Maria Aceves, PA-C
San Marcos,California
Summary
Highly skilled and enthusiastic professional with extensive experience managing operations in patient-centric medical offices and administrative medicine. Successfully oversee clinical staff, resources, supply management and patient services. Develop and lead productive and efficient office/administrative staff. Contribute to high-volume medical practices by providing exceptional customer service, practice standardization, and automation.
Overview
19
19
years of professional experience
Work History
Clinical Consultant
United Healthcare Group
Minnetonka, MN
05.2017 - Current
- Automation Subject matter expert.
- Leading team of computer engineers to develop a care management application with goal of standardized reviews utilizing current evidence-based clinical practice guidelines such as Milliman Care Guidelines, InterQual, and internal United Health Care polices.
- Work in collaboration with team of medical directors to complete post-service provider appeals for Medicare, Medicaid, and Commercial insurers.
- Improved workflow automation to reduce wasted time and resources.
- Collected and analyzed key data to make accurate assessments.
- Guided staff in clinical best practices and evidence-based methods.
- Developed and proposed solutions for making positive improvements to operational and patient care strategies.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to evidence-based clinical practice guidelines.
- Spearheaded and implemented new projects to expand scope of engagement.
Physician Assistant, Interventional Pain
Comprehensive Pain Management
Rancho Bernardo, CA
07.2010 - 05.2017
- Conducted physical examinations to assess patients' health and current condition for optimal treatment.
- Managed chronic conditions by monitoring patient health and treatment plan progress to make necessary adjustments in care.
- Referred to and consulted with physicians and other healthcare providers on patient care.
- Ordered and interpreted diagnostic testing to confirm diagnosis and implement accurate treatment plans.
- Implemented therapeutic regimens involving medications and other interventions to mitigate symptoms and prevent reoccurrence.
- Researched industry innovations and emerging treatments to improve care delivery.
- Coordinated patient referrals to specialty providers.
- Performed therapeutic procedures such as intra-articular injections, trigger point injections and occipital nerve blocks.
- Participated as monitoring patients undergoing spinal cord stimulator trials.
- Precepted pre-physician assistant candidates.
- Recruited, trained, and supervised allied health healthcare staff.
Physician Assistant, Emergency Medicine
Tri-City Medical Center
Oceanside, CA
07.2004 - 10.2010
- Conducted physical examinations to assess patients' health and current condition for optimal treatment.
- Referred to and consulted with physicians and other healthcare providers on patient care.
- Ordered and interpreted diagnostic testing to confirm diagnosis and implement accurate treatment plans.
- Prescribed medications to patients to treat conditions and alleviate symptoms.
- Assisted physicians during surgeries and other medical procedures to treat patients appropriately and safely.
- Rapidly analyzed and responded to critical situations such as cardiovascular, abdominal, and neurological in emergency situations.
Education
Master of Science - Physician Assistant
A.T. Still University of Health Sciences
Mesa, AZ06.2014
Master of Physician Assistant Studies - Medicine
University of Washington
Seattle, WA1996
Skills
- Operations Analysis
- Microsoft Excel
- Process Update Procedures
- Technical Acumen
- Complex Problem-Solving
- Judgment and Decision-Making
- Evidence-Based Methods
- Microsoft Outlook
- Critical Thinking
- Clinical Care
- Clinical Best Practices
- Quality Improvement Plans
- Clinical Staff Management
Accomplishments
- Collaborated with team of 10 in the development of automation platform for with the purpose of standardized clinical appeal reviews utilizing evidence-based practice guidelines and internal insurer policies.
Affiliations
- California Academy of Physician Assistants
- American Academy of Physician Assistants
Languages
Spanish
Full Professional
Timeline
Clinical Consultant
United Healthcare Group
05.2017 - Current
Physician Assistant, Interventional Pain
Comprehensive Pain Management
07.2010 - 05.2017
Physician Assistant, Emergency Medicine
Tri-City Medical Center
07.2004 - 10.2010
Master of Science - Physician Assistant
A.T. Still University of Health Sciences
Master of Physician Assistant Studies - Medicine
University of Washington