Carla Ramirez
San Antonio
Summary
Compassionate and dedicated Registered Nurse with experience in medical-surgical and oncology care. Skilled in patient assessment, medication administration, interdisciplinary collaboration, and patient education. Strong background in healthcare administration and insurance coordination.
Overview
9
9
years of professional experience
1
1
Certification
2
2
Languages
Work History
Registered Nurse – Onc/Tele/Nephro (Night Shift)
Methodist Metropolitan Hospital
San Antonio, TX
07.2025 - Current
- - Delivered comprehensive nursing care to adult medical, surgical, and oncology patients, addressing individual needs and improving patient outcomes.
- - Assess and document patient status, including vital signs, pain, and treatment response.
- - Administer IV medications and blood products per protocol.
- - Manage central lines, ports, wound care, and post-operative recovery.
- - Educated patients and families on personalized treatment plans and discharge instructions, enhancing understanding and compliance.
- - Collaborated with interdisciplinary teams to coordinate patient care, ensuring high-quality service delivery and positive patient experiences.
- - Maintain compliance with infection control and safety standards.
- EHR - MediTech
Registered Nurse
Angels of Care Pediatrics
San Antonio
06.2025 - 12.2025
- Administered pediatric care and medication in accordance with established protocols.
- Monitored vital signs and documented patient progress accurately in electronic health records.
- Collaborated with multidisciplinary teams to enhance patient care strategies.
- Educated families on health management and pediatric wellness practices.
- Developed individualized care plans tailored to specific patient needs and conditions.
- Conducted health assessments, ensuring timely interventions for optimal pediatric outcomes.
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
Benefits Coordinator
TruOrtho, PLLC
San Antonio, TX
10.2019 - 01.2024
- Verified insurance benefits for office visits, imaging, and surgical procedures.
- Initiated prior authorizations for inpatient and outpatient surgeries.
- Educated patients on surgical costs and clarified financial responsibilities to enhance understanding.
- Managed claim denials, appeals, and coordination of benefits and coverage options to improve understanding access to their services.
- Resolved patient inquiries regarding benefits and claims status, improving overall satisfaction.
- Developed strong relationships with both patients and providers by consistently demonstrating professionalism and empathy.
- Processed payments and reconciled deposits, ensuring accurate issuance of refunds.
- Utilized Microsoft Teams and EMR systems for communication and documentation.
- Coordinated communication between employees and insurance providers regarding benefits inquiries and resolutions.
- Developed training materials for new hires on benefits offerings and enrollment procedures.
- Led initiatives to streamline benefits administration processes, improving overall efficiency of operations.
- Collaborated with HR team to align employee benefits strategy with organizational goals and needs.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Managed financial arrangements for patients, negotiating payment plans when necessary to meet individual needs.
- Assisted patients in understanding their insurance coverage, explaining plan details and coordinating necessary authorizations.
Insurance Verifier / Referral Coordinator
ENT Clinics of San Antonio
San Antonio, TX
05.2017 - 10.2019
- Verified Medicare, HMO, and commercial insurance coverage to ensure eligibility before patient appointments.
- Ensured proper authorizations and referrals prior to appointments.
- Coordinated patient referrals and scheduling to streamline patient access to care.
- Resolved insurance discrepancies and network issues to minimize delays in patient services.
- Maintained accurate patient and billing records.
- Trained and mentored new team members, improving onboarding experience and performance.
- Resolved customer inquiries efficiently, enhancing overall satisfaction and retention.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Collaborated with team members to develop best practices for consistent customer service delivery.
- Coordinated patient benefit eligibility assessments to ensure compliance with regulations.
Education
Bachelor of Science - Nursing
San Antonio College
San Antonio, TX12.2026
Associate of Science - Nursing
San Antonio College
San Antonio, TX05.2024
Skills
- Patient Assessment, Intravenous therapy, Central line management, Vital sign monitoring, Wound Care, Electronic documentation, Time Management, Patient Education, Infection Control, Medical Terminology, Electronic Health Records, Insurance processing, Team Collaboration, Case coordination
- Leadership
- Time Management
- Medication and IV administration
Certification
- - Registered Nurse (RN) – Texas, License #1165785 (Expires July 2027)
- - Nurse Licensure Compact (NLC)
- - BLS / CPR Certification (Expires November 2027)
Languages
Spanish
Native or Bilingual
English
Full Professional
Timeline
Registered Nurse – Onc/Tele/Nephro (Night Shift)
Methodist Metropolitan Hospital
07.2025 - Current
Registered Nurse
Angels of Care Pediatrics
06.2025 - 12.2025
Benefits Coordinator
TruOrtho, PLLC
10.2019 - 01.2024
Insurance Verifier / Referral Coordinator
ENT Clinics of San Antonio
05.2017 - 10.2019
Associate of Science - Nursing
San Antonio College
Bachelor of Science - Nursing
San Antonio College