Accomplished Registered Nurse with extensive experience in diverse clinical settings, management, and provider collaboration. Committed to driving operational excellence and fostering strong partnerships with market leadership to achieve organizational goals. A unique blend of clinical and business expertise is supported by degrees in Business Administration (BBA), Bachelor of Science in Nursing (BSN, RN), and Master of Science in Nursing (MSN). Proven leadership skills enhance effective team guidance, adaptability to evolving healthcare needs, and the delivery of impactful results. Recognized for cultivating collaborative environments that prioritize high standards in patient outcomes and staff development while optimizing operational efficiency.
Work History
RN, Senior Clinical Coding Nurse Consultant
United Health Group, Inc.
11.2021 - Current
Develop market-based business strategies and collaborate with providers to enhance risk-adjustment metrics.
Provide and present analytical interpretation of risk adjustment reporting.
Educate on risk adjustment and documentation best practices.
Self-motivated, with a strong sense of personal responsibility.
Work effectively in fast-paced environments.
Engaged and managed over 35 clinics in our extended market.
Director of Nursing
Laredo Skilled Services, Inc.
09.2020 - 06.2021
Guided staffing procedures and ensured quality of patient care in the home.
Directed nursing operations, ensuring compliance with healthcare regulations and quality standards.
Coordinated care with the interdisciplinary team and physicians.
Implemented evidence-based practices to enhance patient care and outcomes across all departments.
Set objectives and long-term goals for the nursing department.
Conducted ongoing and yearly staff evaluations.
Ensured and monitored compliance with Medicare guidelines.
Led nursing staff in implementing evidence-based practices to enhance patient care quality.
Developed and executed strategic plans to optimize operational efficiency across nursing departments.
Improved over 20% efficiency in overall company's productivity.
RN, Administrator
Laredo Heart Center
09.1993 - 09.2020
Contributed to the financial success of the practice by ensuring patients were the number one priority.
Interviewed, hired, and trained staff, providing initial support until employees were self-directed and comfortable with assigned duties.
Demonstrated positive interpersonal relations when educating and collaborating with patients, patients' families, and members of the staff.
Performed cardiac sonograms, stress tests, and Holter Monitors.
Identified opportunities and areas of improvement in the organization to achieve set goals and increase patient and employee satisfaction.
Implemented new policies to enhance operational efficiency and improve patient outcomes.
Led nursing staff in delivering high-quality patient care and improving clinical outcomes.
Developed and implemented policies to enhance operational efficiency and patient safety protocols.
RN, Case Manager
Torres Home Health
09.2009 - 12.2018
Assessed and evaluated patients’ needs and living conditions; initiated treatment/care plans for the elderly, disabled, patients with chronic diseases, and patients suffering from extended/terminal illnesses.
Communicated effectively with patients and their families, coordinating care with physicians and interdisciplinary teams.
Conducted comprehensive patient assessments to develop individualized care plans.
Coordinated interdisciplinary team meetings to ensure cohesive patient care delivery.
RN, Health Management Nurse
CVS Caremark
02.2017 - 07.2018
Implemented triage and nursing education for rare health conditions to prevent complications.
Assessed patients’ needs and developed individualized care plans.
Provided skilled assistance to patients and families, including interventions for a better quality of life.
Directed patients to appropriate care as needed.
Developed individualized care plans in collaboration with multidisciplinary teams.
Initial client portfolio of 200 member growing to over 500.
Education
Master of Science - Nursing Administration
Texas A&M International University
Laredo, TX
12-2020
Bachelor of Science - Nursing
Texas A&M International University
Laredo
BBA - General Business
Laredo State University
Laredo, TX
Skills
Proficient in Microsoft Office Suite
Documentation expertise
Comprehensive patient evaluation
Effective clinical decision-making
Patient care coordination
Comprehensive patient evaluations
Healthcare management
Process enhancement
Clinical nursing skills
Empathetic support
Healthcare leadership
Patient education
Certification
Texas Board of Nursing. (RN) 755789. Issued 2008-06-19, expiration 2027-06-30
The American Registry for Diagnostic Medical Sonography. (AE) 103245. Issued 2011-02-17, expiration 2025-12-31
American Academy of Professional Coders. (CPC) 02448667. Issued 2022-05-21, expiration 2026-04-30
American Academy of Professional Coders. (CRC) 02448667. Issued 2024-11-08, expiration 2026-04-30
Senior Customer Service Representative Benefit Ops at United Health Group, Inc.Senior Customer Service Representative Benefit Ops at United Health Group, Inc.