Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
7
7
years of professional experience
Work History
Nurse Case Manager
A Better Way of Living
10.2025 - Current
Assisted in coordinating patient care plans and services to ensure comprehensive support.
Collaborated with healthcare teams to facilitate communication regarding patient needs and progress.
Conducted patient assessments to identify health status, barriers, and resources for effective care management.
Supported patients in navigating insurance and healthcare system processes to enhance access to services.
Engaged in continuous learning about case management tools and software for improved efficiency.
Participated in interdisciplinary meetings to discuss case updates and strategies for optimal outcomes.
Collaborated with healthcare providers to gather and evaluate clinical documentation for authorization requests.
Conducted thorough reviews of patient records to ensure compliance with clinical standards.
Nurse Case Manager
Alianza Family Services
09.2023 - 02.2025
Served as a liaison between patients and various support services such as financial assistance programs, community resources, and mental health counseling to ensure holistic care was provided.
Collaborated with healthcare leaders and physicians to support and offer resources in performance of duties to maintain high-quality and efficient patient care.
Applied critical thinking skills during case reviews to identify potential risks or challenges before they escalated into larger issues.
Educated patients on disease management techniques, empowering them to take control of their health and reduce complications.
Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
Reduced hospital readmissions through vigilant monitoring and prompt intervention for at-risk patients.
Developed strong relationships with patients, families, and healthcare providers, fostering trust and open communication resulting in improved satisfaction scores.
Mentored new hires, sharing knowledge and expertise to foster a supportive learning environment promoting professional growth within the nursing team.
Conducted insurance verifications to ensure accurate patient coverage and eligibility status.
Implemented quality control measures to maintain high accuracy in verification outcomes.
Nurse Manager
Warner Bros.
11.2020 - 01.2023
Supervised nursing staff to ensure compliance with patient care standards and regulations.
Implemented training programs for new nurses, enhancing onboarding experience and skill development.
Managed inventory of medical supplies, reducing waste through efficient procurement practices.
Led staff meetings to keep team informed of departmental changes and provide opportunities for nurses to share ideas and concerns.
Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
Evaluated skills of nursing personnel and verified staff certifications for validity.
Prior Authorization Nurse
Bernalillo Academy Acute Care
04.2019 - 02.2021
Streamlined workflows by implementing best practices in reviewing insurance coverage policies.
Conducted audits of submitted authorizations to ensure compliance with regulatory standards and payer requirements.
Facilitated cross-departmental meetings to discuss challenges and improvements within the prior authorization process.
Coordinated post-discharge follow-up care with community resources and healthcare providers.
Conducted comprehensive assessments to determine patients' discharge readiness and required services.
Conducted comprehensive medication reviews to ensure accuracy and patient safety.
Implemented standardized processes for efficient medication reconciliation workflows.
Nursing Assistant, Social Media Evaluator,Reseller at Sunrise Assisted Living, CNA, Brookdale Senior Living, Avon Sales Representative, Independent Contractor at Appen, Reseller and a Home MakerNursing Assistant, Social Media Evaluator,Reseller at Sunrise Assisted Living, CNA, Brookdale Senior Living, Avon Sales Representative, Independent Contractor at Appen, Reseller and a Home Maker