Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Languages
references
References
Timeline
Hi, I’m

Francisco Lopez

McAllen,TX
Francisco Lopez

Summary

Accomplished Case Manager adept at handling high caseloads without sacrificing quality of care. Operates exceptionally well in high-pressure environments. Recommends best resources and courses of action to benefit patient needs and return each to optimal quality of life.

Overview

18
years of professional experience
1
Certification

Work History

Molina Healthcare
Edinburg, TX

Case Manager/Transition Coach/Supervisor
08.2016 - 12.2023

Job overview

  • Provided referrals to appropriate health care providers or other community resources.
  • Monitored client progress through regular follow-up contacts.
  • Monitored and kept meticulous records of patient treatment plans and response of patient to medication.
  • Advocated for clients by obtaining information regarding treatment options and clinical status.
  • Recruited, interviewed and hired volunteers and staff.
  • Advised staff members on effective strategies for working with challenging client behaviors.
  • Acted as an advocate for vulnerable populations by advocating for policy changes at the state level.
  • Maintained logs and electronic client records following department and agency policies for effective monitoring.
  • Conducted home visits to assess the safety of living environments for clients.
  • Participated in regular team meetings and in-house training sessions to boost group effectiveness.
  • Coordinated support services and optimized communication between healthcare workers and patients.
  • Educated clients about mental health conditions, medications and self-care techniques.
  • Assessed and identified service delivery challenges and opportunities within local area.
  • Established and maintained relationships to meet community needs and avoid service duplication.
  • Maintained accurate case records and documentation according to agency guidelines.
  • Participated in interdisciplinary team meetings to discuss treatment options.
  • Implemented quality disciplinary and team building policies to foster staff satisfaction and productivity.
  • Communicated with legal services providers, social services agencies and local judicial systems regarding cases.
  • Determined organizational policies regarding program eligibility, requirements and benefits.
  • Implemented and evaluated staff, volunteer or training programs.
  • Developed individualized care plans with input from clients and their families.
  • Supported family members by providing information on local support groups.
  • Counseled clients on available resources within the community that could help meet their needs.
  • Consulted with staff on resolution of complex service issues.
  • Transitioned clients to different providers based on progress or needs.
  • Assisted individuals with eligibility for available benefits.
  • Provided crisis intervention support for clients in emergency situations.
  • Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
  • Coordinated transportation services for clients who lacked access to reliable transportation.
  • Collaborated with medical professionals to coordinate treatment plans for clients.
  • Linked clients with social services, health care providers and governmental agencies to help claim or reclaim individual autonomy.
  • Handled administrative procedures to meet objectives set by boards of directors or senior management.
  • Assessed clients' needs, developed service plans and monitored progress towards goals.
  • Adhered to ethical principles and standards to protect clients' confidential information.
  • Provided direct service and support by handling referrals for advocacy issues or resolving complaints.
  • Reviewed treatment plans against individual goals and healthcare standards.
  • Collaborated with healthcare team to improve care quality, reduce costs and gauge patient progress.
  • Participated in professional development activities related to case management best practices.
  • Compiled reports on cases and submitted them to supervisors as required.
  • Maintained updated knowledge through continuing education and advanced training.
  • Assisted with customer requests and answered questions to improve satisfaction.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Prioritized and organized tasks to efficiently accomplish service goals.
  • Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
  • Understood and followed oral and written directions.

Odyssey Home Health Care
Edinburg, TX

Home Health RN Case Manager
10.2014 - 08.2016

Job overview

  • Evaluated the effectiveness of interventions by monitoring changes in patient's condition or behavior over time.
  • Completed initial assessments of patients and family to determine and address individual home care needs.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
  • Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
  • Assessed patient needs and developed individualized care plans.
  • Advised families on how best to manage chronic illnesses at home.
  • Coordinated communication between all members of the healthcare team including primary care providers, specialists, family members, caregivers.
  • Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
  • Supported patients with activities of daily living and functional mobility to improve comfort and quality of life and reduce pain.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
  • Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
  • Utilized problem solving skills to assess complex medical situations and formulate appropriate interventions.
  • Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
  • Assisted with client personal care needs to foster independence and well-being.
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
  • Performed case management functions such as referrals to community resources or other healthcare providers as needed.
  • Maintained accurate documentation of assessments, treatments, medications, and progress notes in accordance with agency policies.
  • Administered oral, IV and intra-muscular medications and monitored patient reactions.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
  • Collaborated with physicians to develop treatment plans that met the needs of each patient.
  • Provided emotional support for patients experiencing difficult diagnoses or transitions from hospital to home setting.
  • Adapted teaching methods based on individual learning styles while providing education on disease processes and self-management strategies.

