Anabelle Santos
Davenport,FL
Summary
Dynamic Telephonic Case Manager RN with a proven track record at CarePlus/Humana, adept at enhancing patient outcomes through critical thinking and effective case assessments. Successfully reduced hospital readmissions by coordinating care transitions, while fostering cross-cultural sensitivity and strong team collaboration to empower clients in their healthcare journeys.
Overview
13
13
years of professional experience
Work History
Telephonic Case Manager RN 2
CarePlus/Humana
06.2023 - Current
- The Care Manager, Telephonic Nurse 2 employs a variety of strategies and techniques to manage a member's physical, environmental and psycho-social health needs.
- Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by monitoring patient care through assessments and/or evaluations
- Identified potential barriers to treatment adherence and devised strategies to overcome them, ultimately enhancing patient wellbeing.
- Improved patient satisfaction by providing timely follow-ups and addressing concerns promptly in a professional manner.
- Reduced hospital readmissions by coordinating with healthcare providers to ensure seamless transitions of care for patients.
- Enhanced patient care by conducting thorough telephonic assessments and developing comprehensive case management plans.
Case Manager RN
Centerwell/Humana
12.2021 - 06.2023
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
- Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
- Achieved positive client outcomes by developing and implementing comprehensive case management plans.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
Clinical Manager Coordinator
DaVita Kidney Care
01.2020 - 09.2021
- Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
- Regularly evaluated employee performance and provided feedback.
- Promoted high morale and staff retention through dynamic communication, prompt problem resolution, proactive supervisory practices and facilitation of positive work environment.
- Ensured compliance with regulatory guidelines and accreditation standards through consistent monitoring and implementation of corrective actions when needed.
- Promoted a culture of safety within the clinic by enforcing policies related to infection control, medication administration, and incident reporting procedures.
- Enhanced staff performance through regular training, mentoring, and professional development opportunities.
- Responsible for performing and coordinating nursing care and services in a chronic care facility for the end-stage renal disease patient in accordance with DaVita Healthcare Policies, Procedures, and Guidelines,
OSHA, CMS, federal, state, and local regulations.
Acutes RN II Team Endeavor
DaVita Acutes
03.2017 - 12.2019
- Administer dialysis treatments as prescribed by a physician.
- Administered medications accurately and safely, reducing medication errors and adverse reactions.
- Monitor patients' vital signs before, during, and after the procedure.
- Provide health education to patients and their families about kidney disease, dialysis processes, and home care options.
- Prepare and maintain dialysis machines and ensure their proper functioning.
- Maintain a safe, sterile environment to minimize infection risks.
Charge and Floating RN
DaVita Bay Breeze Dialysis
02.2015 - 03.2017
- Serving as the charge nurse and floating RN, when the workload demand required, in DaVita’s chronic unit center.
- Supervise all patient care technicians conducting hemodialysis during the shift. Reviewing and assessing laboratory results
- Administered medications accurately and safely, reducing medication errors and adverse reactions.
- Conduct patient assessments and care plans, interface with all medical staff, and draft all patient care documentation
- Personally conduct hemodialysis when short-staffed
- Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Acute Care Nephrology RN
Fresenius Medical Care Pinellas Park Dialysis
08.2014 - 02.2015
- Supervises and perform direct patient care including but not limited to taking and monitoring vital signs, initiation of dialysis, documentation, physical assessment of patient's treatments, taking and transcriptions of physician`s orders, drawing and documentation of ordered laboratory work communicating pre/post-Tx’s through appropriate reporting process to the hospital primary RN/Staff.
- Interacts with hospital partners in a collaborative, respectful manner to ensure quality patient care.
- Administer dialysis treatments to patients as prescribed.
- Monitor patients during dialysis sessions for any adverse reactions.
- Operate and maintain dialysis machines and equipment.
- Ensure adherence to infection control protocols and safety standards.
Acute Care Dialysis RN
Fresenius Medical Care
01.2012 - 08.2014
- Administer dialysis treatments to patients as prescribed.
- Monitor patients during dialysis sessions for any adverse reactions.
- Coordinate with doctors, dietitians, and social workers for comprehensive patient care.
- Respond to emergency situations during dialysis treatment.
- Operate and maintain dialysis machines and equipment.
- Administered medications accurately and safely, reducing medication errors and adverse reactions.
- Educate patients and their families on dialysis procedures and kidney disease management.
- Assess patients' vital signs and overall health before, during, and after treatment.
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
Education
Bachelor of Science - Nursing
Colegio Universitario Metropolitano
San Juan, PR05-2013
Associate of Science - Nursing
Colegio Universitario De San Juan
Puerto Rico06-2011
Skills
- Cross-cultural sensitivity
- Healthcare
- Case assessment
- Confidentiality
- Positive attitude
- Problem-solving
- Time management
- Multitasking and organization
- Organization and multitasking
- Critical thinking
- Direct patient care
- Team collaboration
Languages
Spanish
Full Professional
English
Full Professional
Timeline
Telephonic Case Manager RN 2
CarePlus/Humana
06.2023 - Current
Case Manager RN
Centerwell/Humana
12.2021 - 06.2023
Clinical Manager Coordinator
DaVita Kidney Care
01.2020 - 09.2021
Acutes RN II Team Endeavor
DaVita Acutes
03.2017 - 12.2019
Charge and Floating RN
DaVita Bay Breeze Dialysis
02.2015 - 03.2017
Acute Care Nephrology RN
Fresenius Medical Care Pinellas Park Dialysis
08.2014 - 02.2015
Acute Care Dialysis RN
Fresenius Medical Care
01.2012 - 08.2014
Bachelor of Science - Nursing
Colegio Universitario Metropolitano
Associate of Science - Nursing
Colegio Universitario De San Juan
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