Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Imilsy Martinez Gamez

Miami,FL

Summary

Healthcare professional with focus on case management and patient care coordination. Adept at developing and implementing comprehensive care plans tailored to individual patient needs. Recognized for strong team collaboration and adaptability in dynamic healthcare environments.

Experienced with patient assessment, care coordination, and case management. Utilizes clinical knowledge to develop and implement effective care plans. Track record of enhancing patient outcomes through meticulous care planning and follow-up.

Overview

16
16
years of professional experience

Work History

Registered Nurse

Javier Ricardo MD
Hialeah, FL
10.2024 - Current
  • Administered medications and treatments as prescribed, ensuring patient safety and adherence to protocols.
  • Monitored vital signs and documented changes in patient conditions for timely interventions.
  • Collaborated with multidisciplinary teams to develop and implement individualized care plans.
  • Educated patients and families on health management, fostering understanding of treatment options.
  • Maintained accurate patient records using electronic health record systems for efficient information retrieval.
  • Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
  • Collaborated with healthcare providers to ensure accurate documentation of patient information and adherence to HEDIS measures.

• Developed and implemented strategies to improve HEDIS scores, resulting in a XX% increase in overall performance.

• Collaborated with interdisciplinary teams including physicians, nurses, pharmacists, and case managers to coordinate care plans aligned with HEDIS measures.

• Ensured compliance with regulatory standards by conducting regular internal audits of clinical processes related to HEDIS measures.

Collaborated with physicians, pharmacists, and other healthcare professionals to develop comprehensive treatment plans for patients •

Monitored patient outcomes and made necessary adjustments to care plans in order to achieve desired results

Home Health Registered Nurse

Nova Rehabilitation Inc
Miami, FL
09.2024 - Current
  • Administered medications and treatments according to established protocols and patient care plans.
  • Conducted comprehensive assessments to identify patient needs and develop individualized care strategies.
  • Educated patients and families on healthcare processes, disease management, and wellness strategies.
  • Collaborated with interdisciplinary teams to coordinate holistic care for diverse patient populations.
  • Provided physical assessments, medication, and chronic disease management to home health patients.
  • Maintained accurate documentation of patient progress, treatments administered, and other pertinent information for thorough recordkeeping.
  • Informed physicians of any changes to patients' health or concerns observed during home visits.
  • Coordinated with physicians, therapists, social workers, and other healthcare professionals to ensure seamless continuity of care for patients.
  • Administered medications and treatments according to established protocols.
  • Collaborated with interdisciplinary teams to develop patient care plans.
  • Monitored patient vital signs and reported changes to healthcare providers.

Home Health Field Registered Nurse

Better Living Home Health Agency Inc.
Miami, FL
04.2024 - Current
  • Administered medications and treatments according to established protocols.
  • Collaborated with interdisciplinary teams to develop patient care plans.
  • Educated patients and families on health management and disease prevention.
  • Monitored patient vital signs and reported changes to healthcare providers.
  • Streamlined documentation processes, improving accuracy and efficiency of records.
  • Evaluated patient progress, adjusting care plans based on individual needs.
  • Evaluated patient histories, complaints, and current symptoms.
  • Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.

Registered Nurse Field Home Health

Alpha Home Health Agency Corp
Miami, FL
05.2023 - Current
  • Administered medications and monitored patient vital signs to ensure optimal health outcomes.
  • Developed and implemented individualized care plans in collaboration with multidisciplinary teams.
  • Educated patients and families on disease management, treatment options, and health maintenance strategies.
  • Conducted assessments to evaluate patient needs, ensuring timely interventions and support services.
  • Managed case documentation accurately to comply with regulatory standards and improve care continuity.
  • Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
  • Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
  • Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
  • Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
  • Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.

Home Health Registered Nurse Case Manager

First Quality Home Care, Inc
Miami, FL
10.2021 - 10.2024
  • Assessed patient needs and identified appropriate resources for support services.
  • Coordinated patient care plans and ensured adherence to treatment protocols.

• Verifying that physician orders for all disciplines are complete, accurate and cover the care and visits provided.

• Verified patient eligibility and benefits package information via phone or online services.

• Obtained insurance information necessary for various clinical services. • Obtained needed information from PCP and HMO payers' to initiate manage care authorizations allowing no more than 48 hours for completion.

