MARILYN C. MIRANDA
San Antonio,TX
Summary
Compassionate bilingual Heart failure nurse specializing in guideline-directed medical therapy, remote patient monitoring and outpatient clinic. Reducing hospitalizations through proactive care management and patient education. Collaborate effectively with multidisciplinary teams to ensure compliance, medication adherence, assess patient needs, and improve patient safety. Skilled in triage, IV infusions, and dedicated to providing quality patient care through extensive availability.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Heart Failure Nurse
WellMed / UnitedHealthcare / Optum
San Antonio, TX
07.2024 - Current
- Manage a caseload of up to 140 heart failure patients through remote monitoring and in-clinic assessments.
- Apply guideline-directed medical therapy (GDMT) and collaborate closely with PCPs, cardiologists, and pharmacists to optimize treatment plans.
- Administer infusion therapies including Reclast and IV Lasix/fluids.
- Enhanced medication adherence by providing patient education, organizing pillboxes, conducting follow-ups, and offering Tier 3/M3P support.
- Coordinated laboratory testing, reviewed results, and communicated promptly with providers and patients to facilitate timely care.
- Promote medication adherence through patient education, pillbox organization, follow-ups, and Tier 3/M3P support.
- Schedule laboratory testing, review results, and ensure prompt communication with providers and patients.
- Conducted PHSA audits to ensure compliance with health and safety standards across multiple clinics.
- Serve as a PHSA auditor, ensuring compliance with health and safety standards across multiple clinics.
Registered Nurse – Orthopedic Medical-Surgical
University Hospital System
San Antonio, TX
06.2023 - 05.2024
- Delivered comprehensive care for 4–5 pre- and post-operative patients across GI, GU, bariatric, vascular, GYN, and pediatric services, ensuring optimal recovery.
- Administered medications, IV therapy, and wound care while monitoring surgical drains, contributing to safe post-operative recovery.
- Conducted comprehensive assessments, escalated clinical changes, and educated patients and families.
- Performed comprehensive assessments and escalated clinical changes, providing education to patients and families to enhance understanding of care.
Patient Care Technician / Cardiac Monitoring Technician / Unit Clerk
Methodist Healthcare System
San Antonio, TX
03.2020 - 05.2023
- Obtained vital signs and provided direct patient support to enhance patient comfort and care in acute settings.
- Obtained vital signs and provided direct patient support in acute care settings.
- Managed lab specimens, admissions, discharges, and clerical workflows to ensure smooth operations and patient flow.
- Assisted with onboarding and training of new patient care technicians to promote team competency and continuity of care.
Education
Bachelor of Science - Nursing (BSN)
UT Health San Antonio
01-2023
Associate of Science -
St. Philip’s College
01-2019
Associate of Arts -
St. Philip’s College
01-2018
Skills
- Guideline-directed medical therapy
- Remote patient monitoring
- EKG interpretation
- Case management
- Infusion therapy administration
- Medical documentation
- Collaboration with multidisciplinary teams
- Infection control
- Patient safety
- Patient advocacy
- Cardiac triage
- Audit compliance
- Problem solving
- Attention to detail
- Wound care
- Early intervention
- Patient education
- Medication adherence
- Lab follow-up
- Epic and Meditech proficiency
- eClinicalWorks expertise
- Microsoft Office applications
- Practice Health and Safety Auditing
- Cardiovascular assessment and electrocardiogram interpretation
- Oxygen therapy administration
Certification
- Registered Nurse (RN), 10/01/27
- Basic Life Support (BLS), 04/01/27
- Spanish Medical Interpreter Course, 2021
Core Skills
GDMT, Remote Patient Monitoring, EKG Interpretation, Telemetry, IV & Infusion Therapy (Reclast, IV Lasix), Wound Care, Clinical Assessment, Early Intervention, Patient Education, Medication Adherence, Lab Follow-Up, Interdisciplinary Collaboration, EPIC, Meditech, eClinicalWorks (ECW), Microsoft Office, PHSA Auditing, Infection Control, Patient Safety
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
Timeline
Heart Failure Nurse
WellMed / UnitedHealthcare / Optum
07.2024 - Current
Registered Nurse – Orthopedic Medical-Surgical
University Hospital System
06.2023 - 05.2024
Patient Care Technician / Cardiac Monitoring Technician / Unit Clerk
Methodist Healthcare System
03.2020 - 05.2023
Bachelor of Science - Nursing (BSN)
UT Health San Antonio
Associate of Science -
St. Philip’s College
Associate of Arts -
St. Philip’s College