Dedicated Multi-Lingual RN Care Manager experienced in interdisciplinary care coordination, discharge planning, and patient advocacy. Skilled in telephonic triage, assessment and fostering patient education. Proven track record in managing complex cases and optimizing resource utilization.
Overview
12
12
years of professional experience
1
1
Certification
Work History
UAS Nurse Assessor
Allied Health
Brooklyn, NY
04.2026 - Current
Assess long-term care functional and medical needs of patients to establish eligibility for health plans and community-based services.
Facilitate in-home and virtual visits to conduct comprehensive UAS-NY evaluations.
Document comprehensive medical histories, medication lists, and ADL scores.
Facilitate collaboration with care management teams to ensure timely finalization of assessments within 24 hours post-visit.
Facilitate patient and family education on long-term care resources.
Utilize HCS Lenavipro AFD-RN and TBT tools to enhance operational efficiency.
Conducted comprehensive assessments to evaluate patient needs and treatment effectiveness.
Nurse Care Manager- Children’s Special Services
Metropolis Health Plan, NYCHHC
05.2022 - Current
Professional Skills: chart review, utilization review, utilization management, case management, care coordination, interdisciplinary communication and collaboration, discharge planning, and patient education and advocacy. Electronic medical records: HCS, Epic, DCMS, CareConnect.
Performs care management including hospital admission certification, continued stay review, discharge planning, outpatient, and ancillary services review, etc.
Oversee the coordination and delivery of comprehensive, quality healthcare and services for all members requiring care management in a cost-effective manner.
Review medical records and clinical documentation as appropriate to identify gaps in care, service needs, and items related to FWA.
Interacts and obtains relevant clinical information from members’ PCP and other providers.
Evaluate member needs for referred cases (from providers or member self-referred).
Assists all departments with the resolution of members’ problems related to utilization management issues.
Performs all Utilization Management activities in compliance with all regulatory agency requirements.
Conducts medical record reviews as appropriate to case management functions.
Participate in Medical Management grand rounds with the Physician Advisor.
Review HCS and complete HCBS authorization.
Complete UAS, TOC, CANS, SDOH, PCSP assessments.
Staff Nurse-Maternal child health unit (Labor and Delivery, Mother-Baby Unit, NICU)
Coney Island Hospital, Brooklyn, NY
Brooklyn, NY
06.2017 - 05.2022
Skills- Labor, triage, circulator, baby/rover, birthing support, IV insertion, Oral and IV medications administration, catheter care, oxygen therapy, glucose monitoring, breastfeeding initiation, pre and post operation care.
Triage patients according to acuity levels.
Perform head to toe assessment on mother and newborn.
Complete other physicians’ order.
Assist providers with precipitous births, scheduled and emergent C-sections, pre-eclamptic patients.
Provide intra-partum and post-partum care to mothers and newborns.
Discuss and education on post-partum care, discharge instructions and return precautions.
Ambulatory Care Nurse (multi-specialty pediatric, adolescent, adult, and women’s health)