Gloria Sepulveda
Lakeland
Summary
Registered Nurse with 28 years of experience in patient care across various healthcare environments. Skilled in case and utilization management, leveraging EMR systems such as Epic and Cerner to improve patient outcomes through evidence-based practices. Demonstrated ability to lead multidisciplinary teams in achieving patient care objectives. Bilingual in English and Spanish, recognized for strong communication and patient advocacy skills, seeking a remote position to utilize clinical expertise and enhance operational efficiency.
Overview
28
28
years of professional experience
1
1
Certification
Work History
RN Case Manager
HCA Brandon Hospital
Brandon
08.2025 - Current
- Facilitates patient care coordination and manages discharge planning within the hospital setting as an RN Case Manager.
- Collaborates closely with interdisciplinary teams to ensure smooth transitions of care and continuity for all patients.
- Advocates for patients by identifying and addressing care needs throughout their hospitalization.
- Applies clinical expertise to optimize resource utilization, resulting in improved patient outcomes.
RN Acute Case Manager / RN Acute Care Nurse
ChenMed / Dedicated Senior Lakeland Office
Lakeland
04.2022 - Current
- Manages transitions of care, discharge planning, and follow-ups for patients in priority hospitals, leading to increased patient satisfaction and more efficient care coordination.
- Develops individualized care plans in partnership with clinical staff, primary care providers, and transitional care physicians.
- Facilitates patient referrals, coordinates social services, and supports discharge planning alongside hospital case management teams.
- Advocates for patients by organizing treatment goal conferences and identifying post-hospital needs to enhance patient and family involvement in care decisions.
- Conducts advanced care planning and refers complex psychosocial cases to social workers as needed.
- Performs daily concurrent record reviews (ICD-10, InterQual) and provides staff training on resource utilization and discharge planning procedures.
- Participates in multidisciplinary huddles and morning conference calls to discuss patient treatment plans and contribute to cost management efforts.
- Provides coverage for Transition Care customer service calls, coordinates post-discharge follow-up appointments, and arranges patient transportation.
- Trains and mentors staff in EMR use and navigation of hospital systems.
RN Case Manager / Care Coordinator
Tampa General Hospital
Tampa
10.2015 - 04.2022
- Coordinates patient care and discharge planning across various units, including NICU, PICU, Pediatrics, Medical-Surgical, Neurosurgery ICU, MICU, Cardiology, Bariatric, Oncology, Palliative Care, COVID, Emergency, and Trauma.
- Reviews utilization for third-party payers, secures certifications, and optimizes reimbursement processes.
- Educates adult and pediatric patients and their families regarding post-discharge care and home treatment plans, supporting safe transitions and reducing readmission rates.
- Conducts InterQual record reviews to ensure compliance and manages appeals and denials for non-certifications as necessary.
- Coordinates post-discharge services, including Home Health, SNF, sub-acute facilities, specialized programs, and medical supplies.
- Serves as a trainer and preceptor for new employees, onboarding more than 15 staff members.
- Handles caseloads of up to 25 patients daily across multiple hospital units.
Field RN Case Manager
Signature Home Now
Lakeland
01.2014 - 01.2015
- Provides home care for adults after hospital discharge, focusing on post-operative education and chronic condition management.
- Monitors vital signs, manages central/arterial/PICC lines, and performs blood sampling, PT/INR, and glucose checks.
- Educates patients and families about medication administration and monitors for adverse reactions.
- Documents change in patient conditions and communicate with primary care providers to ensure timely interventions.
- Manages wound care, catheter maintenance, and medication administration for conditions including COPD, hypertension, and atrial fibrillation.
Administrator / Director of Nursing
Express Home Health Agency
Lakeland
02.2013 - 07.2014
- Supervises all direct patient care staff and manages case assignments to ensure compliance with care plans and medical regimens.
- Coordinates patient care services and establishes employee admission criteria for the agency.
- Maintains clinical records and oversees daily operations of the home health agency.
- Leads a team of over 10 staff members, ensuring the delivery of high-quality patient care.
Field RN Case Manager
Suncrest/Omni Home Health
Lakeland
04.2012 - 02.2013
- Assesses patient conditions and determines appropriate treatment interventions in clinical, hospital, assisted living facility, and home environments.
- Leads cross-functional teams to provide compassionate care and support patient comfort.
- Acts as a patient advocate by collaborating with multidisciplinary teams to achieve optimal outcomes.
