HEALTHCARE MANAGEMENT
Highly capable Medical Office Administrator and Licensed Registered Nurse with strong clinical proficiencies offering significant years of multiple-practice, medical office management and administrative experience; background includes managing three women’s public health clinics, overseeing several floors as a nursing care manager for a nursing home, and startup and management of five OB/GYN offices.
Exemplary skills in managed health care, including cost avoidance, quality of care, compliance, judgment, authorization, and reimbursements; extremely knowledgeable in e-CW and CPT codes, highly skilled at working with third party carriers and negotiating questionable issues to secure reimbursement. Excellent communication skills; proficient at collaborating with physicians and medical staff in all aspects of patient care, proven history of providing clinical support and administering medical care to high-risk patients.
Overview
23
23
years of professional experience
Work History
EPIDEMIOLOGY, BIOLOGICAL SCIENTIST III
Broward County Public Health
Ft. Lauderdale, FL
07.2020 - 03.2022
Caregiver
Cincinnati, OH
07.2017 - 01.2019
ANCILLARY NURSE
Harmony Court
Cincinnati, OH
08.2016 - 04.2018
Oversee the administration of psychotropic drugs to residents suffering from mental health issues
Responsible for inventory of drugs, including changes in residents’ prescriptions
Assess residents’ behavioral changes and report such changes to the physicians
On-call and cover for nurses who were unable to work
Provide prescription medicine to approximately 30 residents
Organize residents’ files for physician notes and prescription changes
Assisted various psychiatrists in scheduling and resident treatment
Utilize Epic medical charting software for daily work functions
Report weekly to physicians and staff concerning residents’ physical and behavioral condition
BEVERLY A
CORTEZ, R.N., B.S.N
Page Two
Phone:, .706.5706 Professional Experience
TRACER/EPI LINE
08.2022 - 03.2017
Provide education and guidance to individuals and families who may have been exposed to, or infected by, COVID-19, including, but not limited to, signs and symptoms of COVID-19, testing and treatment options, self-isolation and self-quarantine protocols, and other resources provided by the county
Involved in all aspects of COVID-19 investigations from initial consultation, determining the source of the virus, tracing individuals who may have been exposed to someone infected by the virus, and case closing and related documentation
Responsible for incoming calls directly from individuals who may have been exposed to COVID-19
Call Center, /2022 Answered calls in regards to Test results for COVID-19
Instructed client how to Isolate/Quarantine self and family when POSITIVE with Covid-19
Gave information to clients when Travel required a test for the Virus to travel on planes and to enter countries outside of the United States
Replacement of Vaccination cards when lost by the clients
Immigration health records available for client to be picked up at our Davie, FL
Facility
Client has to appear in person with proper ID
Set up HOME VISITS for tests for the Covid-19 Virus and for the Vaccinations for the Covid-19 Virus
Laid off from this Contact Tracer Position on 03/17/2022.
RESIDENT SERVICES COORDINATOR
Arden Courts of Kenwood, Memory Care
Cincinnati, OH
08.2015 - 01.2016
Manage daily nursing situations as they arise involving the residents’ families, caregivers, and/or nurses
Responsible for hiring new staff and overseeing approximately 50 healthcare professionals
Ensure that monthly and daily schedules are completed and that the building is adequately staffed per HRC Manor Care and Ohio Department of Health regulations
Provide orientation training for caregivers, including dementia seminars, to ensure that all State requirements are met
Review nurses daily reports, check incident reports when they arise, and undertake daily rounds
Responsible for completing weekly and monthly reports concerning infection control, pharmacy report assessment, and changeover procedures
Assist MDs with report, setup and proper follow-up when needed (i.e., psychiatrists, optometrists, podiatrists, and medical director).
CLINICAL SUPERVISOR
Kettering Network
Beavercreek, OH
03.2013 - 07.2015
Oversaw daily operations of clinical side of medical office consisting of four doctors, six medical assistants, and one LPN
Ensured that doctors are “roomed” in a timely manner and that orders are carried out by medical assistants
Responsible for refilling prescription requests and triaging patients’ questions and/or concerns to appropriate physician or to the emergency room pending on the situation
Accountable for updating medicine cabinet with sample medications and tracking inventory of medications
Provided support to medical assistants with patients, including rooming, injections, and answering questions
Covered for Practice Manager when sick or on vacation
Possess high competency in using Epic medical charting software.
