Compassionate and detail-oriented Registered Nurse with over a decade of combined experience in clinical, administrative, and public health settings. Proven ability to deliver high-quality patient care across diverse environments, including refugee health programs, COVID-19 initiatives, mental health, and acute care units. Skilled in conducting health assessments, administering immunizations, managing patient records, and delivering culturally sensitive health education. Background also includes over 15 years in healthcare office management with strong expertise in medical billing, insurance claims, and staff supervision. Bilingual in English and Spanish, with a commitment to patient advocacy, health equity, and team collaboration.
Overview
31
31
years of professional experience
Work History
OPS RN
Florida Department of Health
06.2022 - 04.2025
OPS (temporary) Registered Nurse (RN) position with the Department of Health and functioning as a Registered Nurse Specialist providing screening and preventative services independently to people arriving in Broward County from other countries, per the Refugee Health Program guidelines and RN Standard of Care Protocols.
Perform Health Assessments and Clinical Laboratories. Provide adult immunizations in a fast-paced environment.
Assess, plan, and manage client care based on physical and laboratory findings in accordance with established procedures and protocols. Evaluate and interpret lab results. Complete appropriate referrals as needed.
Compile and evaluate patient’s health history, physical findings, and if necessary, initiate further diagnostic laboratory tests.
Review Overseas Visa Medical Exam (OVME) records and Historical Vaccination Records.
Provide an introduction and education into the US health systems. Health education.
Initiate treatment under a physician’s supervision or within the limits of established protocols.
Provide nursing duties in the clinical and case management settings as assigned.
Document all observations findings and actions in the HMS database following established procedures while always maintaining strict confidentiality.
Provide culturally and linguistically appropriate health orientation and education for all newly arrived refugees, asylees and other ORR (office of refugee resettlement) eligible immigrants.
Maintain communication with the program manager advising on status of clients. Strengthen collaborative relationships with refugee resettlement agencies and local health care providers to ensure that newly arrived refugees, asylees and other ORR eligible immigrants understand and utilize the U.S. health care system.
OPS RN
Florida Department of Health
08.2021 - 06.2022
OPS (temporary) Registered Nurse (RN) position with the Department of Health and functioning as an RN for the COVID-19 Initiative. Playing an important role in managing a health crisis, being the vital link between the patient and the rest of the health care team. Providing direct patient services at DOH Broward County relating to events in any COVID critical needs areas, including but not limited to COVID Gold Standard PCR testing.
The Cue COVID-19 test detects SARS-CoV-2 nucleic acid in nasal specimens, providing results in about 20 minutes by using a mobile smart device installed with the Cue Mobile application and collecting bilateral direct nasal swab samples using the Cue Sample wand.
Performing COVID-19 screening and explaining COVID-19, principles of exposure, infectious period, high-risk interactions, symptoms of disease, and prevention and control interventions.
Testing provided by the walk-up approach at the DOH’s South Regional Health Care Center.
Obtained identifying information on patients.
Assisted with record preview and review.
Prepared test kit and administered test.
Knowledgeable of PPE practices on (don) and remote (doff) per company protocol.
Maintained a record of work performed and other reports as required.
Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
OPS RN
Florida Department of Health
05.2021 - 08.2021
OPS (temporary) Registered Nurse (RN) position with the Department of Health and functioning as an RN for the COVID-19 Initiative. The COVID-19 vaccine is an important mitigation measure to stop the spread of the pandemic. OPS COVID Vaccine Registered Nurse position administering vaccinations and performing other tasks to support the Florida Department of Health with vaccination efforts in Broward County.
Prepares station for vaccinating process.
Assists in preparing the vaccine for administration.
Educates patients about COVID-19 vaccination.
Validates patient ID and health history tracking for each vaccine dose.
Administers COVID-19 vaccinations and provides patient care as needed, under the supervision of the Vaccination Operations Manager.
Monitors patients who receive COVID-19 vaccination for adverse events as needed.
Maintains clinical standards and all infectious disease practices according to protocols.
Follows current guidelines, regulations, requirements and best practices on COVID-19 vaccinations and mitigation practice.
OPS RN
Florida Department of Health
12.2020 - 05.2021
OPS (temporary) Registered Nurse (RN) position with the Department of Health and functioning as an RN for the COVID-19 Initiative. Playing an important role in managing a health crisis, being the vital link between the patient and the rest of the health care team, and contributing to dealing with the pandemic being unparalleled.
Providing direct patient services at DOH -Broward County relating to events on any of the COVID critical need areas, including but not limited to COVID Gold Standard PCR testing.
Performing COVID-19 screening by swabbing and collecting oral throat mucosa samples and explaining COVID-19, principles of exposure, infection, infectious period, high-risk interactions, symptoms of the disease, and prevention and control interventions
Testing is provided using a curbside or walk-up approach.
Knowledgeable of PPE practices on (don) and remote (doff) per company protocol.
Obtained identifying information on patients.
Prepared test kit and administered test.
Transmitted non-complex health information and instructions.
Assisted with record preview and review.
Assisted in conducting health screenings.
Maintained a record of work performed and other reports as required.
RN
Evolutions Treatment Center
08.2020 - 11.2020
Providing support to patients dealing with mental health and substance abuse disorders.
Assessing patient’s condition, implementing treatment plans, educating patients on their conditions.
Providing emotional support, administering medications, monitoring physical conditions and then documenting the nursing care, and reporting to detox specialists.
