Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Hardworking Registered Nurse with success providing individualized patient care. Committed to delivering best-in-class patient care through effective education and counseling. Proven leadership focused on increasing and enhancing patient care and satisfaction.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Registered Nurse
Blue Cross Blue Shield of Texas
04.2021 - Current
Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
RN Case Manager
Molina Health Care
04.2020 - 04.2021
Exercised proper judgment and decision making to analyze over 30 claims per week.
Managed high caseloads effectively by prioritizing tasks based on complexity and urgency of claims.
Collaborated with contractors to verify repair estimates, ensuring fair settlements for both policyholders and company.
Conducted thorough inspections to document property damages, resulting in accurate claim evaluations.
Enhanced customer satisfaction with prompt communication and consistent follow-up on claim status updates.
Achieved timely resolution of property claims by investigating, evaluating, and settling a variety of cases.
Prepared reports of findings of investigations.
Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
Home Health Admission Nurse
Calvary Healthcare Inc.
10.2017 - 04.2020
Patient admissions, Oasis start of Care, Recertification, Resumption of care, Discharge and transfers to hospitals
Quality assurance/compliance per Medicare guidelines IV Therapy, IVIG, PICC line, Maintenance, Venipuncture
Performed complete health assessments for a diverse population
Liaised between patients and physicians to ensure patient comprehension of treatment plans and continued healthcare services for diverse population.
Med-Surge Nurse
Methodist Charlton Hospital
02.2016 - 10.2017
Modified patients' treatment plans as indicated by patients' responses and new physician orders
Administered medications to patients and monitor patients for reactions or side effects to quickly intervene in serious issues
Contributed to team efficiency, optimal patient flow, and accuracy in treatments by maintaining accurate and detailed reports and records
Resolved or reduced patient symptoms with intramuscular, intravenous and oral medicines
Treated patients with issues such as Diabetes, Hypertension, Kidney stones, Post-op for Knee and back surgery, accidents, traumas, pressure ulcers and other chronic illnesses alongside multidisciplinary team
Supported procedures by handling instruments and monitoring patients
Controlled infection risks with careful care of wounds and thorough sanitizing techniques.
Home Health Aide
Daniella Home Health care
03.2013 - 01.2015
Enhanced wellbeing of individual clients with personalized support for social, mental, and physical needs
Minimized safety hazards by arranging living spaces with patients' needs in mind
Helped home-bound individuals maintain personal dignity by assisting with personal hygiene and care needs
Kept spaces clean and inviting with regular cleaning, trash removal, and laundry assistance.
Education
Bachelor of Science - Nursing
West Coast University
Dallas, TX
04.2015
Associate of Science -
Richland College
Dallas, TX
01.2011
Skills
Critical Thinking skills
Efficient care planning
Excellent communication Skills
Excellent time management skills
Decision-Making
Microsoft Office Suite
Claims Evaluation
Coverage Determination
Xactimate
Symbility
Medication and IV administration
Medication Administration
Direct Patient Care
Patient Assessments
Documentation and Charting
Patient Assessment
Strong Clinical Judgment
Patient education and counseling
Clinical judgment
Patient and family advocacy
Compassion and Empathy
Care Planning
Care Plan Development
Accomplishments
Quality Assurance - Ensured and enforced medical office compliance with HIPAA, OSHA and CLIA regulations for maximum quality and control.
Patient Advocacy - Explained treatment procedures, medication risks, special diets and physician instructions to patients.