Claudia Ruiz
United Healthcare, UHG
New Braunfels,TX
16
years of professional experience
Results-driven healthcare professional specializing in patient assessments and care coordination. Demonstrated success in enhancing patient engagement and adherence through personalized health plans and effective advocacy.
Work History
RN HSS Clinical Coordinator
11 Years 4 Months- Performed comprehensive assessments for nursing facility residents to ensure placement in the least restrictive and most suitable environments.
- Facilitated interdisciplinary collaboration to ensure continuity of services and enhance quality outcomes for a caseload of 170 Medicaid and dual members.
- Assessed member needs and coordinated referrals to ensure seamless transitions to community integration and resource access.
- Collaborated with members and families to advocate for personalized treatment plans that meet specific needs and objectives.
- Monitored and evaluated treatment plans for 170 Medicaid and dual members, adhering to documentation standards and follow-up protocols.
- Applied clinical guidelines and organizational policies to ensure regulatory compliance and improve member transition processes.
- Provided guidance and support to new and experienced RN clinical coordinators to enhance onboarding processes and ensure workflow consistency.
RN Health Coach
2 Years 9 Months- Developed personalized health plans to enhance patient engagement and adherence.
- Conducted health assessments to identify patient needs and goals for improved wellness outcomes.
- Educated patients on chronic disease management strategies, promoting self-management skills.
- Implemented evidence-based practices to improve patient education materials and resources.
- Analyzed patient data to identify trends, leading to enhanced program effectiveness and satisfaction ratings.
- Acted as a patient advocate, ensuring their needs were met and effectively communicated with other healthcare providers involved in their care.
- Increased patient adherence to treatment plans by addressing barriers and offering solutions in a supportive environment.
- Reduced hospital readmissions by providing effective education on disease management and self-care techniques.
- Discussed such topics as proper nutrition and lifestyle changes to help patients live healthier lives.
- Administered medications as directed by healthcare providers and documented this information on patient charts.
Home Health RN Case Manager
2 Years- Coordinated patient care plans, ensuring alignment with clinical standards and individual needs.
- Evaluated patient health status through comprehensive assessments and documentation of vital signs.
- Collaborated with interdisciplinary teams to optimize patient outcomes and streamline care processes.
- Educated patients and families on treatment options, enhancing understanding of health management strategies.
Education
Associate of Science - Registered Nursing
- summa cum laude graduate
Bachelor of Science - Nursing Education
License Vocational Nursing - Nursing Education
- Beeville Soroptomist Club, Scholarship Recipient
Skills
Patient assessments
Care planning
Case management
Patient care
Care coordination
Charting documentation
EMR / EHR
Data collection
Long-term care
Team coordination
Precepting
Project management
Family advocacy
Bilingual communication
Timeline
RN HSS Clinical Coordinator
United Healthcare, UHG
05.2015 - CurrentRead More
RN Health Coach
United Health Group, Optum
08.2012 - 05.2015Read More
Home Health RN Case Manager
Exclusive. Home Health & Hospice, Inc.
08.2010 - 08.2012Read More
Capella University
Bachelor of Science from Nursing Education
Read More
Del Mar College
Associate of Science from Registered Nursing
Read More
Coastal Bend College
License Vocational Nursing from Nursing Education
Read More