Barbara Exposito Cuzan
Miami,FL
Summary
Healthcare professional prepared for delivering top-notch patient care and medical services. Extensive experience in diagnosing, treating, and managing various health conditions. Known for team collaboration, reliability, and adaptability to changing medical needs. Proficient in clinical assessments and patient management.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Pre-Authorization Specialist
CVS Health Company
Miami, FL
01.2024 - Current
- Reviews prior authorizations and inpatient cases using Interqual, ensuring care quality and policy adherence
- Serves as a clinical resource, collaborating with providers and managing patient information across systems
Preauthorization/UM Review Nurse
Optum
Miami, FL
08.2020 - 01.2024
- Conducted utilization reviews, ensuring appropriate care and settings through clinical assessments and referrals, for inpatient approval
Case Manager
Optum
Miami, FL
07.2017 - 08.2020
- Managed Heart Failure Program for the Special Needs Program, performing comprehensive assessments, monitoring daily weights, and signs and symptoms of HF via telehealth, patient education, and collaboration with interdisciplinary teams
Case Manager
Humana At Home/SeniorBridge Home Health
Miami, FL
02.2014 - 07.2017
- Coordinated care for Special Needs Program, completing assessments and engaging patients in ongoing health management
Director of Nursing
Integrity Health Services/ Advantis Home Health
Miami, FL
02.2007 - 01.2014
- Directed pediatric catastrophic care, managed regulatory compliance, and led staff development for home health services
Supervisor, Urgent Care
Baptist Health South Florida
Miami, FL
09.2004 - 04.2007
- Oversaw daily operations, patient flow, and staff management in an urgent care setting
Registered Nurse, Critical Care
Baptist Health South Florida
Miami, FL
01.2001 - 04.2004
- Provided critical care through comprehensive assessments, treatment, and rapid response to patient condition changes
Education
Master’s - nursing, Acute Care Nurse Practitioner
West Coast University
Dallas, TX01.2023
Bachelor’s - nursing
University of Phoenix
Phoenix, AZ01.2008
Associate’s Degree - Nursing
Miami Dade College
Miami, FL01.2000
Skills
- Advanced patient assessment and diagnostics
- Acute and chronic disease management
- Prescribing medications and treatment
- Interpreting lab results, imaging, and diagnostics
- Multidisciplinary team collaboration
- Patient and family education
- Care coordination and discharge planning
- Evidence-based practice implementation
- Strong clinical judgment and decision-making
- Effective communication and patient advocacy
- Adaptability in high-pressure environments
- Commitment to patient-centered care and safety
- Analytical thinking
- Expert problem solving
- Customer relations
- Documentation management
- Quality assurance
- Management collaboration
- Advanced communication
- Technical communication
- Proficient in [software]
- Root-cause analysis
Accomplishments
- Resolved product issue through consumer testing.
Certification
- APRN License, FL, 07/01/26
- RN License, FL, 07/01/26
- American Association Critical Care Board Certified, 10/01/29
- BLS
- CPR
- PALS
Skills
Advanced patient assessment and diagnostics, Acute and chronic disease management, Prescribing medications and treatment, Interpreting lab results, imaging, and diagnostics, Multidisciplinary team collaboration, Patient and family education, Care coordination and discharge planning, Evidence-based practice implementation, Strong clinical judgment and decision-making, Effective communication and patient advocacy, Adaptability in high-pressure environments, Commitment to patient-centered care and safety
Languages
Spanish
Native or Bilingual
Timeline
Pre-Authorization Specialist
CVS Health Company
01.2024 - Current
Preauthorization/UM Review Nurse
Optum
08.2020 - 01.2024
Case Manager
Optum
07.2017 - 08.2020
Case Manager
Humana At Home/SeniorBridge Home Health
02.2014 - 07.2017
Director of Nursing
Integrity Health Services/ Advantis Home Health
02.2007 - 01.2014
Supervisor, Urgent Care
Baptist Health South Florida
09.2004 - 04.2007
Registered Nurse, Critical Care
Baptist Health South Florida
01.2001 - 04.2004
Bachelor’s - nursing
University of Phoenix
Associate’s Degree - Nursing
Miami Dade College
Master’s - nursing, Acute Care Nurse Practitioner
West Coast University