A Healthy Living Home Health
Donna, TX

Home Health RN Case Manager
06.2014 - 09.2014

Job overview

  • Evaluated the effectiveness of interventions by monitoring changes in patient's condition or behavior over time.
  • Completed initial assessments of patients and family to determine and address individual home care needs.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
  • Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
  • Assessed patient needs and developed individualized care plans.
  • Advised families on how best to manage chronic illnesses at home.
  • Coordinated communication between all members of the healthcare team including primary care providers, specialists, family members, caregivers.
  • Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
  • Supported patients with activities of daily living and functional mobility to improve comfort and quality of life and reduce pain.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
  • Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
  • Utilized problem solving skills to assess complex medical situations and formulate appropriate interventions.
  • Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
  • Assisted with client personal care needs to foster independence and well-being.
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
  • Performed case management functions such as referrals to community resources or other healthcare providers as needed.
  • Maintained accurate documentation of assessments, treatments, medications, and progress notes in accordance with agency policies.
  • Administered oral, IV and intra-muscular medications and monitored patient reactions.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
  • Collaborated with physicians to develop treatment plans that met the needs of each patient.
  • Provided emotional support for patients experiencing difficult diagnoses or transitions from hospital to home setting.
  • Adapted teaching methods based on individual learning styles while providing education on disease processes and self-management strategies.

Taylor Home Health
McAllen, TX

Home Health RN Case Manager
09.2012 - 06.2014

Job overview

  • Evaluated the effectiveness of interventions by monitoring changes in patient's condition or behavior over time.
  • Completed initial assessments of patients and family to determine and address individual home care needs.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
  • Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
  • Assessed patient needs and developed individualized care plans.
  • Advised families on how best to manage chronic illnesses at home.
  • Coordinated communication between all members of the healthcare team including primary care providers, specialists, family members, caregivers.
  • Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
  • Supported patients with activities of daily living and functional mobility to improve comfort and quality of life and reduce pain.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
  • Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
  • Utilized problem solving skills to assess complex medical situations and formulate appropriate interventions.
  • Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
  • Assisted with client personal care needs to foster independence and well-being.
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
  • Performed case management functions such as referrals to community resources or other healthcare providers as needed.
  • Maintained accurate documentation of assessments, treatments, medications, and progress notes in accordance with agency policies.
  • Administered oral, IV and intra-muscular medications and monitored patient reactions.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
  • Collaborated with physicians to develop treatment plans that met the needs of each patient.
  • Provided emotional support for patients experiencing difficult diagnoses or transitions from hospital to home setting.
  • Adapted teaching methods based on individual learning styles while providing education on disease processes and self-management strategies.

CHARITY HOME HEALTH Inc.
McAllen, TX

RN Supervisor
01.2013 - 04.2014

Job overview

  • Developed and implemented policies to ensure the safety and well-being of patients, their families, and staff members.
  • Directed, supervised and evaluated medical, clerical or maintenance personnel.
  • Audited and completed charts, evaluations and medical forms.
  • Resolved conflicts among nursing staff in a timely manner while promoting positive working relationships.
  • Ensured that all documentation met legal requirements before submission.
  • Evaluated patient records regularly to identify opportunities for improvement in service delivery.
  • Assessed need for additional staff, equipment and services based on historical data and seasonal trends.
  • Enforced organization policies and exercised non-biased judgment while leading nursing staff in fiscally sound patient care, recordkeeping and professional communication.

Amistad Home Care Services
Pharr, TX

Home Health RN Case Manager
03.2012 - 09.2012

Job overview

  • Evaluated the effectiveness of interventions by monitoring changes in patient's condition or behavior over time.
  • Completed initial assessments of patients and family to determine and address individual home care needs.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
  • Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
  • Assessed patient needs and developed individualized care plans.
  • Advised families on how best to manage chronic illnesses at home.
  • Coordinated communication between all members of the healthcare team including primary care providers, specialists, family members, caregivers.
  • Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
  • Supported patients with activities of daily living and functional mobility to improve comfort and quality of life and reduce pain.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
  • Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
  • Utilized problem solving skills to assess complex medical situations and formulate appropriate interventions.
  • Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
  • Assisted with client personal care needs to foster independence and well-being.
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
  • Performed case management functions such as referrals to community resources or other healthcare providers as needed.
  • Maintained accurate documentation of assessments, treatments, medications, and progress notes in accordance with agency policies.
  • Administered oral, IV and intra-muscular medications and monitored patient reactions.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
  • Collaborated with physicians to develop treatment plans that met the needs of each patient.
  • Provided emotional support for patients experiencing difficult diagnoses or transitions from hospital to home setting.
  • Adapted teaching methods based on individual learning styles while providing education on disease processes and self-management strategies.

