Summary
Overview
Work History
Education
Skills
Timeline
Generic

Maria Bermejo Sanchez

Miami,FL

Summary

Driven Registered Nurse with over ten years of experience and success in leading initiatives to improve clinical documentation, clinical processes and nurses' clinical knowledge. Highly skilled in core quality measures, documentation requirements and patient health education guidelines. Seeking to leverage expertise and leadership in quality control or utilization review role.

Overview

38
38
years of professional experience

Work History

Telehealth Associate

Woundtech
06.2019 - Current

Providing excellent service to client, maintaining a professional conversation at all times.
Reviewing current/previous DOS visits for the accuracy and completion of the data entry, the
appropriateness of treatment plan,
Reaching out to clinician to address concerns or missing info
Provide education/feedback to clinician if improper treatment is being utilized or improper documentation
Provide feedback to peer if error is identified
Alerting case management team to any wound with delayed healing that has already been discussed with
clinician and no wound improvement has been achieved
Monitoring pending tasks
Verifying that appropriate wound photo is imported to each assessment
Verifying the last reports stages/grades/thickness are correct and accurate (see wound analysis for full
summary)
Verify that proper treatment option and protocol have been selected (see wound analysis for full
summary)
Monitoring and review the method the visit was received on the Wound Assessment note
Monitoring “pending orders” and alerting clinician to need for follow-up documentation
Checking custom scans to verify if the patient has had a review in the past 3 months
Confirming superbill codes are correct
Verify if the H&P and the Barden Scale are due soon
Verifying wound analysis to ensure proper photos uploaded
Verifying that all mandatory forms have been submitted

Quality Nurse Case Manager

Uniphy ACO
03.2016 - 05.2019
  • Developing expertise within the electronic medical records across Uniphy's network, in order to assist with care protocols, the beneficiary record, and data input and extraction
  • Performing chart review (remotely or at physician office) to identify care gaps
  • Actively assisting with data collection for the Group Practice Performing Option (GPRO)
  • Traveled to practice, educate physicians, office managers and Healthcare personnel on GPRO measures/documentation
  • Compiles data, tracks outcomes, and make recommendations for process improvement
  • Addressing the total beneficiary, inclusive of medical, psychological, behavioral, and spirituals needs
  • Collaborating efforts that focus upon moving the beneficiary to self-care where possible
  • Increasing involvement of the beneficiary and caregiver in the decision-making process
  • Assist beneficiaries in the coordination and transitioning of care standards and protocols in order to achieve the triple Aim: better care, better health and better cost.

RN, BSN

Home Health Care Inc.
02.2014 - 01.2016

Assess patients condition during every visit and chart your observations
Perform evaluation tasks, including vital signs and medication review
Administer medication as prescribed by the patient's Physician
Dress or redress open wounds and assess progress of healing
Educate patients and their families on proper home health care strategies and procedures
Coordinate with Occupational Therapists, Physical Therapists,
Physicians and anyone else involved in the patient's care plan
Provide palliative care as needed to keep the patient comfortable
Make recommendations for devices or tools that might improve the patient's quality of life
Listen to the patient and respond to concerns or requests

Clinical Records Quality Assurance

Home Health Care
02.2007 - 05.2014
  • Provide detail-focused review of clinical documentation to ensure quality, regulatory compliance and audit-readiness
  • Maintain all medical records and charts
  • Coordinating and monitoring dates for quality assurance reviews, and monitoring the thorough completion of all client documentation (e.g., signatures, co-signatures, dates, etc.)

Family Medicine Doctor

Policlinico Comunitario Pedro Borras
09.1986 - 08.2006
  • Evaluate patients and provide appropriate medical treatment for various illnesses and injuries
  • Document all patient evaluations, treatments, medications and transactions according to company policies and procedures
  • Supervise Nurses to ensure compliance with all applicable regulations
  • Evaluate effectiveness of current care methods and procedures and suggest improvements
  • Prescribe, administer and dispense medication in accordance with state and federal statutes
  • Assist Medical Director in identifying and resolving workplace issues.

Education

Bachelor of Science: Nursing -

University of Sacred Heart
Santurse, PR
01.2016

Family Medicine Doctor -

Policlinico Comunitario Pedro Borras
Pinar Del Rio, Cuba
01.1990

M.D. -

Medical Sciences Faculty
Pinar Del Rio, Cuba
01.1986

Skills

  • Commitment to development
  • Critical Thinking
  • Multi-Tasking
  • Ability to answer questions and advice
  • Attention to detail
  • Confidence
  • Adaptability
  • Healthcare ethics
  • Patient and family education
  • Clinical documentation
  • Patient privacy and confidentiality
  • Chronic disease management
  • Treatment planning
  • Progress evaluations
  • Interdisciplinary collaboration
  • EMR / EHR
  • Staff education and training
  • Customer Service
  • Time Management
  • Computer Skills
  • Attention to Detail

Timeline

Telehealth Associate

Woundtech
06.2019 - Current

Quality Nurse Case Manager

Uniphy ACO
03.2016 - 05.2019

RN, BSN

Home Health Care Inc.
02.2014 - 01.2016

Clinical Records Quality Assurance

Home Health Care
02.2007 - 05.2014

Family Medicine Doctor

Policlinico Comunitario Pedro Borras
09.1986 - 08.2006

Bachelor of Science: Nursing -

University of Sacred Heart

Family Medicine Doctor -

Policlinico Comunitario Pedro Borras

M.D. -

Medical Sciences Faculty
Maria Bermejo Sanchez