Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Bini Hernandez

Carrollton,Texas

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

19
19
years of professional experience
1
1
Certification

Work History

Autism Service Navigator

TriWest Healthcare Alliance
03.2025 - Current
  • Increased navigational accuracy by consistently updating and maintaining electronic charts and navigation tools.
  • Promoted safe navigation in restricted visibility situations through proficient use of radar functions like target tracking and range scaling.
  • Exercised strong decision-making skills during high-stress emergency scenarios while adhering to company policies and procedures.
  • Streamlined communication between bridge team members, fostering a collaborative working environment for successful navigation.

REGISTERED NURSE Intensive CASE MANAGER

CVS health/Aetna
01.2020 - 03.2025
  • Providing member education to assist with self-management of complex diseases
  • Tracks and trends variances barriers related to access to care; makes recommendations and develops action plans to improve processes and systems
  • Providing member assistance with obtaining physician appointments, prior authorization for medications and procedures
  • Assisting UM with discharge planning and obtaining DME as needed for the Members
  • Providing member education to assist with self-management of their medical condition or disease processes
  • Assists in managing performance improvement projects
  • Demonstrates initiatives in developing, implementing and analyzing quality improvement strategies for the case management department
  • Proficient in Dynamo, QNXT and PPM systems.

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 they are eligible for.

Registered Nurse/Charge Nurse

Children's Medical Center, Dallas
01.2008 - 09.2012
  • Provided Bedside care for 4 patients daily who had various GE and renal conditions for 10 months in Children's Medical Center, Dallas
  • Provided daily outpatient, Inpatient and acute dialysis for children in various ages with different Renal conditions for 4 years.

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
  • Excellent ability to identify, prioritize, resolve and / or escalate complex problems promptly
  • 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

Certification

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

Timeline

Autism Service Navigator

TriWest Healthcare Alliance
03.2025 - Current

REGISTERED NURSE Intensive CASE MANAGER

CVS health/Aetna
01.2020 - 03.2025

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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Bini Hernandez