EDUARDO NIETO

•Perform initial in-home pre-evaluation of patients that includes evaluation of health status, strengths, care needs, and preferences and guides the development of individualized long term care service plans

•Review consumer medical documentation and or health referral forms, as relevant to the case

•Enter evaluation data into electronic evaluation form and transmit, as required

•Document any concerns, conflicting information, other issues that surface during the evaluation process

•Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan

•Discuss with consumer on health care options, supports needed, service vendor options and waiver options

•Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan

•Enhance communication and collaborative relationships with interdisciplinary care team members to improve care coordination and facilitate service delivery

•Collect quality review data and any required documentation to support outcome measurements and record case notes into CRM

•Identify opportunities for health promotion and illness prevention

•Maintain a comprehensive working knowledge of community resources, payor requirements, and network services for target population

•Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.

•Performs other duties as may be assigned by the Regional Nurse Manager or other project management.

• Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
• Monitored and managed various treatment and care interventions.
• Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
• Recorded patient condition, vital signs, recovery progress and medication side effects.
• Administered medications, tracked dosages and documented patient conditions.
• Maintained thorough, accurate and confidential documentation in electronic medical records.
• Advocated for patients by supporting and respecting basic rights, values and beliefs.
• Trained and mentored new RNs on best practices, hospital policies and standards of care.
• Oversaw patient admission and discharge processes to coordinate related paperwork.

• Screened patients for issues and eye diseases, checking visual acuity, color plates, pupil dilation and papillary function.
• Promoted healing and patient satisfaction by delivering detailed instructions for pre- and post-op eye care to patients as directed by physicians.
• Addressed issues noted during preliminary examinations with physician to provide important information and boost appointment success.
• Led patients to exam rooms, collected medical histories and asked questions regarding health and current medications to provide physicians with optimal initial data.
• Checked inventory levels and ordered supplies, medications and materials to meet expected demand.
• Maintained smooth patient flow throughout facility, promoting efficient overall operations.
• Leveraged strong interpersonal, communication and collaboration skills to relate successfully to diverse individuals, including patients and staff, on daily basis.
• Delivered an exceptional level of service to each customer by listening to concerns and answering questions.
• Effectively controlled the release of proprietary and confidential information for general client lists.
• Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
• Supported [ADMINISTRATIVE PROCESS ] in operational improvements and resolution of [ANY ] problems to deliver top-notch customer service.
• Monitored multiple databases to keep track of all company inventory.
• Developed exceptional attendance record with special attention to punctuality and preparation to work upon arrival.