Summary
Overview
Work History
Education
Skills
Timeline
Generic

DIANA ADAIN

Orlando

Summary

Registered Nurse with over 20+ years of experience in primary care, with a strong background in clinical operations, quality improvement, and patient care. I’ve grown from Medical Assistant to Quality Case Manager to RN, and now into a Nurse Manager role, which has given me a full understanding of how a practice runs from the ground up. I’m very hands-on in my approach. I focus on improving workflows, supporting my team, and making sure both patient care and operations run efficiently while aligning with evidence-based best practices, clinical guidelines, and NCQA standards. My experience includes managing daily operations, improving HEDIS measures, supporting accurate documentation and compliance, and driving overall performance. I played a key role in achieving NCQA PCMH Level 3 recognition by helping align workflows, care coordination, and quality initiatives with national standards.

Overview

17
17
years of professional experience

Work History

Nurse Manager, RN

Comprehensive Health Center of Orlando
Orlando
01.2019 - Current
  • Oversee daily operations of adult and pediatric primary care departments, ensuring efficient patient flow and care delivery
  • Led organization from PCMH Level 2 to Level 3 recognition and maintained compliance
  • Developed and implemented patient care policies and procedures to enhance quality of care.
  • Oversaw compliance with health regulations and quality standards, ensuring optimal patient safety.
  • Lead workflow optimization and SOP development to support quality, compliance, and operational efficiency
  • Drive HEDIS measure performance and real-time care gap closure
  • Collaborate with providers to improve documentation, screenings, and preventive care
  • Support community outreach including HIV, HCV, and STI testing and linkage to care
  • Train and mentor clinical and administrative staff
  • Ensure compliance with regulatory standards and staff certifications
  • Developed Test and Treat SOP used across multiple sites
  • Identified opportunities for improvement in the delivery of healthcare services.
  • Created an environment that fosters professional development and patient care excellence.
  • Oversaw primary care, case management, and medication management.
  • Reviewed incident reports related to clinical operations and implemented corrective action plans.
  • Restructured workflows in Orlando, improving clinic operations and enhancing team performance.
  • Increased revenue through strategic pricing adjustments while maintaining patient retention

Registered Nurse

Greater Vision Healthcare Services
01.2019 - 01.2020
  • Provided skilled pediatric care including ventilator and tracheostomy management
  • Developed individualized care plans to meet patient needs, coordinating with physicians and caregivers for comprehensive management.
  • Administered medications following prescribed protocols and safety guidelines.
  • Monitored vital signs, promptly reporting changes to medical staff to ensure timely interventions.
  • Assisted in medical procedures while ensuring patient comfort and safety.
  • Documented patient progress accurately in electronic health records systems.
  • Utilized critical thinking skills to assess clinical situations quickly and accurately.
  • Participated in quality improvement initiatives, contributing to enhanced care standards within the department.

Registered Medical Assistant / Case Manager

Comprehensive Health Center
01.2009 - 01.2018
  • Administered medications and conducted routine laboratory tests.
  • Performed patient assessments, including vital signs and medical history documentation.
  • Educated patients on treatment plans and provided health maintenance advice.
  • Educated patients about medications, procedures, and the physician's instructions.
  • Reviewed charts to identify care gaps for Medicare and Medicaid patients, enhancing patient care quality.
  • Supported HEDIS measures, audits, and population health initiatives
  • Assisted in achieving PCMH Level 3 recognition
  • Coordinated communication among clients, families, caregivers, and agencies to address client needs effectively.
  • Developed trusting relationships with social services, health care providers and governmental agencies.
  • Verified insurance coverage and processed payments from patients.

Education

Bachelor of Science - Nursing

Keiser University
Fort Lauderdale, FL
08-2026

Associate of Science - Nursing

Miami Dade College
Miami, FL
01-2016

Associate of Science - Medical Assistant

Keiser Career College
01-2007

Skills

  • Clinical Operations
  • Care coordination
  • Population Health
  • HEDIS Measures
  • Care Gap Closure
  • Preventive Care
  • Quality improvement
  • Regulatory compliance
  • Workflow Optimization
  • Telehealth Services
  • AthenaOne EHR
  • Patient Engagement
  • Team Leadership
  • Staff management
  • Staff training
  • Clinical leadership

Timeline

Nurse Manager, RN

Comprehensive Health Center of Orlando
01.2019 - Current

Registered Nurse

Greater Vision Healthcare Services
01.2019 - 01.2020

Registered Medical Assistant / Case Manager

Comprehensive Health Center
01.2009 - 01.2018

Bachelor of Science - Nursing

Keiser University

Associate of Science - Nursing

Miami Dade College

Associate of Science - Medical Assistant

Keiser Career College
DIANA ADAIN