Summary
Overview
Work History
Education
Skills
Professional Licensure
Certification
Affiliations
Clinical Rotations
Timeline
Generic

Joanna Ledesma

Miami,Florida

Summary

Advanced Practice Registered Nurse (APRN) recent graduate, specializing in family medicine, with over 14 years of nursing experience in diverse settings and 600+ hours of supervised clinical nurse practitioner experience. Flexible, quick learner who adapts quickly to changes while enjoying challenges. Self motivated, compassionate, and reliable with the desire to provide optimal medical care as a nurse practitioner.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Nurse Case Manager II

Elevance Health
03.2021 - Current
  • Assessing and identifying barriers for members who frequently visit the emergency room
  • Evaluating member’s progress periodically and coordinating interventions as needed (i.e., provider visits, community resources, behavioral health referral)
  • Educating members on disease prevention, comorbidities, and/or medications prescribed.

Telephonic Nurse Case Manager

CarePlus Health plans
03.2018 - 03.2021
  • Employ a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues
  • Identify and resolves barriers that hinder effective care
  • Ensure patients are progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations
  • Trainer for Case Management Department
  • Subject Matter Expert (SME) and pilot tester for the Case Management Department
  • Liaison among stakeholders in order analyze, communicate, and validate requirements for changes to processes, polices, and information system (i.e., medication reconciliation program, data robot implementation, care plan functionality, and Genesis Software).

Nurse Case Manager

United Healthcare of South Florida
05.2013 - 03.2018
  • Responsible for assessing members' current health status and providing members with education to assist with self-management and disease process
  • Utilization review and referral to specialty wound care services, physician at home services and readmission prevention services provided to members
  • Collaborated with Medical Directors on challenging cases to determine appropriate care for members while coordinating patient’s discharge planning needs with the healthcare team
  • Ensured that discharged members receive the necessary services and resources while transitioning from hospital setting to home setting
  • Coordinated care for members such as home health, medical equipment, or any services needed to outside sources
  • Experience with the appeal process.

Legal Nurse Consultant (Per Diem)

Schwartz & Kirschbaum
10.2015 - 03.2017
  • Reviewed and analyzed medical records and other pertinent healthcare and legal documents
  • Identified relevant information; discovered discrepancies and summarized to create a timeline of medical events
  • Discussed and advised attorneys regarding the healthcare facts and issues of a case and/or lawsuit
  • Researched healthcare and nursing literature, guidelines, statutes, and regulations as related to the healthcare facts or issues related to case and/or lawsuit.

Admission RN

Vitas Innovative Hospice Care
08.2012 - 05.2013
  • Provided hospice care services to patients in their homes, inpatient, and/or institutional settings
  • Admitted patients to hospice care based on Medicare/Medicaid Guidelines and company policy - Performed initial assessment of patient’s needs
  • Collected information from interdisciplinary care team regarding the patients’ condition and disease progression
  • Assisted with discharge planning in various settings including patient homes, inpatient, and/or institutional settings
  • Ensured communication to interdisciplinary care team of assessment findings and transition to hospice
  • Ensured a smooth transition across all care settings by making certain that all aspects of clinical care and services had been arranged for patient in a timely manner
  • Served as a clinical resource for referral sources, patients, and family members.

Charge Nurse, RN

Family Health Center of San Diego
08.2011 - 05.2012
  • Supervised nursing staff to ensure effective completion of all work and documentation
  • Performed medical assistant orientations and annual evaluations
  • Reviewed patient charts at discharge for orders and follow-up
  • Ensured optimal patient flow and clinic preparedness
  • Ensured mock codes were conducted according to the annual calendar
  • Maintained accurate and updated inventory of vaccines and other clinic supplies
  • Administered vaccinations and checked vital signs.

Education

Master of Science - Family Practice Nurse Practitioner

Purdue University Global
West Lafayette, Indiana
08.2023

Master of Health Informatics -

Purdue University Global
West Lafayette, Indiana
12.2019

Bachelor of Science - Nursing

Florida International University
Miami, Florida
04.2010

Skills

Clinical assessment

Care Coordination

EMR / EHR

Discharge Planning

Medication monitoring

Case Evaluation

Medical Records Management

Referral Coordination

Service Coordination

Patient education and counseling

Professional Licensure

  • APRN - Advanced Practice Registered Nurse, 11033313, 04/30/2026
  • RN-Registered Nurse, 799140, 08/31/2024, California
  • RN-Registered Nurse, 183580, 07/31/2024, Connecticut
  • RN-Registered Nurse, 9311178, 04/30/2026, Florida
  • RN-Registered Nurse, 835335, 12/31/2024, New York
  • Certified Case Manager, 4236927, 05/31/2028

Certification

  • Family Nurse Practitioner, AANP - Exp: 05/28/2029
  • Certified Case Manager, CCMC - Exp: 05/31/2028

Affiliations

Member, American Association of Nurse Practitioners

Clinical Rotations

  • Clinical Rotation 1 - Life Span Health Focus, 10/2022, 12/2023, Miami, Florida, Developed collaborative skills involving the client, family, and the interdisciplinary health care team. Established a foundation of critical thought process in differential diagnosis. Discussed common acute and chronic illness across the lifespan as well as common risk assessments, screenings, and lifestyle modifications. Introduced to paper and computerized documentation in the primary care setting.
  • Clinical Rotation 2 - Women’s Health Focus, 01/2023, 03/2023, Miami, Florida, Focused on the unique needs of women across the lifespan with attention to the psychosocial, ethnic, and cultural influences that affect physical and mental health.
  • Clinical Rotation 3 - Primary Care Focus, 03/2023, 05/2023, Miami, Florida, Focused on the clinical application of assessment, differential diagnosis, symptom management, and disease treatment in the primary care setting. Synthesized skills and knowledge that was gained.
  • Clinical Rotation 4 - Children and Adolescent Health Focus, 06/2023, 08/2023, Miami, Florida, Assessed, diagnosed, and managed acute and chronic health care issues in the pediatric and adolescent population in a primary care setting. Instructed client on health maintenance, screening, and anticipatory guidance activities in collaboration with the preceptor. Collaborated, communicated, and created referrals with other health care and social service organizations.

Timeline

Nurse Case Manager II

Elevance Health
03.2021 - Current

Telephonic Nurse Case Manager

CarePlus Health plans
03.2018 - 03.2021

Legal Nurse Consultant (Per Diem)

Schwartz & Kirschbaum
10.2015 - 03.2017

Nurse Case Manager

United Healthcare of South Florida
05.2013 - 03.2018

Admission RN

Vitas Innovative Hospice Care
08.2012 - 05.2013

Charge Nurse, RN

Family Health Center of San Diego
08.2011 - 05.2012

Master of Science - Family Practice Nurse Practitioner

Purdue University Global

Master of Health Informatics -

Purdue University Global

Bachelor of Science - Nursing

Florida International University
Joanna Ledesma