Kind and energetic Nurse Navigator with commitment to personalized care and communication. Extensive knowledge of hospital practices, community advocacy, service availability and family education. Known for thriving in fast-paced environment.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Skin and Sarcoma Nurse Navigator
Miami Cancer Institute
Miami, FL
02.2019 - Current
Collaborated with multidisciplinary team members to develop comprehensive treatment plans for complex cases.
Served as a liaison between patients, families, providers, payers, and other stakeholders.
Identified barriers to optimal healthcare utilization and developed strategies for overcoming them.
Provided emotional support to patients facing difficult diagnoses or treatments.
Provided education and resources to patients and families regarding available services.
Facilitated communication between providers, patients, and families throughout the treatment process.
Referred patients to specialized health resources or community agencies to furnish additional assistance.
RN Case Manager
Nicklaus Children Hospital
Miami, Florida
01.2014 - 01.2019
Assess & monitor daily plan of care. Collaborates to eliminate barriers to efficient delivery of care in the appropriate setting.
Performs admission and concurrent reviews using system approved criteria.
Coordinate medical DCP needs specific to pediatric patients.
Transition management promoting appropriate length of stay, readmission prevention and patient satisfaction.
Communicates with multiple resources & payor entities to identify appropriate vendors for obtaining authorization for ancillary/hospital services.
Collaborates with family, health care team, payors, and providers to implement DC plan.
Participates in utilization management initiatives/opportunities for improvement through departmental and floor committee assignments.
Utilization Review Nurse
Nicklaus Children Hospital
Miami, Florida
01.2006 - 01.2014
Perform utilization review activities, including pre-certification, concurrent and retrospective reviews according to guidelines.
Determine medical necessity by applying appropriate medical criteria.
Presents cases as needed to the Director, Manager, and Medical Director as indicated Refer potential/actual denials to attending physician, physician advisor.
Assist in identifying & reporting variances in utilization of resources & avoidable days/denials.
Facilitated communication between payers, providers and patients concerning authorization issues or concerns.
Collaborated with multidisciplinary teams on developing strategies for improving care quality and controlling costs.
Coordinated with healthcare team to establish, enact and evaluate patient care plans.
Employee Health Nurse
Nicklaus Children Hospital
Miami, Florida
01.2005 - 01.2006
Conducted new hire screenings as well as annual employee health screenings.
Conducted surveillance and follow up of employee's exposures to communicable diseases.
Refer employees with identifiable limitations and/or health risks to appropriate resources.
Administered immunizations against infectious diseases.
Perform Tuberculin skin testing and follow up.
Registered Nurse
Nicklaus Children Hospital
Miami, Florida
01.2000 - 01.2002
Specialized in Pediatric Care, primarily respiratory and medical-surgical clients.
Interaction between healthcare workers to provide best health care for my clients.
Provided education on disease process and discharge planning.
Assess patients' conditions for potential or life-threatening crises. Distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment
Document patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem solving resolution.
Administered oral, IV and intra-muscular medications and monitored patient reactions.
Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
Prepared medical equipment and tools to aid physician during examination and treatment of patients.
Registered Nurse
Jackson Memorial Hospital
Miami, Florida
12.1998 - 12.2000
Specialized in Adult Care, primarily respiratory and immuno-compromised but included medical-surgical clients.
Post-treatment education involving cautions and actions to take at home to provide best recovery.
Provided care to patients who are diagnosed with terminal disease or patient who are in a crisis condition.
Collaborates with physicians and other healthcare providers to design and implement plan of care.
Conducts on-going assessment of needs and educational deficits
Pharmacological and non-pharmacological management and treatment of various disorders and diseases.
Performed lab tests and communicated results.
Liaised between patients and physicians to ensure patient comprehension of treatment plans.
Instructed patients and family members on proper discharge care.