Highly skilled Spanish speaking career professional with more than 21 years practical experience in hospital, home health, post-operative, surgical, case management, health insurance and primary care environments.
Clinical manager maintains responsibility for all clinical aspects of the clinical facility. Responsible for onboarding new employees, training existing employees, auditing clinic operations, establishing a budget, reviewing treatment plans, or communicating with executives. Manages a health care team compromised by telephonic and mobile RN care partners, NP's and other disciplines to ensure that the team meets clinical and health plan related key performance indicators. Ensure that work is evenly disturbed across the team, collaborates with other clinical mangers to ensure even distribution across teams. Develops, supervises and appraises direct reports; plans and implements disciplinary actions as needed and worked with Human Resources as appropriate. Participated in cross-organizational working groups to continuously improve practice. Ability to manage significant change demonstrating excellent communication skills both written and verbal. Strong team building skills.
Provides clinical guidance and coaching for complex situation. Addresses internal personnel issues, problem-solves local issues and engages in conflict management.
Established in HIV/AIDS/Geriatrics/Orthopedic/Surgical/Behavioral Health patient support including assessment, counseling, education regarding medications and treatment, lab work, documentation with care plan for diagnosis, and administration of treatment procedures. Utilize knowledge and clinical expertise to collaborate with physicians and to coordinate actions of other health team members focused on achieving the goals of the plan of care.
Computer skilled, managing heavy daily patient volume including telephone triage, appointment scheduling, and patient referral. Proficient in all documentation/record maintenance/paperwork to ensure accuracy and patient confidentiality.
In collaboration with practice leadership, assumes administrative and day-to-day supervisory responsibilities to assure high quality medical care and patient satisfaction.
Respectful Clinical Manager with extensive knowledge of health care administration and clinical philosophy. Familiar with fiscal management systems and human resource management. Talented at maintaining and developing effective relationships with staff, patients and senior management. Excellent supervisory skills and performance working under pressure.
Motivated Clinical Supervisor committed to building integrated nursing teams and improving patient outcomes at hospital level. Adept at maintaining high training, hospital and regulatory standards. Skilled in closing training and competency gaps among nursing teams.
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
26
years of professional experience
Work History
Commonwealth Care Alliance
Clinical Manager/Community Registered Nurse/SCO/One Care
08.2008 - 12.2023
Job overview
Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
Regularly evaluated employee performance and provided feedback.
Enhanced staff performance through regular training, mentoring, and professional development opportunities.
Delivered effective onboarding and training to new and existing employees and cross-trained staff members in other job roles to maximize coverage.
Successfully managed clinic operations during periods of change or growth by adapting processes as needed.
Managed budgets and allocated resources effectively to ensure sufficient staffing levels and the availability of necessary equipment and supplies.
Provide ongoing case management to patients to implement appropriate treatment plan, adhere to quality models and maximize utilization of services needed to achieve optimal outcomes.
Promoted high morale and staff retention through dynamic communication, prompt problem resolution, proactive supervisory practices and facilitation of positive work environment.
Ensured compliance with regulatory guidelines and accreditation standards through consistent monitoring and implementation of corrective actions when needed.
Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
Contributed to successful accreditation reviews with thorough preparation efforts focused on documentation completeness.
Reduced hospital readmission rates by prioritizing discharge planning and effective communication between patients, families, and healthcare providers.
Gentiva Health Services
Visiting Nurse/Case Manager
01.2004 - 01.2017
Job overview
Delivered high-quality nursing services in compliance with regulatory requirements, organizational policies, and evidence-based practice guidelines.
Increased patient adherence to medications and treatment plans through regular follow-up and education.
Supported caregivers in navigating the healthcare system by serving as a knowledgeable advocate when addressing concerns or questions related to insurance coverage or treatment options.
Managed case conferences to review patient progress, share information among team members, and formulate targeted interventions for ongoing improvement in health status.
Reduced hospital readmissions through thorough patient assessments and timely interventions.