Maintaining effective communication with patients, families, and members of the health care staff
Providing documentation, preparing reports and maintain patient/client records using Sunwave EMR for documentation.
Reporting symptoms, reactions and progress of patient to clinical supervisor and or charge nurse and appropriate action has been taken
Initiating changes to improve patient care, discussing with doctors when appropriate
Participating in defining, interpreting and implementing standards, policies and procedures which affect the delivery of nursing care services.
Participating in regular in-services/training.
Knowledge of DCF and TJC standards within the department.
Adhering to all state and federal privacy regulations, including HIPPA and 42 CFR part 2, and to policies and agreements regarding confidentiality, privacy and security
Abiding by State and Federal statutes regarding patient confidentiality laws
Providing medication management and monitoring adherence
RN Orientee
DCH Regional Medical Center
04.2020 - 07.2020
Department: Acute Care Nursing; 5 North specialty unit for congestive heart failure and acute stroke patients and partial COVID floor
Planned, coordinated and directed quality, compassionate care by maintaining standards of professional nursing practice and creating positive therapeutic relationships with patients/families.
Assessed condition on each assigned patient on admission and on an ongoing basis to include but not limited to the patient’s physical condition, psychological status, social status, spiritual and cultural needs, pain assessment/management, nutritional and functional status, developmental or age-related factors, and discharge planning needs.
Planned, provided, and documented patient and/or significant other education based on physical, behavioral, psychological, developmental, and age-related factors, after identifying barriers to learning.
Evaluated and regularly reevaluated patient care; coordinated care planning with patient, family, providers and other disciplines to achieve patient-centered outcomes.
Assigned and delegated nursing care to team members in accordance with the patient’s needs and the capabilities of the team members.
Applied safety principles when performing care and accurately documented observations, care provided and changes in care plan.
Participated in transition rounds, care planning/problem identification and team shift reports.
Supervised LPNs, PCAs, PCAs/US, US, Ortho Techs and other non-licensed staff.
Child Support Case Worker - Enforcement Division
Miami Dade Office of the State Attorney, 11th Judicial Circuit
01.2006 - 01.2008
Use multiple computer programs at once to research, provide information, manage and update electronic case files; reviews and ensures quality control of inputted information and data for accuracy, and administers audits as required
Process legal documents such as summons, bench warrants, wage attachments, liens, default judgments, complaints, motions, and orders, and prepare materials for trial, conferences, and findings of fact and conclusions of law according to an attorney's directions.
Explain family support laws and regulations, and assist customers in completing forms
Assess customer needs, providing information on their accounts, and/or referring them to in-house specialized services and/or community services offered by partnering agencies.
Communicates in person, by telephone, or in writing with customers, out-of-state agencies, attorneys, and local businesses to obtain and provide information.
Interviews involved parties to confirm facts, verify data, and locate persons and financial assets.
Reviews financial assets to determine the ability to pay child support.
Examines cases and recommends modifications to existing child support obligations when needed.
Executes collection calls, written and/or in-person interactions to solicit child support payments and/or set up repayment plans on overdue accounts; provides advice on debt repayment policies and default consequences, including license suspensions.
Works in collaboration with local, state, and federal departments to obtain documentary evidence and other sensitive information
Office Manager
Jose H. Valladares, MD PA
01.1994 - 01.2006
Daily Insurance verification; individual company verification in addition to Availity, average 50 patients a day.
Posting each day’s charges daily for 2 physicians. Charges are posted accurately which had increased our insurance tier within my first six months.
Posting payments daily from patients and insurance companies. Ensuring that daily deposit is balanced with payments attached
Disputing denials with insurance companies by calling and resubmitting claims with corrected codes and/or medical records. Whatever is necessary to make sure claims are paid.
Reviewing outstanding claim history to clear and update accounts receivable from patients and insurance.
Paperless collection system to process third party insurance accounts as needed. Make necessary corrections to account, update patient demographic information, review ICD-9 and CPT 4 codes for correctness. Demand HCFA1500 insurance claim forms and submit to company as needed. Provides follow up on accounts until they are resolved. Reviews and processes insurance requests for refunds.
Reviewing with patients their insurance plans and coverage from PPO, POS and HMO.
Use the paperless collection system to process third party insurance accounts as needed. Make necessary corrections to account, update patient demographic information, review ICD-9 and CPT 4 codes for correctness. Demand HCFA-1500 insurance claim forms and submit to company as needed. Provides follow up on accounts until they are resolved. Reviews and processes insurance requests for refunds.
Assisting Physician with patient medical history and vitals, including reviewing medical prescriptions.
Making referral and follow up appointments for patients
Education
Associate Degree in Nursing -
Saber Nursing School
Miami, FL
01-2015
Associate Arts Degree -
Miami Dade College
Miami, FL
01-2004
Skills
Patient Assessment & Care Planning
Immunization Administration (Children & Adults)
Health Education & Preventive Care
Laboratory Evaluation & Interpretation
Case Management
Mental Health & Substance Abuse Nursing
Infection Control & Safety Protocols (PPE, HIPAA, Blood Pathogens)
Medical Terminology & Documentation
Electronic Medical Records (EMR) – Sunwave, HMS
ICD-9, ICD-10 Coding Knowledge
Multistate Registered Nurse License (RN9508538)
Practical Nursing License (Inactive - PN5209861)
Refugee & Asylee Health Screenings
Cultural & Linguistic Competence in Health Services
Coordination with Refugee Resettlement Agencies
Health Orientation for New Immigrants
Collaboration with Local, State & Federal Agencies