NURSE COORDINATOR
Public Health, Montgomery/Dayton County
Dayton, OH
03.2011 - 03.2013
Responsible for coordination of three (3) clinics for prenatal/women’s heath, including managing daily heath care appointments and patient care/relations
Oversaw ordering of all medications and office supplies for all three clinics
Accountable for all client labs, forwarding all abnormal lab results to physicians
Made all appointments for mammograms and refer clients for colposcopies when pap smears are abnormal and physician deems it necessary for referral
Responsible for entering and maintaining all clients’ medical results on e-CW software
Participated in yearly budget meetings for department’s fiscal year
Oversaw four RNs, medical assistants, and receptionist for the three public health clinics
Managed audits of all three clinics’ labs and lab testing to comply with Ohio Department of Health requirements
Possess high competency in using e-CW/medical charting software.
09.2009 - 08.2010
Supervised 8 LPNs and 16 STAs (4 LPNs and 8 STAs per unit).
East Galbraith Health Care
Cincinnati, OH
01.2006 - 01.2010
UNIT MANAGER
01.2008 - 01.2010
Accountable for all day shift unit operations; oversaw direct day-to-day care and support of rehab, dementia, and long-term care patients; conducted patient assessments, implemented Acute Plans of Care, and directed compliance with all prescribed therapeutic treatments
Ensured completion of Lab and Pharmacy orders, started PICC lines and IVs per physician orders, and regulated unit narcotic boxes
Provided continuing education and development for caregivers on all shifts; monitored and enforced compliance with clinical and care policies/procedures; provided patient/family with current patient status and medical changes, and served as liaison with physicians and other clinicians
Reported to Director of Nursing
Served as Unit Manager for a 31-bed Long-term Care Unit and a 26-bed Women’s Dementia Unit from
Unit Manager
01.2008 - 09.2009
Supervised 8 LPNs and 4 STAs
Facilitated patients’ transition from hospital to home; provided education on rehabilitation & future preventive measures and trained their families on basic nursing functions that would be needed to help care for patients upon return home
BEVERLY A
CORTEZ, R.N., B.S.N
Page Three
Phone: 513.706.5706 Professional Experience continued
STAFF COORDINATOR
01.2006 - 01.2008
Provided staffing services for the 149-bed East Galbraith Health Care facility and the 65-bed East Galbraith Nursing Home facility; interviewed, hired, and trained professional caregivers for both facilities including RNs, LPNs, and STAs
Identified and conducted monthly in-services required to meet all licensing and regulatory requirements; assessed caregiver competencies and conducted in-services to address identified deficiencies
Provided and tracked administration of Flu vaccines and TB tests; compiled tracking and regulatory reports for senior administration including staffing, competency evaluations, and in-service reports; maintained dual reporting relationship with the Nursing Director at the East Galbraith Health Care facility and the Administrator of the East Galbraith Home Care facility
Utilized clinical expertise to assess professional qualifications and applicant skills sets
Interviewed, on average, four to five times more applicants than predecessor in order to selectively hire only the highest quality caregivers reducing staff turnover and improving quality of care at both facilities.
OFFICE ADMINISTRATOR
Health Care For Women, Inc
Cincinnati, OH
01.1998 - 01.2006
Coordinated opening of five medical offices in the greater Cincinnati area; setup and directed all administrative functions, hired and trained ancillary staff including scheduling and billing personnel, established business processes and reimbursement procedures and protocols, and met with pharmaceutical reps to obtain medication samples and literature
Assisted physician in administering tests, performing physicals, and with hospital rounds prior to patient discharge; oversaw scheduling of patient visits including testing, pre/post-surgery, wellness, and recuperation appointments
Provided patient instruction on prenatal procedures, administration and side effects of medications, exercise, nutrition, breathing techniques, and newborn care; leveraged clinical skills and comprehension of medical conditions and diagnosis to expedite and maximize insurance company reimbursements
Started up Billing Department, including hiring employees and training them in insurance reimbursement protocol, how to interpret CPT codes, and dispute reimbursements
Secured over 95% of revenues owed by checking and updating CPT codes and modifiers for reimbursements and implementing electronic billing for payment
Established breast feeding and Lamaze classes held in office and community centers
Set up an OB/GYN rotation program, whereby nursing students could come to the office for credit for their nursing studies.
Education
B.S.N - undefined
College of Mount Saint Joseph
Skills
Operational & Administrative Leadership e-CW/Medical Charting Staff Management & Training
Managed Health Care Environments Medical Terminology Patient Care & Relations
Insurance Reimbursement Protocols Pharmacology Third Party Carriers
Budget Control / Cost Analysis Clinical Patient Support Colposcopies