Ester Rodriguez Montano
Summary
Seeking position as Registered Nurse that allows me to use my clinical knowledge, experience in a vast variety of clinical areas. I possess exceptional communication skills in English and Spanish. I have a team oriented mind set to elevate patient care and support the organization.
Knowledgeable Occupational Health Nurse with strong background in occupational health nursing. Successfully implemented health programs and conducted thorough risk assessments. Demonstrated proficiency in patient care and regulatory compliance, ensuring safe and healthy workplace.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Occupational Health Nurse
Cheyenne Regional Medical Center
06.2024 - Current
- Liaised between employees with health concerns and supervisors, maintaining medical confidentiality to communicate work status and coordinate return to work accommodations.
- Reduced workplace injuries by conducting thorough risk assessments and recommending appropriate safety measures.
- Maintained detailed records of employee health data, ensuring compliance with privacy regulations and facilitating data-driven decision making on workplace wellness initiatives.
- Conducted regular health screenings to detect potential health issues early, improving overall workforce wellbeing.
- Enhanced employee productivity by providing prompt and effective medical care for work-related illnesses and injuries.
- Promoted high level of service to every individual while observing confidentiality rules and company regulations.
- Improved employee health by implementing comprehensive wellness programs and initiatives.
- Facilitated communication between employees and management regarding occupational health concerns, promoting an open dialogue around workplace safety issues.
- Developed return-to-work plans tailored to individual needs that expedited recovery time after illness or injury.
- Developed targeted injury prevention programs through careful analysis of incident trends, leading to fewer workplace accidents.
- Assisted with accident investigation program to identify root cause of incidents and near-misses.
- Educated all employees on flu symptoms, illness prevention, benefits of good hygiene and smoking cessation programs.
- Employed nursing skills to evaluate patient care needs, prioritize treatment and maintain patient flow.
- Streamlined the workers'' compensation process, ensuring timely payments and proper medical treatment for injured employees.
- Coordinated with external healthcare providers to ensure seamless continuity of care for employees receiving treatment outside the workplace.
- Provided ongoing health education to employees, fostering a culture of wellness and selfcare.
- Collaborated with interdisciplinary teams to create comprehensive employee wellness programs that addressed physical, mental, and emotional health.
- Collaborated with physicians or other licensed practitioners to arrange further medical treatment.
- Collaborated with management to develop policies for maintaining a safe and healthy work environment, resulting in decreased absenteeism.
- Provided individualized medical counseling for employees and coordinated examination requirement activities.
- Analyzed organizational ergonomics for optimal workstation design that reduced strain-related injuries.
- Delivered array of employee health services at company, which included health screenings and immunizations.
- Leveraged approved medical, nursing and statistical formats to maintain accurate clinical records.
- Provided guidance on proper use of personal protective equipment, significantly reducing the risk of exposure to hazardous materials.
- Served as a resource for employees experiencing personal or family health issues, offering guidance on available resources and support services.
- Managed immunization campaigns, significantly reducing the spread of communicable diseases within the company.
- Led first aid training sessions to increase emergency preparedness among staff members.
- Utilized well-honed communication and active listening skills to conduct pre-employment screenings.
- Implemented stress-reduction interventions at the workplace, contributing to improved mental well-being among staff members.
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
- 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.
- Evaluated patient histories, complaints, and current symptoms.
- Recorded details regarding therapies to keep patient charts updated.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Educated family members and caregivers on patient care instructions.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Worked with healthcare team to develop new dialysis treatment flow sheet and other log forms, improving clinical documentation and accountability.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
- Investigated and resolved issues affecting hospital operations and patient care.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
- Monitored patient reactions after administering medications and IV therapies.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Managed patients recovering from medical or surgical procedures.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
Healthcare Consultant
CVS Aetna Better Health of Florida (Contract)
01.2024 - Current
- The RN Case Manager is responsible for telephonically and/or face to face assessment, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness.
- Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration.
- Applies clinical judgement to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of members issues.
- Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
- Reviews prior claims to address potential impact on current case management and eligibility.
- Assessments include the member's level of work capacity and related restrictions/limitations.
- Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality.
- Consults with supervisor and other in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.
- Utilizes case management processes in compliance with regulatory and company policies and procedures.
Tricare Utilization Review Nurse
Tricarepatient Utilization Review NursTricareNurse
02.2023 - 06.2023
- Provides first level RN review for all outpatient and ancillary prior authorization requests for medical appropriateness and medical necessity using appropriate criteria, referring those requests that fail review to the medical director for second level review and determination
- Completes data entry and correspondence as necessary for each review.
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- Assessed patient medical records to determine the appropriateness of requested services and procedures.
- Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
- Provided education to providers regarding utilization management processes and protocols.
- Collaborated with multidisciplinary teams on developing strategies for improving care quality and controlling costs.
- Evaluated clinical documentation for accuracy and completeness in order to make decisions about coverage determinations.
- Monitored pre-authorization requests to ensure that all necessary information was received prior to approval or denial of services.