• Worked closely with clinic managers and/or designated person regarding issues with scheduling or insurance.

• Obtain the initial prior authorizations/pre-certifications as required by patients' insurance/plan

Evaluated patient care needs, prioritized treatment, and maintained patient flow. Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions, and follow-up care.

• Verifying that physician orders for all disciplines are complete, accurate and cover the care and visits provided.

• Verified patient eligibility and benefits package information via phone or online services.

• Obtained insurance information necessary for various clinical services. • Obtained needed information from PCP and HMO payers' to initiate manage care authorizations allowing no more than 48 hours for completion.

• Worked closely with clinic managers and/or designated person regarding issues with scheduling or insurance.

• Obtain the initial prior authorizations/pre-certifications as required by patients' insurance/plan.

  • Assessed patient needs and developed individualized care plans to enhance quality of life.
  • Coordinated multidisciplinary team meetings to ensure comprehensive patient care and resource allocation.
  • Monitored patient progress, adjusting care plans based on clinical assessments and feedback.
  • Ensured regulatory compliance by adhering to federal, state, and agency guidelines in all aspects of home health nursing practice.
  • Introduced changes to patient care plans based on regular evaluations and patient changes.
  • Evaluated patient care needs, prioritized treatment, and maintained patient flow. Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions, and follow-up care

• Verifying that physician orders for all disciplines are complete, accurate and cover the care and visits provided.

• Verified patient eligibility and benefits package information via phone or online services.

• Obtained insurance information necessary for various clinical services.

• Obtained needed information from PCP and HMO payers' to initiate manage care authorizations allowing no more than 48 hours for completion.

• Worked closely with clinic managers and/or designated person regarding issues with scheduling or insurance. • Obtain the initial prior authorizations/pre-certifications as required by patients' insurance/plan,

Home Health Registered Nurse Case Manager

Better Living Home Health Agency Inc.
Miami, FL
09.2009 - 10.2021
  • Educated patients and families on disease management, medication adherence, and lifestyle modifications.
  • Managed documentation in electronic health records, ensuring accuracy and compliance with regulatory standards.
  • Advocated for patients' needs within healthcare systems to secure necessary services and support resources.
  • Mentored junior nursing staff on best practices in home health care delivery and case management techniques.
  • Collaborated with interdisciplinary teams to optimize care delivery and outcomes.
  • Managed complex case loads while maintaining high standards of patient advocacy.
  • Participated in on-call rotations to deliver after-hours care.
  • Educated and supported home healthcare providers with training, guidance, mentoring and resources required to achieve objectives."
  • Examined patients and documented history of current and previous conditions, illnesses, injuries, and current medications.
  • Prepared clinical notes and updates for review by primary physician.
  • Implemented care plans for patient treatment after assessing physician medical regimens.
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies.

Education

Bachelor of Science - Nursing

Pontifical Catholic University of Puerto Rico-Ponce
Ponce, Puerto Rico
12-2013

M.D. - Doctor

The University of Medical Sciences of Havana
Habana, Cuba
07-2001

Skills

  • Medication and IV administration
  • Medication administration
  • Direct patient care
  • Patient assessments
  • Documentation and charting
  • Patient assessment
  • Patient education and counseling
  • Clinical judgment
  • Infection control measures
  • Patient care
  • Wound care
  • Intravenous therapy
  • Care planning
  • Patient management
  • Intake and discharge
  • Insulin medication assistance
  • Diabetes management
  • Staff supervision
  • Diabetes and nutrition education
  • Data collection

Languages

Spanish
Full Professional
English
Full Professional

Timeline

Registered Nurse

Javier Ricardo MD
10.2024 - Current

Home Health Registered Nurse

Nova Rehabilitation Inc
09.2024 - Current

Home Health Field Registered Nurse

Better Living Home Health Agency Inc.
04.2024 - Current

Registered Nurse Field Home Health

Alpha Home Health Agency Corp
05.2023 - Current

Home Health Registered Nurse Case Manager

First Quality Home Care, Inc
10.2021 - 10.2024

Home Health Registered Nurse Case Manager

Better Living Home Health Agency Inc.
09.2009 - 10.2021

Bachelor of Science - Nursing

Pontifical Catholic University of Puerto Rico-Ponce

M.D. - Doctor

The University of Medical Sciences of Havana
Imilsy Martinez Gamez