MARIA MORALES
Summary
Motivated health services and social services manager displaying high level of adaptability, organizational skills, superior technical knowledge, leadership skills, quality-driven and efficient with strong interpersonal abilities, with a demonstrated track record of success working with diverse client populations in one-on-one and group settings, and working with multidisciplinary teams to optimize patient care.
Overview
14
14
years of professional experience
Work History
Health and Social Services Manager
United Health Care
MetroWest Boston, MA
06.2021 - Current
- Staff development
- Interpret policies, directives and standard operation procedures to help guide care and meet state mandated guidelines and regulations.
- Promoted integration of behavioral health care and long-term services to enhance continuity of care for clients.
- Guide patient healthcare management and optimization of health outcomes by supporting case management staff
- Monitor staff performance and productivity
- Provide staff with support and guidance for patient healthcare management
- Promote team development while enforcing organizational policies.
- Reviewed cases on an ongoing basis ensuring that standards were met.
- Conducted regular performance reviews for staff members providing guidance on how to improve their job performance.
- Cultivated meaningful relationships with stakeholders such as local government officials, healthcare providers.
- Established collaborative relationships with community resources to facilitate referrals for clients in need of additional support services.
- Performed ongoing monitoring of care plans to evaluate effectiveness, documenting interventions and goal achievements and suggesting changes accordingly.
Supervisor of Nurse Case Management
United Health Care
South Shore Area, MA
04.2020 - 05.2021
- Provide leadership of the day to day operations
- Interpret policies, directives and standard operation procedures to help guide care
- Coach mentor and support case management staff in critical thinking for providing case management services
- Monitor staff performance and competence
- Provide staff with educational resources and tools to help staff find work-life balance
- Encourage team building by providing support while enforcing organizational policies.
- Interviewed applicants, recommended individuals for hiring and evaluated staff performance.
Registered Nurse Case Manager
United Health Care
Merrimack Valley Area, MA
12.2017 - 03.2020
- Identify gaps or barriers in treatment plans
- Created detailed documentation of patient health history including lab results, treatments and medications prescribed.
- Updated and maintained discharge plan of care with physician, members of healthcare team, patients and families.
- Make referrals to outside sources within the community
- Participated in team meetings to discuss treatment options for complex cases.
- Provided education and counseling on health promotion, risk reduction strategies, disease prevention and self-care techniques to patients and their families.
- Evaluated effectiveness of treatments provided by consulting specialists ,behavioral health providers or other providers involved in a patient's care plan.
- Assessed, planned, implemented and evaluated individualized nursing care plans for each patient.
- Managed caseloads involving multiple chronic illnesses across various settings including patient's home.
- Conducted home visits to assess the physical and mental condition of assigned patients.
Registered Nurse
Greater Lawrence Family Health Center
Lawrence, MA
10.2013 - 11.2017
- Assess patients and perform triage on walk-in patients using available guidelines.
- Administer immunizations and medications, including nebulizer, perform nursing procedures, and document accordingly
- Prenatal educator, diabetes self management educator (DSME), Hypertension management educator and anticoagulation therapy certified
- Provide patient education material, both written and verbal
- Supply written patient education materials and explain literature in a manner that is appropriate and understandable for the ages of the patients served
- Communicate effectively with patients, peers, supervisors, and all members of the healthcare team
- Functioned as a team member in the patient Centered Medical Home Model to assure appropriate care for patients and progress toward health goals
- Facilitate patient care coordination with specialists, pharmacy, community resources, day programs, schools, home health services, and procuring home evaluations to assess patient needs including home adaptive devices.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Trained and mentored new RNs on best practices, policies and standards of care.
- Documented patient progress notes accurately and efficiently in the electronic medical record system.
- Administered medications and treatments, monitoring patients for reactions and side effects.
- Administered medications, tracked dosages and documented patient conditions.
- Followed rehabilitation and treatment care plans for patients in various specialty clinics, including, addiction recovery, HIV, and Hepatitis.
Registered Nurse Case Manager
Boston Home Health Aids
Lawrence, MA
05.2014 - 02.2017
- Assess patients' physical and psychosocial status and the home environment
- Plan and implement patient care in collaboration with the physician
- Evaluate and update appropriateness of care plan and physician orders
- Communicate appropriate information to patients, peers, managers, physicians, department, and other agencies involved
- Integrate problem solving methodology and quality improvement in approaching problem areas related to patient care and organizational processes.
- Monitored patient progress through regular follow-up appointments and assessments.
Health Care Research Analyst
IMS Health
Bedford, NH
06.2010 - 01.2012
- Analyze, gather, enter, validate and ensure quality of specified healthcare industry related data
- Conduct ongoing and ad hoc project and market specific research and analysis about healthcare organizations and professionals working at those locations
- Conduct extensive telephone interviews to secure needed information through authorized sources
- Use the Internet, library, archives and collections and other sources of information to collect, record, analyze and evaluate project-, market- and industry-specific information
- Resolve internal and external client data inquiries
- Function as an HCOS subject matter generalist while developing specialized knowledge of specified existing and emerging healthcare markets
- Follow through on data collection methodologies to develop a full understanding of the information required
- Record and enter the data accurately in multiple applications and Microsoft Office applications.
Education
MSN Clinical Nurse Leader - Nursing
University of New Hampshire
09-2013
Master Science - Health Psychology
Walden University
05-2011
Bachelor of Applied Arts - Phsychology
University of New Hampshire
09-2008
Associate of Applied Science - Biology
University of New Hampshire
09-2007
Skills
- Excellent communication skills
- Interpret policies, directives and standard operation procedures to help guide care
- Bilingual in English/ Spanish with native proficiency
- Highly motivated, detail-orientated and have excellent self management skills
- Proficient in Microsoft Office
- Able to evaluate and implement client care by coordinating, delegating and supervising care provided by healthcare team
- Able to provide staff with support and guidance for patient health care management while meeting metrics
- Able to adapt to different environments and situations
- Data Assessments
- Cross-Functional Teamwork
- Nursing Staff Leadership
- Medical Chart Management
Languages
- Spanish with native proficiency
Timeline
Health and Social Services Manager
United Health Care
06.2021 - Current
Supervisor of Nurse Case Management
United Health Care
04.2020 - 05.2021
Registered Nurse Case Manager
United Health Care
12.2017 - 03.2020
Registered Nurse Case Manager
Boston Home Health Aids
05.2014 - 02.2017
Registered Nurse
Greater Lawrence Family Health Center
10.2013 - 11.2017
Health Care Research Analyst
IMS Health
06.2010 - 01.2012
MSN Clinical Nurse Leader - Nursing
University of New Hampshire
Master Science - Health Psychology
Walden University
Bachelor of Applied Arts - Phsychology
University of New Hampshire
Associate of Applied Science - Biology
University of New Hampshire
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