Essential Home Care Services
Weslaco, TX

Home Health RN Case Manager
03.2011 - 03.2012

Job overview

  • Evaluated the effectiveness of interventions by monitoring changes in patient's condition or behavior over time.
  • Completed initial assessments of patients and family to determine and address individual home care needs.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
  • Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
  • Assessed patient needs and developed individualized care plans.
  • Advised families on how best to manage chronic illnesses at home.
  • Coordinated communication between all members of the healthcare team including primary care providers, specialists, family members, caregivers.
  • Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
  • Supported patients with activities of daily living and functional mobility to improve comfort and quality of life and reduce pain.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
  • Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
  • Utilized problem solving skills to assess complex medical situations and formulate appropriate interventions.
  • Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
  • Assisted with client personal care needs to foster independence and well-being.
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
  • Performed case management functions such as referrals to community resources or other healthcare providers as needed.
  • Maintained accurate documentation of assessments, treatments, medications, and progress notes in accordance with agency policies.
  • Administered oral, IV and intra-muscular medications and monitored patient reactions.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
  • Collaborated with physicians to develop treatment plans that met the needs of each patient.
  • Provided emotional support for patients experiencing difficult diagnoses or transitions from hospital to home setting.
  • Adapted teaching methods based on individual learning styles while providing education on disease processes and self-management strategies.

In House Healthcare Services
Edinburg, TX

Home Health RN Case Manager
11.2009 - 03.2011

Job overview

  • Evaluated the effectiveness of interventions by monitoring changes in patient's condition or behavior over time.
  • Completed initial assessments of patients and family to determine and address individual home care needs.
  • Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
  • Assessed patient needs and developed individualized care plans.
  • Advised families on how best to manage chronic illnesses at home.
  • Coordinated communication between all members of the healthcare team including primary care providers, specialists, family members, caregivers.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
  • Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
  • Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
  • Utilized problem solving skills to assess complex medical situations and formulate appropriate interventions.
  • Assisted with client personal care needs to foster independence and well-being.
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
  • Performed case management functions such as referrals to community resources or other healthcare providers as needed.
  • Addressed patient care needs, collected vitals, dressed wounds and managed catheters.
  • Maintained accurate documentation of assessments, treatments, medications, and progress notes in accordance with agency policies.
  • Administered oral, IV and intra-muscular medications and monitored patient reactions.
  • Collaborated with physicians to develop treatment plans that met the needs of each patient.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
  • Provided emotional support for patients experiencing difficult diagnoses or transitions from hospital to home setting.
  • Collaborated with health groups to plan or implement programs designed to improve overall health of communities.
  • Educated patients and families about treatments, medications, and self-care management techniques.

In Home Health Care Services Inc.
Weslaco, TX

Home Health RN Case Manager
05.2009 - 10.2009

Job overview

  • Evaluated the effectiveness of interventions by monitoring changes in patient's condition or behavior over time.
  • Completed initial assessments of patients and family to determine and address individual home care needs.
  • Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
  • Assessed patient needs and developed individualized care plans.
  • Advised families on how best to manage chronic illnesses at home.
  • Coordinated communication between all members of the healthcare team including primary care providers, specialists, family members, caregivers.
  • Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
  • Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
  • Utilized problem solving skills to assess complex medical situations and formulate appropriate interventions.
  • Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
  • Performed case management functions such as referrals to community resources or other healthcare providers as needed.
  • Addressed patient care needs, collected vitals, dressed wounds and managed catheters.
  • Maintained accurate documentation of assessments, treatments, medications, and progress notes in accordance with agency policies.
  • Administered oral, IV and intra-muscular medications and monitored patient reactions.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
  • Adapted teaching methods based on individual learning styles while providing education on disease processes and self-management strategies.
  • Educated patients and families about treatments, medications, and self-care management techniques.
  • Conducted regular re-evaluations to address changes in needs and conditions, and introduced revisions to care plans.
  • Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
  • Assisted patients with activities of daily living and functional mobility to increase comfort and quality of life.
  • Recognized when a change in condition warrants further evaluation or intervention and took appropriate action.

Amigo Home Health Agency
McAllen, TX

Home Health RN Case Manager
05.2007 - 05.2009

Job overview

  • Participated in interdisciplinary team meetings to discuss treatment options.
  • Conducted home visits to assess the safety of living environments for clients.
  • Supported family members by providing information on local support groups.
  • Educated clients about mental health conditions, medications and self-care techniques.
  • Researched and analyzed community needs to determine program directions and goals.
  • Coordinated transportation services for clients who lacked access to reliable transportation.
  • Transitioned clients to different providers based on progress or needs.
  • Monitored and kept meticulous records of patient treatment plans and response of patient to medication.
  • Facilitated communication between clients, families, caregivers, social services and other agencies to ensure client needs were met.
  • Advocated for clients by obtaining information regarding treatment options and clinical status.
  • Assisted individuals with eligibility for available benefits.
  • Provided crisis intervention support for clients in emergency situations.
  • Coordinated support services and optimized communication between healthcare workers and patients.
  • Reviewed treatment plans against individual goals and healthcare standards.

