Eduardo Munoz
Austin
Summary
Compassionate and bilingual registered nurse with over four years of experience in providing holistic patient care across diverse settings, including PCU/Step Down, ambulatory care, and managed care environments. Skilled in case management, I am dedicated to coordinating care and advocating for patients through every stage of their healthcare journey. I excel in building trust with patients from various backgrounds, ensuring they receive the support they need to achieve the best possible health outcomes. My experience includes collaborating with multidisciplinary teams to enhance patient care, streamline processes, and improve care delivery. Passionate about patient-centered care, I bring a deep commitment to optimizing healthcare systems and improving operational efficiency.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Case Manager
Molina Healthcare
07.2024 - Current
- Coordinate care transitions for members across the lifespan—from NICU to pediatrics to adults—under CHIP, STAR, and STAR+PLUS lines of business, ensuring continuity of care and improved health outcomes.
- Conduct comprehensive high-risk assessments with members and caregivers to identify medical, behavioral, and social needs, informing individualized care plans.
- Streamline discharge planning by collaborating closely with hospital case managers, physicians, nurses, and social workers to ensure timely, safe transitions from inpatient to home or community settings.
- Manage complex, high-volume caseloads involving multifaceted medical and psychosocial issues, consistently exceeding productivity targets (80%+ vs. 40% benchmark) and call volume expectations (65+ weekly calls).
- Achieve and maintain 90–100% compliance in chart audits through accurate documentation and adherence to standards for risk assessments and care coordination.
Registered Nurse Consultant
XBiotech
10.2023 - Current
- Enhanced patient experience through compassionate care and communication during blood draw procedures.
- Labeled transfer tubes and followed exact directions for handling and storing specimens for transport.
- Reduced contamination risks by strictly adhering to infection control protocols and maintaining a clean work environment.
Registered Nurse Care Manager
CommUnityCare Southeast Health & Wellness Center
04.2023 - 07.2024
- Help individuals navigate chronic illnesses, behavioral health concerns, and social barriers through patient education, care planning, motivational interviewing, and connecting patients to resources.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
- Collaborate with physicians and interdisciplinary care teams to improve health and independence of complex patients.
- Reduced hospital readmissions through effective coordination of care, communication with patients, and proactive followup.
- Increased Care Management panel enrollment by 100% in 8 months.
PRN Staff Nurse
Cenikor Foundation
01.2024 - 04.2024
- Established rapport with patients from diverse backgrounds through empathic listening and culturally sensitive communication practices.
- Administered medications, monitoring for side effects, effectiveness, and making adjustments as necessary to optimize treatment outcomes.
- Provided crisis intervention services during psychiatric emergencies, ensuring patient safety through effective de-escalation techniques.
- Participated in case conferences to discuss complex cases collaboratively with colleagues from various
disciplines for better decision-making processes.
Clinic Nurse
Vivent Health
02.2022 - 04.2023
- Conducted thorough assessments of patients presenting with symptoms suggestive of infectious diseases, enabling prompt diagnosis and initiation of appropriate treatments.
- Deliver nursing services encompassing both primary and specialty care to patients. This includes conducting triage, comprehensive health assessments, phlebotomy, administering immunizations, and facilitating health maintenance screenings.
- Handle prior authorizations and patient referrals for specialty care, managing both internal, and external social services, as well as providing case management and other disease management services.
- Provide education to patients on HIV disease, prevention, and treatment, as well as on medical care concerns and strategies for adhering to prescribed medications.
Stepdown IMC Nurse
Dell Seton Medical Center
07.2021 - 02.2022
- Managed care delivery for Emergency Department patients, offering direct care, assigning nursing tasks, and orchestrating interdisciplinary care in a high-volume trauma center environment.
- Collaborated with physicians to review diagnoses and formulate suitable treatment strategies.
- Assessed the healthcare needs, treatment objectives, and available resources for each patient.
- Provided education to patients, families, and caregivers on diagnosis, prognosis, treatment options, disease management, and lifestyle choices.
