Gabriela Flores

Conduct onsite assessments for clients in the STAR PLUS Waiver Program for Superior Health Plan

• Conducted telehealth, onsite, and telephonic assessments with patients and caregivers to gather information for the Benefit Determination Assessment for Genworth Long Term Care Insurance.
• Conducted Telehealth and onsite Star Plus Program Assessment for Superior Health Plan HMO.
• Audited assessments from nurses and training done on specific forms for SHP assessments.

• Conducted initial and reassessments for Star Plus Assessments for Medicaid/Medicare clients with Superior Health Plan.
• Training done on new nurses, and helped audit charting.

• Case management of Medicaid/Medicare clients a caseload of about 60+ clients a month in the Community Based Alternative Program with Texas Department of Human Services.
• Onsite Assessments done, holistic care provided, provider services, home modifications, durable medical equipment, medication management, home health services, management of chronic care conditions, Assisted living services, advocate for any other health needs by clients.
• Resource Utilization Group certification every 2 yrs.
• Basic Life Support Certification every 2 years.

Rio Grande Regional Hospital

Medical Surgical RN from August 2004 until May 2005