- Developed case management plans based on individual patient needs and eligibility criteria.
- Participated in provider meetings to discuss cases involving complex medical conditions or difficult authorization decisions.
- Determined medical necessity and cost-effectiveness of services through utilization review processes.
- Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations.
- Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
Utilization Review Nurse
New Century Health
05.2019 - 11.2022
- Utilization Nurse clinical reviewer/Utilization management.
- Assessed patient medical records to determine the appropriateness of requested services and procedures.
- Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
- Provided education to providers regarding utilization management processes and protocols.
- Collaborated with multidisciplinary teams on developing strategies for improving care quality and controlling costs.
- Evaluated clinical documentation for accuracy and completeness in order to make decisions about coverage determinations.
- Reviewed denial letters issued by insurance companies to ensure that they were appropriate and timely.
- Monitored pre-authorization requests to ensure that all necessary information was received prior to approval or denial of services.
- Maintained up-to-date knowledge of health plan benefits, policies, procedures, regulations, coding guidelines.
- Performed discharge planning including referrals for post-acute care services when appropriate.
- Participated in provider meetings to discuss cases involving complex medical conditions or difficult authorization decisions.
- Identified opportunities for improvement within the utilization review process through data analysis.
- Attended conferences and training sessions related to utilization review topics such as best practices or new technologies.
- Determined medical necessity and cost-effectiveness of services through utilization review processes.
- Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations.
- Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
- Referred cases to secondary review for failure to meet criteria.
Nurse Case Manager
United Health Care Military and Veterans
05.2017 - 12.2018
- Coordinate, or provide appropriate levels of care under the direct supervision of an MD
- Function is responsible for clinical operations and medical management activities across and continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating)
- This includes case management coordination of care, and medical management consulting
- Function also includes providing health education, coaching and treatment decision support of beneficiaries.
Nurse Case Manager
United Healthcare Military & Veterans
05.2017 - 05.2018
- Coordinate, or provide appropriate levels of care under the direct supervision of an MD
- Function is responsible for clinical operations and medical management activities across and continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating)
- This includes case management coordination of care, and medical management consulting
- Function also includes providing health education, coaching and treatment decision support of beneficiaries.
University of Miami
Sylvester Comprehensive Cancer Center
05.2007 - 12.2017
- Provided primary care to patients, including diagnosis and treatment of illnesses.
- Assessed patient health by interviewing patients, performing physical examinations, and ordering lab tests.
- Educated patients about health maintenance, disease prevention, and lifestyle changes.
- Monitored patient progress and provided appropriate follow-up care.
- Prescribed medications according to established protocols.
- Instructed patients on proper use of medications and monitored effectiveness of treatments.
- Coordinated with other healthcare providers to ensure optimal patient outcomes.
- Maintained accurate medical records for all patients utilizing electronic medical record systems.
- Developed individualized plans of care based on assessment findings and physician orders.
- Participated in interdisciplinary teams to develop comprehensive plans of care for each patient's needs.
- Provided compassionate support to families facing difficult decisions regarding end-of-life issues.
- Referred patients to specialists or other healthcare professionals as needed for further evaluation or treatment.
- Counseled patients on healthy lifestyle choices such as nutrition and exercise habits.
- Assisted physicians during exams, procedures, and surgeries as necessary.
- Demonstrated sensitivity when working with diverse populations from various cultural backgrounds.
- Reached out to patients to convey lab results and provide care instructions.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
Education
MSN in Adult Gerontology Primary Care Nurse Practitioner -
Grand Canyon University
03.2024
BACHELORS OF SCIENCE in NURSING -
NOVA SOUTHEASTERN UNIVERSITY
Miami, FL05.2016
Skills
- CASE MANAGEMENT (10 years)
- Utilization Review (6 years)
- HEALTHCARE (Less than 32 year)
- ONCOLOGY (10 years)
- RN
- Home Health
- Personal Injury
- Counseling
- Documentation
- Management
- Mental Health
- Microsoft Office
- Problem solving
- Nursing
- Primary Care Experience
- Nurse Management
- Medication Administration
- Microsoft Excel
- Discharge planning
- Spanish
- Motivational interviewing
- Triage
- DoD Experience
- Epic
- ICU Experience
- Utilization review
- Outpatient Care
- Inpatient Care
- Communication
- Utilization Management
- Documentation And Reporting
- Home Health Care
- Interpersonal and written communication
- Insurance Verification
- Medicaid knowledge
- Performing assessments
- HIPAA Compliance
- Patient Care Plans
- Needs Assessment
