Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
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Bini Hernandez

Carrollton,TX

Summary

Organized and knowledgeable Registered Nurse experienced in treating and caring for patients. Successful in providing fast and accurate assessments and working calmly under pressure. Recognized for collaborating well with doctors to maintain top-notch healthcare practices.

Overview

18
18
years of professional experience
1
1
Certification

Work History

REGISTERED NURSE Intensive CASE MANAGER

CVS health/Aetna
01.2020 - 03.2024
  • Worked as an LTSS case manager for almost 100 patients under the Star Kids program.
  • Conducted face-to-face or home visits, as required.
  • Trained in motivational interviewing.
  • Completed face-to-face comprehensive assessments of members, per regulated timeline.
  • Developed and implemented a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician, and/or other appropriate healthcare professionals, and the member's support network, to address the member's needs and goals.
  • Perform ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
  • Promoted integration of services for members, including behavioral health care and long-term services and supports, home, and community, to enhance the continuity of care for Molina members.
  • Assessed for medical necessity and authorizes all appropriate waiver services.
  • Conducted face-to-face or home visits, as required.
  • Facilitated interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.
  • Assesses for barriers to care, provides care coordination and assistance to member to address psycho/social, financial, and medical obstacles concerns.
  • Identified critical incidents and develops prevention plans to ensure members' health and welfare.
  • Provided consultation, recommendations, and education, as appropriate, to non-RN case managers.
  • Worked cases with members who have complex medical conditions and medication regimens.
  • Conducts medication reconciliation when needed.
  • Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.

Registered Nurse

Carrollton health and rehabilitation
05.2019 - 06.2020
  • Assess, plan, implement, and evaluate care plan for skilled and long-term facilities patients.
  • Work as a liaison between physician, management, and patient in the effective management of time and resources.
  • Provides skilled nursing for patients.
  • Responsible for managing and preparing patients for their effective use of insurance benefits for which they are eligible.
  • Provided patient care and education to patients with chronic illnesses.
  • Assessed, planned, implemented and evaluated nursing care for assigned patients.

Registered Nurse/Charge Nurse

Children's Medical Center, Dallas
01.2008 - 09.2012
  • Provided bedside care for 4 patients daily who had various GI and renal conditions for 10 months in Children's Medical Center, Dallas.
  • Provided daily outpatient, inpatient, and acute dialysis for children of various ages with different renal conditions.
  • Trained as a supervisor for the renal hemodialysis unit.
  • Provided patient care and education to patients with chronic illnesses.
  • Assessed, planned, implemented and evaluated nursing care for assigned patients.
  • Performed triage assessments of walk-in patients in a clinic setting.
  • Monitored vital signs, administered injections, and provided assistance with medical procedures.
  • Administered medications and treatments according to physician orders.

Registered Nurse

Christian Medical College, Vellore
12.2005 - 10.2006
  • Delivered maternity and early childhood care for a population of more than 10,000 people in a rural hospital
  • Responsible for reporting communicable diseases to Physicians and developed action plans to improve health and well-being of the population I was in-charge of.

Education

Bachelor of Science: Nursing -

Christian Medical College - Tamilnadu, India
01.2005

Skills

  • Case management
  • Nurse supervisor
  • LTSS SAI assessment
  • Care planning
  • interdisciplinary meeting with physicians and pharmacy
  • Excellent ability to identify, prioritize, resolve and / or escalate complex problems promptly
  • proficient in medcompass
  • Nursing staff leadership
  • Care Planning
  • Proficient in Dynamo
  • Proficient in Qnxt
  • Proficient in PPM
  • Strong attention to detail
  • Ability to provide guidance and training to professional and technical staff in area of expertise
  • Ability to execute strategy and communicate knowledge of business processes and enabling technologies, specifically in a Denial Management function
  • Ability to clearly communicate medical information to professional practitioners and/or the general public
  • Ability to learn new applications/software systems effectively and efficiently
  • Ability to solve problems and deal with a variety of issues
  • High level of autonomy and accountability
  • Unit Administration

Certification

  • RN Texas license, 750110, 12/31/2024
  • Certified pediatric nurse, 20102443, 02/2025

Languages

Hindi
Full Professional
Malayalam
Native or Bilingual
Tamil
Native or Bilingual
spanish
Elementary

Timeline

REGISTERED NURSE Intensive CASE MANAGER

CVS health/Aetna
01.2020 - 03.2024

Registered Nurse

Carrollton health and rehabilitation
05.2019 - 06.2020

Registered Nurse/Charge Nurse

Children's Medical Center, Dallas
01.2008 - 09.2012

Registered Nurse

Christian Medical College, Vellore
12.2005 - 10.2006

Bachelor of Science: Nursing -

Christian Medical College - Tamilnadu, India

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