Doctors Hospital at Renaissance Health System
Edinburg, TX

Cath Lab Registered Nurse
02.2006 - 05.2007

Job overview

  • Administered medications during procedures to reduce problems from anxiety, blood pressure and other conditions.
  • Performed sterile technique for catheterization laboratory and maintained a clean work environment.
  • Provided emotional support to patients undergoing stressful medical procedures through effective communication skills.
  • Administered oral, IV and intra-muscular medications and monitored patient reactions.
  • Tracked oxygenation, blood pressure and heart rate during procedures.
  • Instructed new personnel on proper use of cath lab equipment and safety protocols.
  • Performed equipment troubleshooting and maintenance as needed per department protocol.
  • Identified potential complications associated with invasive cardiovascular procedures and took appropriate action to intervene when necessary.
  • Administered medications to patients pre-procedure and monitored vital signs during procedure.
  • Provided patient education on post-operative care instructions prior to discharge.
  • Evaluated lab results and communicated findings to physicians in a timely manner.
  • Acted as preceptor for new employees providing orientation on departmental policies, procedures and standards of practice.

Education

South Texas Community College
McAllen, TX

Associate Degree in Nursing from Biology
10.2005

University of Texas Pan American
Edinburg, TX

Some College (No Degree) from Biology

PSJA High School
San Juan, TX

High School Diploma
05.1986

Skills

  • Performance Tracking
  • Client Advocacy
  • Care Coordination
  • Health History Documentation
  • Discharge Planning
  • Family Education
  • Case Management
  • Referral Coordination
  • Needs Assessment
  • Records Management
  • Regulatory Compliance
  • Community Outreach
  • Patient Support
  • Utilization Review
  • Chronic Disease Management
  • Case Management Tracking
  • Staff Management
  • Crisis Intervention
  • Family Education Programs
  • Home Visits and Inspections
  • Cross-Functional Collaboration
  • Documentation and Reporting
  • Patient Assessments
  • Patient Management
  • Interdisciplinary Collaboration
  • Direct Patient Care
  • Community Resources
  • Patient Needs Assessment
  • Data Entry and Analysis
  • MS Office
  • Problem-Solving
  • Decision-Making
  • Email and Telephone Etiquette
  • Progress Evaluations
  • Case Planning
  • Utilization Management
  • Annual Case Reviews
  • Intervention Plans
  • Patient Assessment
  • Resource Identification
  • Conflict Resolution
  • Documentation Proficiency
  • Indirect Patient Care
  • Progress Evaluations Understanding
  • Organization and Multitasking
  • Positive Attitude

Affiliations

  • Kuk Sool Won Black Belt
  • Certified Soccer Trainer (under 18)

Certification

  • Rn license 722653

Languages

English
Native/ Bilingual
Spanish
Native/ Bilingual

references

  • Rudy Davila 6705 N 25th street, McAllen, Tx. 78504 956 331 9114
  • Juan Valle 3309 E Jarilla Avenue Hidalgo Tx., 78557 956 638 6390

References

References available upon request.

Timeline

Case Manager/Transition Coach/Supervisor

Molina Healthcare
08.2016 - 12.2023

Home Health RN Case Manager

Odyssey Home Health Care
10.2014 - 08.2016

Home Health RN Case Manager

A Healthy Living Home Health
06.2014 - 09.2014

RN Supervisor

CHARITY HOME HEALTH Inc.
01.2013 - 04.2014

Home Health RN Case Manager

Taylor Home Health
09.2012 - 06.2014

Home Health RN Case Manager

Amistad Home Care Services
03.2012 - 09.2012

Home Health RN Case Manager

Essential Home Care Services
03.2011 - 03.2012

Home Health RN Case Manager

In House Healthcare Services
11.2009 - 03.2011

Home Health RN Case Manager

In Home Health Care Services Inc.
05.2009 - 10.2009

Home Health RN Case Manager

Amigo Home Health Agency
05.2007 - 05.2009

Cath Lab Registered Nurse

Doctors Hospital at Renaissance Health System
02.2006 - 05.2007

South Texas Community College

Associate Degree in Nursing from Biology

University of Texas Pan American

Some College (No Degree) from Biology

PSJA High School

High School Diploma

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Francisco Lopez