Summary
Overview
Work History
Education
Skills
Licenses and Certifications
Timeline
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Melissa Zafra

Valdosta,GA

Summary

Dedicated and compassionate Registered Nurse seeking to use learned skills and knowledge to foster professional and personal growth and advancement. Driven professional with exceptional record, clinical skills and understanding of utilization review. Strong communicator with analytical and meticulous approach.

Overview

8
8
years of professional experience

Work History

HEDIS Coordinator

Centene
11.2022 - Current
  • Assist with quality improvement initiatives in the service and clinical areas
  • Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and results
  • Establish and maintain an action plan to improve HEDIS scores
  • Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities
  • Collaborate with providers and internal departments on rate investigation and validation activities, including maintaining all evidences, documentations, and changes
  • Manage the HEDIS project to include adherence to plan timeline and vendor oversight for timeliness and quality
  • Conduct quality audit and maintain all data and process controls to ensure compliance

Registered Nurse, Urgent Care

Baptist Health South Florida
02.2020 - 09.2022
  • Evaluated patient needs, prioritized treatment and maintained patient flow
  • Instructed patients and family members on proper discharge instructions
  • Precepted new employees and delegated staff nurse duties
  • Coordinated between patients and physicians to ensure patient comprehension of treatment plans
  • Collected specimens such as blood, urine and other laboratory specimens and prepared them for laboratory testing
  • Coordinated with Transfer Center/911 to provide safe and proper transfer of patients to a higher acuity facility

Registered Nurse, ICU

Kendall Regional Medical Center
09.2018 - 02.2020
  • Assessed, planned, and implemented evidence based care to critically ill patients
  • Monitored for changes in patient status and responded to emergent, life-threatening situations
  • Provide wound and/or burn care
  • Prepared, monitored and adjusted specialized equipment such as IV drips, arterial lines, external ventricular drains, chest tubes, feeding tubes, wound vacs, central lines, and ventilators
  • Coordinated with various departments and physicians to ensure positive patient outcomes
  • Educated patient and family members on various diagnostic treatments, procedures, and medications

Childcare Provider

Self-employed
08.2016 - 08.2018
  • Provided routine care such as bathing, feeding and medication administration
  • Provided safe and engaging activities and environment
  • Supervised child(ren) during extra-curricular activities and transport to and from site(s)
  • Maintained effective schedule balance between rest periods, active play and instruction.
  • Applied positive behavior management techniques to enhance social interactions and emotional development.

Customer Service Representative/Administrative Assistant

All Florida Paper
04.2014 - 10.2015
  • Filed and scanned confidential client paperwork
  • Completed Client Applications/Documentation
  • Kept up to date rebate reports
  • Imputed client orders in person and/or through phone

Education

Bachelor of Science - Nursing, Psychology & Public Health

University of Miami

Skills

  • Responsible and great communication skills with understanding of medical terminology
  • Adaptability and Flexibility
  • Expertise in Microsoft Word, Excel, Outlook, Powerpoint, Teams, Meditech, Cerner and Epic
  • Detail-oriented and able to work independently
  • Quality Assurance Requirements
  • Attentive and Observant

Licenses and Certifications

  • Registered Nurse: Florida, License #: RN9488489, Expires: April 30, 2024
  • Trauma Nursing Core Course, Emergency Nurses Association (ENA), Expires: November 2023
  • American Red Cross Disaster Health and Sheltering Course Certification
  • Objective Structured Clinical Examination (OSCE) Certification in Breastfeeding
  • Collaborative Institutional Training Initiative (CITI Program): Social/Behavioral Research Certified

Timeline

HEDIS Coordinator

Centene
11.2022 - Current

Registered Nurse, Urgent Care

Baptist Health South Florida
02.2020 - 09.2022

Registered Nurse, ICU

Kendall Regional Medical Center
09.2018 - 02.2020

Childcare Provider

Self-employed
08.2016 - 08.2018

Customer Service Representative/Administrative Assistant

All Florida Paper
04.2014 - 10.2015

Bachelor of Science - Nursing, Psychology & Public Health

University of Miami

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Melissa Zafra