Health professional with more than 20 years of experience in the Health Industry, extensive background in Medical Surgical nursing, Geriatric, Family and Community nursing care, Pharmacology, Nephrology , Gynecology and Mental Health treatment. Excellent communication skills and able to stablish strong rapport with patients.
Highly proficient in providing patient care
Physician support, case research, and attention to detail.
Excellent communication skills with knowledge of Medicare health regulations and JCAHO standards.
Passionate about delivering quality care and facilitating healthcare coordination.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Registered Nurse Case Manager
Leon Health
03.2023 - Current
Assessing new patients by gathering information, reviewing diagnoses and analyzing medical test results
Coordinating and providing care that is safe, timely, effective, efficient, equitable, and client-centered
Handling case assignments, draft service plans, review case progress and determine case closure
Helping clients achieve wellness and autonomy
Developing complete plans of care to address the needs of patients
Design home treatment plans which allows clients receive medical treatment and health care at home
Maintain constant communication with clients to obtain feedback and ensure satisfaction with healthcare and case management services
Coordinate and oversee the discharge of patients by reviewing client conditions to amplify discharge plans
Scheduling appointments for doctors' visits, therapies and other medical services
Revising care plans based on patients' progress and input from physicians and other medical providers
Updating patient medical records after each contact
Offering emotional support for patients and their families
Develops, educates, and manages clinical and non-clinical staff within the guidelines of Leon Health's policies and procedures to assure competencies which are appropriate to accomplish duties and responsibilities productively and efficiently
Oversees the goal setting process and regularly reviews performance of direct reports, addressing performance and conduct issues when needed
Responsible for MOC activities, including HRA, individualized care plan, interdisciplinary care team and care transitions
Manage D-SNP members, in particular those belonging to the most vulnerable population
Identify needs and create a care plan, with the input of the member's interdisciplinary care team, to help the member achieve their goals
Completes BH assessments with member/caregiver/provider to obtain information regarding client status, functional, cognitive capabilities, support system and need for services
Support ongoing member engagement
Address the member's individual needs, strengths, preferences, and goals
Educate members on their conditions and promote self-management skills including the understanding signs and symptoms that indicate a need to contact the PCP, and when it is appropriate to seek urgent or emergent care
Support medication adherence.
Registered Nurse
Golden Health at Home
03.2023 - Current
Monitoring vital signs and performing tests, caring for wounds or injuries, assessing healing, and administering treatments
Documents changes in behavior and progress, eating habits, and overall mood, depending on the situation
To provide quality health care, safety, physical and emotional comfort to all its patients in a fashion of unparalleled excellence.
Registered nurse Medical Surgical
Provincial Psychiatric Hospital
01.2006 - 08.2019
Assessing, planning, implementing, and evaluating patient care plans in consultation with healthcare professionals
Evaluating medical information, as well as providing direct and individualized bedside nursing care to pre and post-surgery patients
Preparing, administering, and recording prescribed medications
Administering medications
Assisting with patient education and care planning
Checking a patient's vital signs
Collaborating with patient care team members about plans and progress
Completing admission and discharge paperwork.
Registered Nurse (RN) in Psychiatry
Provincial Psychiatric Hospital
11.2004 - 12.2006
Assessing and screening patients: The first duty of a psychiatric nurse is to assess and screen patients for mental health disorders
They conduct initial assessments, gather patient histories, perform mental status exams, and administer diagnostic tests to evaluate the patient's mental health status
Developing treatment plans: Once a psychiatric nurse has assessed a patient, they develop a comprehensive treatment plan that takes into account the patient's individual needs, symptoms, and goals
This plan may include medications, psychotherapy, group therapy, family therapy, and other supportive interventions
Administering medications: Psychiatric nurses are authorized to administer medications to patients who are prescribed them
They must monitor patients closely for any adverse reactions or side effects, and adjust dosages as needed
Conducting therapy sessions: Psychiatric nurses may conduct therapy sessions with individual patients or groups
These sessions aim to help patients manage their symptoms, improve their coping skills, and address any underlying psychological or social issues
Educating patients and families: A significant responsibility of psychiatric nurses is to educate patients and their families about mental health disorders, treatment options, and medication management
This education helps patients to better understand their conditions and become more engaged in their care
Managing crisis situations: Psychiatric nurses are trained to manage crisis situations such as suicidal behavior, self-harm, aggression, and psychotic episodes
They must be able to intervene quickly and effectively to ensure the safety of the patient and others
Collaborating with other healthcare professionals: Psychiatric nurses work closely with other healthcare professionals, such as psychiatrists, social workers, occupational therapists, and psychologists
They coordinate care, share information, and ensure that patients receive a comprehensive approach to their mental health care.
Register Nurse (RN) in Gynecological and Obstetric services
Vladimir I Lenin Provincial Hospital
08.1997 - 11.2004
Provided hands-on care to postpartum clients and newborn infants, including admitting clients to units, assessing patient needs, performing physical exams, providing wound and drainage care, taking vital signs and administering medications
Educated new mothers on how to care for their infants, including breastfeeding and oversaw the patient discharge process.
Education
Bachelor of Science - Nursing
Universal Career School
Skills
Microsoft Office Applications: ( Word, Excel, Power Point)
Client Care Access system knowledge
Pahub pharmacy system knowledge
Fluent in Spanish and English
Certification
Registered Nurse, 2023
Medical Assistant, 2019
Phlebotomist, 2019
Registered Nurse, 1997, 2019
Timeline
Registered Nurse Case Manager
Leon Health
03.2023 - Current
Registered Nurse
Golden Health at Home
03.2023 - Current
Registered nurse Medical Surgical
Provincial Psychiatric Hospital
01.2006 - 08.2019
Registered Nurse (RN) in Psychiatry
Provincial Psychiatric Hospital
11.2004 - 12.2006
Register Nurse (RN) in Gynecological and Obstetric services