CESAR POMARES-MILLAN

• Analyzed medical claims for accuracy and compliance with company policies.
• Reviewed documentation to validate claim submissions and determine eligibility.
• Collaborated with healthcare providers to resolve discrepancies in claim processing.
• Conducted audits on processed claims to ensure adherence to regulatory standards.
• Analyzed claim denials to identify underlying causes and develop resolution strategies.
• Based payment or denials of medical claims upon well-established criteria for claims processing.
• Conducted quality control reviews of work completed by team members.
• Developed reports on claim trends to support operational improvements within the team.

• Coordinated and delivered high-quality, patient-centered care aligned with departmental requirements, ensuring adherence to best practice standards.
• Collaborated with medical providers and care team members to provide individualized, comprehensive care, ensuring alignment with established nursing protocols.
• Advocated for patients and families to improve clinical outcomes and enhance patient experience, contributing to overall departmental performance.
• Assessed patient pain regularly to promote effective pain management, including reassessments after intervention.
• Documentation expert regarding the administration of care in the patient medical record in a timely and thorough manner.
• Responded promptly to patient requests while proactively anticipating and resolving needs to ensure exceptional care.
• BayCare Health System is a nonprofit organization headquartered in Clearwater, Florida, that operates 16 hospitals across Florida. In 2023, it was the third largest hospital network in Florida.

• Floated among 3 EDs, including Level 1 adult and pediatric departments and 2 satellite Level 3 hospitals in Pitt County.
• Worked in High acuity areas, treating a broad diversity of patient acuities. Among Stroke, AMI, Trauma and Psychiatric patients.
• Highly Proficient in assisting RSI, Conscious Sedation, Cardiac Arrest, Respiratory arrest, Sepsis and Surgical emergencies.
• Delivered high-standard nursing care to patients at all stages, from triage through critical care and ED hold areas.
• Managed patient information using EPIC EHR to enhance care delivery; skilled and certified in US guided IV access placement.
• Provided support to Charge Nurse and administration to orient and educate new graduates and hires in the ED.
• Level 1 Trauma and Teaching Medical Facility associated with Brody School of Medicine.

• Registered Emergency Nurse in combined ED for adults and pediatrics.
• Supported trauma team in delivering high-quality patient care. Performed triage and managed care in Fast Track, Pediatrics, and Neuro-Cardiovascular ICU.
• Level 1 Trauma center and Teaching Medical Facility, 65 bed ED.

• Blake Memorial Hospital. Level 2 trauma and Burn center in Florida.
• Delivered bedside care for Triage, Trauma, Neuro, and Cardiovascular ICU patients, primarily focusing on Covid cases.
• Charted patient information accurately using Meditech to ensure effective care delivery.
• Supported both emergency rooms during shifts, enhancing patient flow and care coordination.
• Worked at Fawcett Memorial Hospital Level 3 ED, Stroke and STEMI certified center.

• Delivered high acuity patient care across all stages of treatment in Emergency Room.
• Administered nursing care at multiple Orlando Health campuses during travel contracts.
• Employed EPIC for effective patient charting and documentation.

• High Skilled performing and assisting emergency procedures such as RSI, Chest Tube insertions and set ups, Obstetric emergencies; Satisfactory management of complete care of high acuity patients ESI level 1-2.
• Provider of direct patient care Stroke and Cardiovascular emergencies, coordinated care and management of patients from presentation to disposition according to needs.
• Evaluated and managed patients with cardiovascular, neurologic, renal, GI, GU, and psychiatric emergencies.
• Managed patient flow and care in a facility with 30 ER beds, 2 trauma rooms, and 8 Fast Track beds, contributing to level 4 accreditation.
• Maintained and operated medical equipment, including bladder scanners, ultrasound machines, IV pumps, cardiac monitors, and EKG monitors, ensuring optimal functionality for patient care.
• Audited charts to ensure compliance with department quality metrics and indicators.
• Implemented Medhost software to streamline patient data processing.
• Population from pediatric to geriatric ages with Geriatric being the most prevalent population in the Area.

• Performed and assisted in emergency procedures while managing complete care of high acuity patients at ESI level 1-2, contributing to improved patient stabilization.
• Managed cases of varying complexity, with a focus on trauma and psychiatric emergencies, enhancing patient outcomes in critical situations.
• Coordinated total patient care from admission through transfer to higher level of care, ensuring continuity and quality of services.
• Managed 12 emergency room beds, 1 trauma room, and 4 fast track beds, optimizing patient flow in a critical access facility.
• Delivered assessments and treatments tailored to the specific needs of pediatric and geriatric patients.
• Enhanced accuracy of medical records through thorough chart auditing and diligent use of medical equipment.
• Utilized RPMS charting software to document patient information accurately.
• Veterans Affairs served the patient population with the Native American community.

