Darleny Torres, RN
Clifton,NJ
Summary
Compassionate and dedicated RN care manager with a strong background in providing exceptional patient care. Seeking a challenging role that allows me to utilize my skills in care coordination, patient advocacy and team leadership to positively impact the lives a patients and their families.
Overview
11
11
years of professional experience
Work History
Registered Nurse Care Manager
Oscar Health
05.2022 - 10.2023
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Conducted comprehensive assessments to identify individual patients needs, goals and preferences, establishing a strong foundation for personalized care management.
- Advocated for patients' rights and ensured their voices were heard by actively engaging in care planning meetings, providing emotional support and addressing concerns.
- Collaborated with interdisciplinary healthcare teams to develop and implement patient-centered care plans, ensuring optimal outcomes and continuity of care.
- Coordinated and facilitated patient discharge planning, including arranging home care services, durable medical equipment, and follow up appointments
- Monitored and evaluated patient progress, documenting outcomes and making appropriate adjustments to care plans as needed.
RN Clinical Case Manager
Aetna Better Health of NJ
05.2020 - 03.2022
- Conducted assessments to a caseload of over 50 members to address all conditions including co- morbid and multiple diagnosis that impact functionality
- Provided ongoing support to members/caregivers and assist with coordination of benefits and services
- Utilized motivational interviewing skills to ensure maximum member engagement to create proactive, person-centered care plans
- Collaborated with management and team members in overcoming barriers and in meeting goals and objectives
- Utilized case management processes in compliance with regulatory company policies and procedures
- Maintained HIPAA standards and confidentiality of protected health information
- Identified high-risk clients for targeted disease management to reduce inpatient admissions by collaborating with discharge planner to ensure safe discharge, identifying risk factors for readmission, completing medication reconciliation, assisting with follow-up appointments and obtaining durable medical equipment.
RN Clinical Care Manager
WellCare
01.2016 - 10.2019
- Coordinated the care and services of managed long term care members
- Assessed members’ conditions and needs annually, quarterly, and as needed
- Developed customized care plans to members’ needs
- Ensured efficient, smooth, and prompt healthcare services
- Promoted effective utilization and monitored health care resources
- Served as liaison between healthcare providers, members and members’ families and caregivers
- Educated members and caregivers/families on proper way of following health plan
- Oversaw prior authorization to patient services and DME.
Registered Nurse Per Diem
Alaris Health
03.2017 - 08.2017
- Supported an average caseload of 20-30 patients both in subacute and long-term floors
- Delegated responsibilities to a team of 4-5 assistant staff
- Developed, implemented, and evaluated patient care plans
- Administered daily medications including narcotic substances
- Carried out physician orders of treatments such as: wound care and wound vac treatments, g-tube feedings, iv therapy, insulin administration, respiratory treatments, and assessments
- Monitored blood pressure and glucose
- Facilitated patient admissions, transfers, and discharges.
Visiting RN
Promise Care
10.2012 - 12.2015
- Completed initial assessments of patients and family members/caregivers to determine health care needs
- Regularly communicated with physician regarding patient needs/reported changes in patient's condition, obtained/received orders as required
- Coordinated physical, speech/occupational therapy, social worker services, and home health aide services as needed
- Regularly evaluated progress during interdisciplinary conferences and updated plan of care as needed
- Performed required medical services including lab work, insertion/removal of catheters, wound care, and medication administration
- Coordinated equipment and medical supply ordering and delivery
- Performed in home visits and educated patient's and caregivers on diagnosis, disease process and management, safety, and medications.
Education
Bachelor of Science - Nursing
Capella University
2024
Associate of Science; Diploma - Nursing
Christ Hospital School of Nursing
Jersey City, NJ2012
Skills
- Bilingual [English, Spanish]
- Microsoft Suite, Google Workspace proficiency
- Critical thinking and problem solving
- Patient/Family advocacy and empowerment
- Electronic health records proficiency
- Care Coordination and case management
- Patient assessment and care planning
- Strong interpersonal and communication skills
Additional Information
Registered Nurse Permanent License #347033
Compact Status: Multi State
Timeline
Registered Nurse Care Manager
Oscar Health
05.2022 - 10.2023
RN Clinical Case Manager
Aetna Better Health of NJ
05.2020 - 03.2022
Registered Nurse Per Diem
Alaris Health
03.2017 - 08.2017
RN Clinical Care Manager
WellCare
01.2016 - 10.2019
Visiting RN
Promise Care
10.2012 - 12.2015
Bachelor of Science - Nursing
Capella University
Associate of Science; Diploma - Nursing
Christ Hospital School of Nursing