Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Hilda M Perea

Coral Gables,FL

Summary

Pragmatic professional with solid experience in leadership roles. Adept at implementing strategic business plans, driving growth and improving operations. Skilled in financial management and stakeholder relations. Collaborative and dedicated to building and leading talented and motivated individuals.

Overview

37
37
years of professional experience
1
1
Certification

Work History

Vice President of Care Management

Independent Living Systems
01.2017 - Current
  • Oversee the NCQA accreditation of ILS Health Risk Assessment and Long Term Support Services Care Management programs
  • Oversee and support CMS and state audits
  • Oversee the ILS Lead Agency contract under the Alliance for Aging in Miami Dade and Monroe, as well and the Older Americans Act (OAA) contract managing 6 congregate meal sites serving approximately 500 members
  • Oversight and management of the California Advancing and Innovating Medi-Cal (CalAIM) program
  • The program serves as the Network Lead Entity (NLE) for Kaiser Permanente provider network, as well as 13 additional health plans administering CalAIM services
  • Collaborating with IT to manage and enhance eCare to ensure ILS’ care management process are compliant with CalAIM requirements
  • Oversee care management of Dual Special Needs population
  • Oversight and management of ILS Disease Management Program providing clinical support to Florida Community Care and Florida Complete Care populations
  • Collaborates with IT in working to enhance eCare Care Management Platform
  • Oversight of Training Team in aligning process across contracts and developing a common platform and digital library for all training materials
  • Support Business Development team in writing Request for Proposals (RFP’s) and eCare and care management process demonstrations to prospective clients

Director of Care Management

Independent Living Systems
03.2013 - 01.2017

Manager of Care Management Department

Independent Living Systems
02.2012 - 03.2013

SNP and SPD Care Manager

Independent Living Systems
10.2010 - 02.2012

Registered Nurse

Southeastern Community Mental Health
07.2008 - 10.2010
  • Company Overview: Mental health clinic providing outpatient therapy and day treatment center
  • As the Nurse I monitored patients’ physical condition and vital signs daily
  • Provided in-services to staff
  • Monitoring and assessing patient’s mental health needs
  • Arranging for psychiatrist and general physician evaluations
  • Monitoring patient diets
  • Mental health clinic providing outpatient therapy and day treatment center

Per Diem Field Nurse, Case Manager

Services and Care at Home Health Agency
04.2007 - 07.2008
  • Supervisory Visits
  • Skilled nursing visits
  • Recertifications
  • Provide Case Management to homebound Medicare patient
  • Initial evaluation visits

Staff Nurse Telemetry Unit

Mercy Hospital
07.1988 - 04.2000
  • Telemetry Unit Charge Nurse
  • Cardiac Rehabilitation Nurse
  • Provide Skilled Patient Care
  • Provide Management of staff and 48 Telemetry Patients
  • Provided Patient Education post Cardiac Surgery and Myocardial Infarctions
  • Established a Rehabilitation Program for post Cardiac Patients in hospital and post discharge

Education

Bachelor of Science - Nursing

Florida International University
Miami, Florida

Skills

  • Fluent English Communication
  • Fluent in Spanish
  • Proficient in Computer Programs
  • Team building
  • Effective communication
  • Problem solving
  • Team leadership
  • Critical thinking

Certification

  • Florida License-Registered Nurse
  • Basic Life Support- CPR Health Care Provider

Timeline

Vice President of Care Management

Independent Living Systems
01.2017 - Current

Director of Care Management

Independent Living Systems
03.2013 - 01.2017

Manager of Care Management Department

Independent Living Systems
02.2012 - 03.2013

SNP and SPD Care Manager

Independent Living Systems
10.2010 - 02.2012

Registered Nurse

Southeastern Community Mental Health
07.2008 - 10.2010

Per Diem Field Nurse, Case Manager

Services and Care at Home Health Agency
04.2007 - 07.2008

Staff Nurse Telemetry Unit

Mercy Hospital
07.1988 - 04.2000

Bachelor of Science - Nursing

Florida International University
Hilda M Perea