Delilah Maldonado
DeLand,FL
Summary
Bilingual Registered Nurse with 5+ years of experience and strong leadership potential
Overview
14
14
years of professional experience
1
1
Certification
Work History
Post-Acute Utilization Management RN
Humana
04.2025 - Current
- Review post-acute services for Medicare Advantage members using InterQual and clinical criteria to ensure appropriate level of care and medical necessity.
- Collaborate with providers, discharge planners, and interdisciplinary teams to coordinate timely transitions and reduce avoidable readmissions.
- Maintain documentation compliance and regulatory standards while supporting STAR quality initiatives and member-centered care.
- Remote
Bilingual SNP Care Manager | Registered Nurse
Humana
10.2022 - 03.2025
- Partnered with the Chief Nursing Officer to develop and implement continuing education courses on depression, bipolar disorder, and asthma for clinical teams.
- Successfully precepted and mentored new hire RN Care Managers, ensuring seamless onboarding and clinical skill-building.
- Managed care for diverse populations, enhancing patient satisfaction while maintaining compliance with quality and safety standards.
- Remote
Travel Registered Nurse
IntelyCare Staffing Agency
07.2021 - 01.2023
- Delivered compassionate, high-quality care in skilled nursing facilities, assisted living centers, and hospice settings.
- Adapted quickly to diverse environments, demonstrating flexibility, reliability, and clinical excellence.
Night Supervisor & Registered Nurse – Trauma/Surgical ICU
Halifax Health – UF Shands Medical Center & Halifax Health
Daytona, FL / Deltona, FL
12.2018 - 09.2022
- Served as Night Supervisor, overseeing hospital operations, managing staff, and ensuring adherence to patient safety protocols.
- Delivered critical care to complex, high-acuity patients in Trauma/Surgical ICU, improving outcomes through evidence-based practices.
Patient Caseworker
MEDS Florida Hospital
DeLand, FL
08.2014 - 08.2015
- Assisted patients with Medicaid and Medicare applications, ensuring access to vital healthcare funding.
Billing Analyst
Frontier Communications
DeLand, FL
05.2011 - 09.2014
- Created and managed market codes for billing charges and ensured accurate application of tax tariffs across the United States.
Education
Associate Degree in Nursing - undefined
Daytona State College
Bachelor of Science in Nursing - undefined
Southern New Hampshire University
05.2025
Skills
- EMR Systems: Cerner, Epic
- InterQual Criteria Case Management Software Phlebotomy Ventilator Management
Certification
Registered Nurse (RN) License: Licensed in all U.S. states except Alaska and Hawaii. Compact license from FL.
LNGG
Bilingual Communication (Spanish)
Accomplishments
- Named Rookie of the Year (2019) at Halifax Health for outstanding performance as a first-year RN in the Trauma ICU.
- Collaborated with leadership to create clinical education programs, demonstrating initiative, leadership, and a commitment to professional growth.
- Successfully mentored and precepted new RN hires, fostering confident and skilled team members.
Timeline
Post-Acute Utilization Management RN
Humana
04.2025 - Current
Bilingual SNP Care Manager | Registered Nurse
Humana
10.2022 - 03.2025
Travel Registered Nurse
IntelyCare Staffing Agency
07.2021 - 01.2023
Night Supervisor & Registered Nurse – Trauma/Surgical ICU
Halifax Health – UF Shands Medical Center & Halifax Health
12.2018 - 09.2022
Patient Caseworker
MEDS Florida Hospital
08.2014 - 08.2015
Billing Analyst
Frontier Communications
05.2011 - 09.2014
Associate Degree in Nursing - undefined
Daytona State College
Bachelor of Science in Nursing - undefined
Southern New Hampshire University