• Assessed and treated cardiovascular, neurologic, renal, gastrointestinal, genitourinary, and psychiatric emergencies.
• Managed patient populations from pediatric to geriatric ages, emphasizing neurovascular and cardiovascular emergency care.
• Performed and assisted with emergency procedures, managing complete care of high-acuity patients at ESI levels 1-2.
• Provided direct patient care for conditions ranging from mild to severe complexity. Stroke and cardiovascular certified center.
• Managed care in emergency department with 68 ER beds, 6 trauma rooms, and 10 fast track beds in certified level 3 facility.
• Audited charts using department quality metrics, enhancing patient safety and care standards.
• Documented patient information using Epic software. charting software for patient documentation.

• Delivered critical care in high-pressure environments at Medical City Dallas, Lewisville, and Plano emergency departments.
• Highly experienced in Cardiovascular and Neurological Trauma and Medical conditions.
• Directed nursing team in division, ensuring resource availability during cardiac and respiratory emergencies.
• Collaborated with team to uphold care standards in high-stress scenarios, enhancing patient outcomes.
• Patient advocate and leader in patient satisfaction throughout the clinical encounter.
• Contributed to Quality Committee for clinical practice improvement, aligning with ENA and AHA standards.
• Experienced with legal and chain of command care for patient victims of violence and Human Traffic.

• Managed 20 patient beds, including 2 trauma rooms, enhancing patient care delivery.
• Contributed to improved ED patient flow by implementing a revised fast track system.
• Advocated for patients and led initiatives to enhance patient satisfaction throughout clinical encounters.
• Practiced clinically in different medical scenarios with high standards of care.
• Highly experienced in Cardiovascular and Neurological Trauma and Medical conditions.
• Teamwork oriented and excellent performance of care under high level of stress.

• Provider of direct patient care.
• Performed and assisted with emergency procedures, managing complete care for high acuity patients.
• Handled cases of varying complexity, conducting initial assessments and treatments for cardiovascular, neurologic, orthopedic trauma, renal, and pulmonary patients across all age groups.
• Demonstrated proficiency using Meditech software for patient management.
• Conducted chart audits and ensured optimal use and maintenance of medical equipment.
• 30 ER Beds, 5 Trauma rooms, 9 Fast Track beds, JCAHO certified Trauma level 2 Facility.

• Oriented and collaborated with teams at East Houston Medical Center, Bayshore Medical Center, Kingwood Medical Center, Pearland Medical Center, Clearlake Regional Medical Center, Houston Northwest Medical Center, and West Houston Medical Center to ensure quality patient care.
• Applied extensive experience to implement continuous improvements in patient care processes, ensuring timely attention to patient needs.
• Provided exceptional customer service to enhance patient experiences, demonstrating professionalism and commitment to patient advocacy and teamwork.
• Proficient with MediTech and Cerner computer charting systems.

• Led charge nurse duties during high-stress situations, ensuring efficient patient flow and optimal care delivery.
• Delivered high-quality care across Triage, Fast Track, Psychiatric, Pediatric, and Trauma areas.
• Acted as a resource for less experienced RNs and nursing students, enhancing their clinical skills.
• Coordinated transfers to higher levels of care and managed electronic documentation using EPIC software.
• Demonstrated high motivation in achieving departmental goals., focused on reaching and improving department goal metrics.

• Managed triage and trauma shock rooms, ensuring timely patient care for critical cases.
• Implemented measures to streamline patient flow from triage to room and from ED to inpatient, enhancing care quality.
• Provided treatment and stabilization for diverse populations, ensuring safe and effective care from newborns to elderly patients.

• Managed comprehensive care for patients with multiple comorbidities across various settings, addressing complexities from cardiovascular, neurological, respiratory, and metabolic conditions with Level 4-5 ESI scores.
• Assisted with triage and trauma care for geriatric patients, ensuring prompt evaluation and intervention for optimal outcomes.
• Supported emergency room operations during peak winter season by delivering timely patient care and facilitating efficient workflow.
• Providing care to patients of all age groups and conditions.

• Demonstrated efficiency and proficiency in triage, trauma, fast track, and medical emergencies, enhancing patient care delivery.
• Direct care and charge of stroke, trauma and cardiac alerts.
• Ensured patient safety and privacy while addressing needs promptly and effectively.
• Cultivated positive relationships with patients to ensure their needs were met effectively.
• Precepted multiple students on unit flow processes and hospital policies, ensuring adherence to evidence-based care standards.
• Vast experience with care of psychiatric patients, from direct total care to placement in psychiatric facilities as per the hospital policies.
• Average census of 300 patient visits per day.