Mentored new nursing staff, sharing valuable insights and best practices gained from years of experience in the field of home health care management.
Maintained a high level of cultural competence by providing culturally-sensitive care for diverse patient populations, respecting individual beliefs and values in service delivery.
Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Performed triage on incoming patients and determined severity of injuries and illnesses.
Empowered patients to manage their health conditions through effective teaching of self-care techniques and resources.
Baystate Medical Center/Baystate High Street Health Center
Patient Care Coordinator/Multiservices Clinic Medical Manager
01.2004 - 01.2008
Job overview
Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
Delivered excellent patient experiences and direct care.
Assisted patients with coordinating long-term care for chronic conditions to support and manage illnesses.
Monitored inventory levels of medical supplies and equipment, placing orders when necessary to prevent shortages or delays in patient care provision.
Increased efficiency in multi-disciplinary meetings by preparing agendas, taking minutes, and distributing follow-up action items.
Worked with patients to ascertain issues and make referrals to appropriate specialists.
Assisted in the development of care plans tailored to individual patient needs, improving overall health outcomes.
Baystate Medical Center, Daly 6A
RN/Orthopedics/Surgical Post-Operative
07.2003 - 01.2005
Job overview
Administered medications accurately and safely, reducing medication errors and adverse reactions.
Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Improved patient outcomes by providing high-quality nursing care and implementing evidence-based practices.
Provided direct patient care, stabilized patients, and determined next course of action.
Monitored patient reactions to drugs and carefully documented findings.
Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
Managed complex cases of critically ill patients, ensuring optimal treatment plans were executed effectively.
Baystate Medical Center/Baystate High Street Health Center
Certified Medical Assistant/Data Coordinator/Outreach Worker
01.1998 - 01.2003
Education
American International College
Springfield, MA
Bachelor of Science in Nursing from Nursing Science
05.2017
University Overview
Honor Roll Spring 2017
Dean's List Spring 2017
4.0 GPA
Springfield Technical Community College
Springfield, MA
Associate of Science from Nursing
05.2003
Skills
Clinical Leadership
Training and mentoring
Staff Supervision
Staff Scheduling
Staff Development
Team Management
Effective Communication
Emergency situational awareness
Onboarding and coaching
Quality Improvement
Direct Patient Care
Clinical Documentation
Insurance Billing
Healthcare administration
Recruitment and retention
Case Management
Accomplishments
Mentoring others to help prepare them for leadership positions.
Held a leadership position in professional nursing/health insurance management company.
Used Microsoft Excel to develop inventory tracking spreadsheets.
Managed care for over 250+ patients.
Participated in a structured and radical reorganization of Commonwealth Care Alliance's model of care to provide uncommon care.
Affiliations
Association of Nurses in AIDS Care, 2006 - Current
Massachusetts Nursing Association, 2003 - 2008
National Association of Hispanic Nurses, 2015 - Current
America Association of Medical Assistants, 1997 - 2001
Licensure Certification
Board Examination, State of Massachusetts, 2003 - Current
American Heart Association Health Care Provider, CPR, Current
Commission for Case Manager Certification, CCMC 2021 - Current
References
Available upon request
Languages
Spanish
Native or Bilingual
Timeline
Clinical Manager/Community Registered Nurse/SCO/One Care
Commonwealth Care Alliance
08.2008 - 12.2023
Visiting Nurse/Case Manager
Gentiva Health Services
01.2004 - 01.2017
Patient Care Coordinator/Multiservices Clinic Medical Manager
Baystate Medical Center/Baystate High Street Health Center
01.2004 - 01.2008
RN/Orthopedics/Surgical Post-Operative
Baystate Medical Center, Daly 6A
07.2003 - 01.2005
Certified Medical Assistant/Data Coordinator/Outreach Worker
Baystate Medical Center/Baystate High Street Health Center
01.1998 - 01.2003
American International College
Bachelor of Science in Nursing from Nursing Science