Fabiola DeMoraes
Apopka,FL
Summary
Adept at case management and critical thinking, I leveraged these skills at Optum to enhance client outcomes through effective care coordination and interdisciplinary collaboration. My tenure includes significant achievements in case documentation and utilizing MS Office for efficient operation, showcasing my ability to multitask and maintain a positive attitude under pressure.
Professional with strong background in case management, prepared to make significant impact. Proven ability to collaborate with teams and adapt to changing needs. Skilled in client assessment, resource coordination, and crisis intervention. Reliable and results-focused, with commitment to achieving positive outcomes.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Case Manager
Optum
09.2003 - Current
- Participated in team meetings to discuss case management strategies for individual cases.
- Educated clients on available community resources and how to access them effectively.
- Assisted clients with obtaining basic needs such as housing, food, clothing, transportation, employment assistance and medical care.
- Implemented case management plans, provided assessments, and offered counseling and support.
- Developed comprehensive assessment plans to evaluate client needs and develop appropriate interventions.
- Provided ongoing evaluation of client progress towards goals established in service plans.
- Conducted crisis intervention sessions with clients when needed.
Inpatient Hospice Nurse
Treasure Coast Hospice
04.2006 - 08.2009
- Actively participated in performance improvement activities designed to improve overall efficiency and effectiveness within hospice unit.
- Coordinated services with community agencies or organizations providing additional resources for the patient and family.
- Assessed physical, psychological, social, spiritual, cultural and environmental needs of patients.
- Utilized critical thinking skills for problem solving and decision making in a variety of clinical situations.
- Provided holistic and compassionate care to patients and families facing end-of-life experiences.
Home Health nurse
Nurse On call Home Health Svc
06.2003 - 04.2006
- Collected lab samples in home through venipuncture and finger stick, transporting specimens to lab.
- Coordinated referrals for additional services such as physical therapy or hospice care when needed.
- Managed caseload efficiently while maintaining high standards of professional practice.
- Collaborated with multidisciplinary team members to coordinate quality care for patients.
- Assessed client's functional status in order to identify areas that require intervention or assistance.
- Utilized critical thinking skills to assess patient's condition and develop individualized plan of care.
Clinical Intake coordinator
Optum
10.1999 - 09.2003
- Obtained authorizations from third party payers prior to administering tests or treatments.
- Actively participated in weekly meetings with clinical staff to discuss new policies and procedures.
- Created detailed reports regarding patient visits, diagnoses, treatments, medications, and other relevant information.
- Collaborated with various departments within the health system to facilitate seamless transitions between services.
- Developed comprehensive knowledge of clinical intake systems and processes.
Utilization Review Coordinator
Humana
02.1995 - 08.1999
- Compiled reports detailing findings from utilization reviews for submission to various stakeholders.
- Researched complex cases that require additional information prior to making final authorization decisions.
- Provided education on appropriate use of resources to ensure optimal care is being delivered according to accepted standards.
- Analyzed trends in utilization data to develop strategies for improved quality outcomes while reducing costs associated with unnecessary treatments.
- Successfully coordinated utilization review activities for a variety of healthcare providers in accordance with established policies and procedures.
Education
Bachelor of Science (B.S.) - Nursing
Miami Dade College
03.2012
Associate in Science (A.S.) - Nursing
Excelsior College
Albany, NY03.2010
Practical Nursing - Nursing
William T McFatter Technical College
Davie, FL03.1998
Skills
- Comprehensive case management
- Comprehensive case records
- Optimistic outlook
- Utilization oversight
- Effective care management
- Cross-functional teamwork
- Problem-solving skills
- Experienced in utilizing Microsoft Office applications
- Experience with compact licensure regulations
Certification
Certified Case Manager 2023-01-01
LANGUAGES
Spanish
Bilingual
Timeline
Inpatient Hospice Nurse
Treasure Coast Hospice
04.2006 - 08.2009
Case Manager
Optum
09.2003 - Current
Home Health nurse
Nurse On call Home Health Svc
06.2003 - 04.2006
Clinical Intake coordinator
Optum
10.1999 - 09.2003
Utilization Review Coordinator
Humana
02.1995 - 08.1999
Associate in Science (A.S.) - Nursing
Excelsior College
Practical Nursing - Nursing
William T McFatter Technical College
Bachelor of Science (B.S.) - Nursing
Miami Dade College