Krystal Ramirez
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate with strong organizational skills eager to secure clinical team lead position. Ready to help team achieve company goals.
Overview
7
7
years of professional experience
1
1
Certification
Work History
RN Field Case Manager
Sedgwick
01.2022 - Current
- Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process.
- Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation.
- Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source
- Served as a resource to my team lead by mentoring newly hired FCMS
- Proficient in One Team, Outlook, SIR, JURIS, and ODG.
Senior RN Case Manager
Baptist Health System
08.2019 - 12.2021
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Responded promptly and professionally to patient questions and concerns.
- Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Performed evaluations on consistent basis to address changes in patient needs, conditions and medications, altering care plans when required.
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Managed care from admission to discharge.
- Educated family members and caregivers on patient care instructions.
NSOC RN Case Manager
WellMed Medical Management - United Health Group
03.2020 - 06.2021
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Responded promptly and professionally to patient questions and concerns.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Provided telephonic case management for average 30 patient caseload.
RN ACO Care Manager
Florida Medical Clinic
02.2019 - 08.2019
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
RN Case Manager
Advent Health Tampa
09.2016 - 02.2019
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Responded promptly and professionally to patient questions and concerns.
- Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Liaised with physicians regarding patient needs, performance and changes.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans.
Education
Bachelor of Science - Nursing
The University of Texas At Arlington
Arlington, TX08.2020
Associate of Science - Nursing
San Antonio College
San Antonio, TX12.2011
High School Diploma -
Samuel Clemens High School
Schertz, Tx05.2000
Skills
- Cost Containment
- Case Notes
- Case Planning and Management
- Improvement Processes
- Electronic Charting
- Microsoft Office
- Status Updates
- Interpersonal Communication Skills
- Nursing Plan Development
- Case Conferences
- Communicating with Patient Families
- Workers' Compensation
Certification
- Pending Certified Case Manager Testing October 2023
Timeline
RN Field Case Manager
Sedgwick
01.2022 - Current
NSOC RN Case Manager
WellMed Medical Management - United Health Group
03.2020 - 06.2021
Senior RN Case Manager
Baptist Health System
08.2019 - 12.2021
RN ACO Care Manager
Florida Medical Clinic
02.2019 - 08.2019
RN Case Manager
Advent Health Tampa
09.2016 - 02.2019
Bachelor of Science - Nursing
The University of Texas At Arlington
Associate of Science - Nursing
San Antonio College
High School Diploma -
Samuel Clemens High School
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