Pediatric Home Care Nurse
Huell Itas De Amor
Caguas
01.2010 - 01.2012
- Delivers care to pediatric patients with tracheostomies and G-tubes in home settings.
- Administers medications and therapies as prescribed, including IV, rectal, oral, subcutaneous, and intramuscular routes.
- Oversees pain management plans and provides education to families on care procedures.
Midwife Obstetric Nurse
Hospital Hima of Fajardo
Fajardo
08.2000 - 09.2008
- Provides support during labor, delivery, operating room procedures, and C-section recovery, administering medications and monitoring vital signs.
- Educates patients and families on childbirth and post-operative care processes.
- Floats to OBGYN, triage, emergency department, and medical-surgical floors, including orthopedics and dialysis units.
- Prepares operating rooms and assists anesthetists and surgeons during procedures.
Registered Nurse
Hospital UPR / Federico Trilla
Carolina
09.1997 - 09.2000
- Prepares and sanitizes delivery rooms and assists in labor and delivery, NICU, well-baby, and recovery units.
- Supports mothers during childbirth and monitors patient progress throughout their hospital stay.
Education
Associate Degree - Nursing
Interamerican University of Puerto Rico
Guayama, PR05.1998
Skills
- Care coordination
- Discharge planning
- Patient advocacy
- Resource utilization
- ICD-10 documentation
- Case management
- Patient education
- Multidisciplinary collaboration
- Effective communication
- Problem solving
- Time management
- Quality improvement
- Clinical assessment
- Healthcare regulations
- Utilization review
- Home care management
- Community resources
- Acute care expertise
- Ventilator care
- ICD-10
- IV therapy management
- Wound dressing
- Interdisciplinary collaboration
- Patient consultation
- Analytical thinking
- CPR certification
- Neonatal care
- Critical care nursing
- Analytical skills
- Delegation and motivation
- Compliance management
- Healthcare systems navigation
- Ethical considerations
- HIPAA compliance
- Medical record updating
- Family support
- Electronic medical record software
- Gathering referrals
- Patient rights advocacy
- Assessing needs
- Progress monitoring
- Infection control
- Interpersonal communication
- EPIC charting
- Tracheostomy care
- Feeding tube care
- Scheduling coordination
- Central line care
- Endotracheal intubation
- Professionalism
- Written communication
- Utilization management
- Mentoring staff
- Workflow Analysis
- Teamwork and collaboration
- Online training experience
- Clinical documentation
- Quality assurance
- Risk assessment
- Troubleshooting
- Customer service
- Cerner Software
- Meditech systems
- Welsky / Care port Software
- Supervision and leadership
- EMR navigation
- Good Telephone Etiquette
- Microsoft Word
- Multitasking Abilities
- Organization and time management-
Certification
- Registered Nurse, State of Florida Department of Health
- Cardiovascular Course, American Heart Association
- Alzheimer’s Disease and Dementia Certification
- Standards for Infection Control
- Wound Care/Normal and Impaired Healing/Nursing Interventions
- Physical Assessment of Neonate, Infant, and Toddler
- Respiratory Distress in Pediatric Patients and Adults
- Safety Home Health
- Mandatory General Compliance Training, Homecare
- Code of Conduct
- LTV Ventilator Series Training
- Preventing Medication Errors
- Bloodborne Pathogen Safety
- Essentials of HIV/AIDS for Healthcare Workers, Florida State Mandatory
- Improving Outcomes in Case Management, Claims and Reimbursements
- Ongoing Online Nursing Classes, Athena Forum
References
Available upon request for remote full-time or part-time roles.
Timeline
RN Case Manager
HCA Brandon Hospital
08.2025 - Current
RN Acute Case Manager / RN Acute Care Nurse
ChenMed / Dedicated Senior Lakeland Office
04.2022 - Current
RN Case Manager / Care Coordinator
Tampa General Hospital
10.2015 - 04.2022
Field RN Case Manager
Signature Home Now
01.2014 - 01.2015
Administrator / Director of Nursing
Express Home Health Agency
02.2013 - 07.2014
Field RN Case Manager
Suncrest/Omni Home Health
04.2012 - 02.2013
Pediatric Home Care Nurse
Huell Itas De Amor
01.2010 - 01.2012
Midwife Obstetric Nurse
Hospital Hima of Fajardo
08.2000 - 09.2008
Registered Nurse
Hospital UPR / Federico Trilla
09.1997 - 09.2000
Associate Degree - Nursing
Interamerican University of Puerto Rico