting systems
Quality Improvement
Clinical nursing
Critical problem solving
Effective time management
Time management
Computer skills
Certification
Registered Nurse, State of MS 2024, Ambassador’s Association at WGU 2024, MS Army National Guard 2012-2020
Timeline
Humana Care Management (remote)
Humana Health Care
01.2026 - CurrentRead More
Medicaid Waiver CM
SMPDD
03.2024 - 01.2026Read More
Internal Medicine Clinical Nurse
Memorial Hospital At Gulfport
04.2023 - 02.2024Read More
Outpatient Nurse Navigator/PHN
Memorial Hospital Gulfport
03.2020 - 04.2023Read More
Home Health RN /Patient Care Manager
Deaconess Home Health
01.2019 - 03.2020Read More
MS Gulf Coast Community College
Associate of Science from Nursing
Read More
William Carey University
Bachelors of Science from Nursing
Read More
Western Governors University
Masters of Science from Nursing
Read More
Certifications/Endorsements/Affiliations
- Registered Nurse, State of MS 2024
- Ambassador’s Association at WGU 2024
- MS Army National Guard 2012-2020