- Palliative Care
- Quality Improvement
- Records analysis
- Nursing Consultation
- Direct Patient Care
- Surgical Assistance
- Wound Care
- Rehabilitation Assistance
- Student Precepting
- Instrument Sterilization
- Case Management
- Treatment Preparation
- Vitals monitoring
- Patient Examination
- Care Coordination
- Infection Control
- Collecting vitals
- Medication and IV administration
- Patient Care Assessment
- Task Prioritization
- Blood Draw and Sample Collection
- Crisis Prevention Intervention (CPI)
- Diabetes management
- Problem-solving aptitude
- Teamwork and Collaboration
- Critical Thinking
- Excellent Communication
- Reliability
- Effective Communication
- Professional Demeanor
- Colostomy care familiarity
- Compassionate and Caring
- Accurate Documentation
- Geriatric treatment knowledge
- Patient Education
- Safety Protocols
- Workplace safety
- Hazard identification
- Clinical judgment
- Immunization administration
- Hearing conservation
- Infection control
- Health promotion
- Preventive care
- Medical record-keeping
- Care planning
- Confidentiality practices
- Injury prevention
- Program management
- Interdisciplinary collaboration
- Regulatory compliance
- Industrial hygiene
- Drug testing
- Ergonomic assessments
- Biological monitoring
- Educational materials
- Injury assessment
- Injury management
- Occupational health regulations
- Chemical exposure monitoring
- Fitness-for-duty evaluations
- Employee wellness programs
- Restricted duty planning
- First aid administration
- Return to work coordination
- Healthcare policy compliance
- Disability management
- Vision screening
- Individualized medical counseling
- Injury evaluation
- Nursing care
- Occupational health protocol
- Employee health programs
- Collaborative care
- Employee health services
- Health surveillance
- Disability treatment
- Respiratory protection
- Teamwork
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking
- Compassionate and caring
- Multitasking Abilities
- Basic life support
- Excellent communication
- Critical thinking
- Strong clinical judgment
- Direct patient care
- CPR certification
- Organizational skills
- Team collaboration
- Active listening
- Effective communication
- Adaptability and flexibility
- Creative problem solving
- Decision-making
- Dementia care
- Patient and family advocacy
- Patient care assessment
- Patient education
- Certified in CPR/AED
- Monitoring vital signs
- Electronic health records
- Relationship building
- Clinical documentation
- Blood draw and sample collection
- Physical assessment
- Clear patient communication
- Microsoft office
- Wound care
- Pain management
- Critical care nursing
- Intravenous therapy
- Team building
- Safety protocols
- Delegation and motivation
- Task prioritization
- Self motivation
- Advanced cardiovascular life support (ACLS)
- Medication administration
- Patient condition monitoring
- CPR/AED
- Accurate documentation
- Interpersonal skills
- Analytical thinking
- Care coordination
- Goal setting
- Quality improvement
Certification
- Certified Case Manager
- Nurse case manager
- Legal nurse consultant
- BLS/CPR / ACLS
- AED Certification
- RN License
- 701B Certification
- 701T Certification
Additional Information
- SKILLS & ABILITIES Registered Nurse
- Highly skilled professional with more than twenty years' clinical experience in hospital, home health, Utilization review, case management, and primary care environments, Charge Nurse, Nurse Manager, Office lead Nurse.
- Established in Oncology for over ten years. Patient support including: assessment, counseling, education, teaching, review of treatment plan; medication management and administration. Review of patient care plan, triage and management of symptoms with collaboration of other healthcare team members. Initiate and follow up on prior authorization for chemotherapeutic agents and follow through with utilization review of indicated diagnostic testing. Perform head to toe assessment during patient monthly visit, reinforce or initiate new patient teaching, review medication side effects, and coordinate diagnostic testing.
- Proficiency in all areas of major and minor surgical procedures performed in hospital, in-patient, outpatient environment Previous CNA, LPN experience.
- Fluent in Spanish and English (speak/write)
- Exceptional emotional intuitiveness QUALIFICATIONS
- United States citizenship LICENSES/CERTIFICATE
- Registered Nurse Florida RN9305309
- Registered Nurse Wyoming RN40831
- Certified Case Manager (CCM) 4233459
- 701B Certification
- 701T Certification
- Department of Defense NAC clearance.
Languages
Spanish
Native/ Bilingual
Personal Information
Work Permit: Authorized to work in the US for any employer
References
References available upon request.
Certifications
Registered Nurse
RN 9305309 Compact
COHN
Certified Case Manager
Legal Nurse Consultant
BLS/CPR/ACLS
AED Certified
Medicare/Medicaid 701B Certification
Medicare/Medicaid 701T Certification
Timeline
Occupational Health Nurse
Cheyenne Regional Medical Center
06.2024 - Current
Healthcare Consultant
CVS Aetna Better Health of Florida (Contract)
01.2024 - Current
Tricare Utilization Review Nurse
Tricarepatient Utilization Review NursTricareNurse
02.2023 - 06.2023
Utilization Review Nurse
New Century Health
05.2019 - 11.2022
Nurse Case Manager
United Health Care Military and Veterans
05.2017 - 12.2018
Nurse Case Manager
United Healthcare Military & Veterans
05.2017 - 05.2018
University of Miami
Sylvester Comprehensive Cancer Center
05.2007 - 12.2017
BACHELORS OF SCIENCE in NURSING -
NOVA SOUTHEASTERN UNIVERSITY
MSN in Adult Gerontology Primary Care Nurse Practitioner -
Grand Canyon University
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