Eligibility Specialist
Prism Health North Texas
05.2018 - 12.2019
- Assisted patients with applying for medical services under the Ryan White Program and state pharmaceutical programs like ADAP, ensuring timely and accurate eligibility determinations.
- Collaborated with the IT department to provide input on system requirements, helping case managers expedite processes and enabling me to efficiently review and audit their work.
- My input increased the submission of patient applications from 60% to 90%, reducing eligibility errors and enhancing client satisfaction through clear communication and diligent follow-up.
- Verified insurance benefits and conducted pre-authorizations for patients with qualified health plans.
Behavior Intervention Specialist
Prism Health North Texas
04.2017 - 12.2019
- Administered traditional venipuncture and rapid HIV, syphilis, and Hepatitis C tests at Oak Cliff Clinic, serving as the first point of contact for clients testing positive.
- Collaborated with clients and physicians to track HIV-positive cases and ensure timely follow-up.
- Provided risk reduction counseling and assisted clients in scheduling follow-up appointments to prevent the spread of infections.
- Revamped an Excel worksheet to better capture data from colleagues, reducing data entry errors from 15% to 4%.
Research Fellow
TEXAS A&M UNIVERSITY
05.2016 - 12.2016
- Authored a literature review paper on the Social Determinants of Health of African American Women Using Technology for Measurable Outcomes Related to Health Issues.
- Implemented rigorous research methodologies and data analysis techniques to enhance the quality of studies and ensure scientific integrity throughout the research process.
- Maintained accurate records of experimental procedures, observations, and findings for transparent reporting in publications.
- Presented research posters at Student Research Week, Texas A&M University, and at the 3rd Annual Education and Health Disparities Symposium, Prairie View University. Submitted abstracts to the American Public Health Association (APHA), with approval to present.
Research Fellow
Columbia University, Mailman School of Public Health
05.2014 - 08.2014
- Selected from over 2,600 applicants for the CDC Summer Public Health Scholars Program, partnering with Columbia University and interning at Gay Men's Health Crisis (GMHC).
- Awarded a $3,000 research grant to design a project on health attitudes and behaviors regarding Pre-Exposure Prophylaxis (PrEP).
- Created a behavioral assessment survey for participants in the Public Housing Placement Program at GMHC.
- Collaborated on and presented research on the disproportionate impact of HIV on the transgender community.
- Gained hands-on experience in research design, grant writing, and navigating Institutional Review Board (IRB) guidelines.
Education
Nursing
Texas Tech University Health Sciences Center
Lubbock, TX12-2020
Community Health
Texas A&M University
College Station, TX05-2017
Skills
- Problem-solving
- Case management
- Time management
- Case documentation
- Case planning
- Organization and multitasking
- Active listening
- Care coordination
Certification
- Introduction to Python Programming from Penn Engineering
- CDC HIV Rapid Testing certified
- COVID-19 Contact Tracing certificate from Johns Hopkins University
- CPR and BLS certified from the American Heart Association
- Foundations of HIV Testing and Navigation from Texas Health and Human Services
- GLOBO Spanish Native Speaker certified
- Overdose Prevention (Rescue Kit) certified
- Mental Health First Aid certified
Languages
Spanish
Native or Bilingual
Timeline
Case Manager
Molina Healthcare
07.2024 - Current
PRN Staff Nurse
Cenikor Foundation
01.2024 - 04.2024
Registered Nurse Consultant
XBiotech
10.2023 - Current
Registered Nurse Care Manager
CommUnityCare Southeast Health & Wellness Center
04.2023 - 07.2024
Clinic Nurse
Vivent Health
02.2022 - 04.2023
Stepdown IMC Nurse
Dell Seton Medical Center
07.2021 - 02.2022
Eligibility Specialist
Prism Health North Texas
05.2018 - 12.2019
Behavior Intervention Specialist
Prism Health North Texas
04.2017 - 12.2019
Research Fellow
TEXAS A&M UNIVERSITY
05.2016 - 12.2016
Research Fellow
Columbia University, Mailman School of Public Health
05.2014 - 08.2014
Nursing
Texas Tech University Health Sciences Center
Community Health
Texas A&M University
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