• In charge of direct care of multiple emergencies from ESI level 1 to 5, with excellent customer service to patients and their families.
• Executed all job responsibilities effectively, ensuring patient care standards were met.
• Completed certification in peripheral port vascular access to enhance patient care.
• Provided pediatric and geriatric care focused on evidence-based best care practices.
• Collaborated with education department to orient and mentor newly graduated staff, enhancing patient safety and advocacy.

• Performed and assisted in emergency procedures, including starting IVs and managing catheters, PICC, central, arterial ports, and utilizing EKG, glucometer, and point of care for accurate patient assessment.
• Handled cases of varying complexity, performing initial assessments and treatments for cardiovascular, neuro trauma, orthopedic surgery, renal, and pulmonary patients across all age groups.
• Managed nurse-to-patient ratio of 4 to 6 to deliver quality care and individualized attention for each patient.
• Provided direct patient care as Charge Nurse, oriented and precepted new nurses to follow unit policies and procedures.
• Comfortable administering high alert medication drips.
• Conducted chart audits to ensure compliance and maintained high standards of medical equipment use and care.
• Demonstrated proficiency in using CORAL software for patient management and documentation.
• Oversaw operations of 20 ER beds, 2 trauma rooms, and 6 Fast Track beds, ensuring compliance with JCAHO standards and efficient patient flow.

• Provided direct patient care with nurse-to-patient ratio of 4-6:1, ensuring timely and effective treatment.
• Cases handled from mild to severe complexity, initial assessment and treatment of cardiovascular, neuro trauma, Orthopedic surgery, Renal and Pulmonary patients, from pediatric to geriatric ages.
• Proficient in performing and assisting emergency procedures; start IVs, management of catheters, PICC, Central, Arterial ports, use of EKG, glucometer, point of care for accu chek.
• Comfortable administering high alert medications drips.
• Utilized MEDHOST software for effective management of patient data, enhancing accessibility for care team.
• Conducted chart audits and maintained medical equipment to support accurate patient record-keeping.
• 19 ER Beds, 3 Trauma rooms, 4 Fast Track beds, JCAHO certified.

• Provider of direct patient care, nurse patient ratio 4/6-1.
• Handled cases of varying complexity, conducting initial assessments and treatments for cardiovascular, neuro trauma, orthopedic surgery, renal, and pulmonary patients across pediatric to geriatric age groups.
• Performed and assisted in emergency procedures, including starting IVs and managing catheters, PICC, central, arterial ports, and utilizing EKG, glucometer, and point-of-care for accu chek.
• Administered high alert medication drips, ensuring patient safety during critical treatments..
• Performed detailed audits of patient charts to identify discrepancies and enhance record accuracy., excellent use and care of medical equipment.
• 30 ER Beds, 3 Trauma rooms, 5 Fast Track beds, JCAHO certified.

Managed 68 ER beds, 6 trauma rooms, and 10 Fast Track beds in a certified level 3 facility.

• Ensured high-quality patient care by providing immediate medical attention. where handled from mild to severe complexity, Stroke and

Cardiovascular Certified Center.

• Provided assessment and treatment of cardiovascular, neurologic, renal, GI, GU and Psychiatric

emergencies.

• Population from pediatric to geriatric ages, with emphasis on Neurovascular and Cardiovascular

emergency management.

• Proficient performing and assisting emergency procedures; management of complete care of high

acuity patients ESI level 1-2.

• Employed Epic Charting system to maintain comprehensive electronic health records..

Assess patient conditions to determine immediate care needs.

Collaborate with physicians to develop treatment plans for patients.

• Administer medications and monitor patient responses during treatment.
• Provide emotional support and education to patients and families.
• Coordinate with multidisciplinary teams to ensure comprehensive care delivery.
• Respond swiftly to emergencies, executing established protocols efficiently.
• Train new staff on emergency department procedures and best practices.
• Facilitated communication among physicians, nurses, and healthcare professionals to ensure effective patient care collaboration.
• Conducted triage assessments on incoming emergency room patients to prioritize care based on urgency and need.
• Performed diagnostic tests such as x-rays or electrocardiograms.
• Monitored patient conditions to identify concerning changes and mitigate symptoms.
• Conducted public health education sessions on emergency preparedness and injury prevention.
• Led debriefing sessions after major incidents, fostering a culture of continuous learning and improvement within the emergency department.
• Operated and maintained emergency department equipment, performing regular checks for functionality and safety.
• Performed comprehensive assessments of patients presenting with a wide range of acute conditions in a high-volume emergency department.
• Instructed patients and families on disease management, prevention, and healthy lifestyle choices.
• Advocated for patient rights and ethical treatment, ensuring respect and dignity in patient care.
• Administered medications, treatments, and vaccines as prescribed, adhering to strict safety protocols.
• Advocated for patient rights and ethical treatment, ensuring respect and dignity in patient care.
• Administered medications, treatments, and vaccines as prescribed, adhering to strict safety protocols.