Passionate, self- motivated, and constant learner. Understand clinical and nurses role in helping people taking control of their health. I have a wealth of experience in hospitals and comprehensive community resources.
Overview
17
17
years of professional experience
Work History
Inpatient Case Manager
WellMed Medical Management - United Health Group
10.2022 - Current
Served as a liaison between patients, families, medical staff, and external agencies to facilitate effective communication throughout the continuum of care.
Led interdisciplinary team meetings to review ongoing cases and discuss strategies for improving patient outcomes.
Coordinated discharge planning to ensure a seamless transition from hospitalization to home or other healthcare facilities.
Reduced hospital readmissions by identifying high-risk patients and implementing targeted interventions.
Collaborated with physicians to develop individualized treatment plans, ensuring optimal patient care.
Managed caseload to satisfy multiple patients with diverse needs.
Coordinated patient discharge planning and follow-up care.
Outpatient Case Manager
WellMed Medical Management - United Health Group
06.2021 - 10.2022
Provided ongoing counseling to help patients deal with medical conditions and processes
Completed psychosocial evaluations and needs assessments.
Worked with medical clinics, patients and families to implement effective treatment plans.
Coordinated program referrals for community-based resources.
Collaborated with clinic , physician, and medical director to achieve target results for high risk members
Med Surg Nurse
Christus Health Surgery Center
08.2020 - 05.2021
Assessments of surgical patients, administer medications, monitor for surgical complication
Education to the patient and family about post operative care, risks, and follow up
Delegate and prioritize care of 4 to 5 patients, draw labs, EKGs and assist with bedside procedures.
RN Case Management
Mission Trail Baptist Hospital
11.2017 - Current
Work with staff and physicians to transition patient's home safely or other continued care facilities
By using critical thinking, problem solving, team work skills, and excellent communication I am able to meet our patient/hospital goals as well as Medicare regulations
Evaluation of patient's clinical status to anticipate future needs and determine if patient still meets for inpatient status and work with medical benefits for payment of hospital stays and outpatient needs
Skilled in patient assessment clinical process, planning, implementation of care, and evaluation of the outcomes
UM reviews for patients admitted in outpatient status
RN Pre-Operative Nurse
Mission Trail Baptist Hospital
07.2011 - 11.2017
Started IV's, administered pre-op meds, and performed head to toe assessments of pre-op patient
Assisted surgeons/anesthesia providers with orders and patient education
Preformed Time-outs to ensure patient safety
Reviewed home meds, pre op labs and pre-op clearances to ensure safety as well as draw labs and preformed EKGS as part of daily duties
Worked up all additional department patients for procedures including- Cath Lab, Radiology, GI Lab
Furthermore, administered blood products to Oncology patients on an Outpatient basis
ICU
Mission Trail Baptist Hospital
Worked closely with, to administer complete care for our critical patients
Place feeding tubes, wound care, and assist with bedside procedures
Education for patients and caregivers of disease process and treatments
Educational resource for staff on other floors, assisted with rapid response team
RN Ortho
Southeast Baptist Hospital
01.2008 - 07.2010
Nursing assessments of newly admitted patients, post op patients, interpreted labs, and maintained pain control with meds and PCA pumps
Nursing skills placing NG tubes, Foley’s, enemas, administering blood products
Achieved becoming a preceptor for new employees and a charge nurse.
Education
Registered Nurse Diploma -
Baptist School of Health Professionals
Bachelors - Science of Nursing
Baptist School of Health Professionals
San Antonio, TX
Skills
Acute Care
Patient Care Coordination
Health Education
Discharge Planning
Midas Review
Clinical Expert
Effective Communicator
Critical Thinker
Utilization review
Accomplishments
Preceptor to new nurses
Daisy Award Recipient
MS Office Expert
EMR / Cerner Superuser
Led Zero is possible campaign
Currently training Outpatient CM to transition to Inpatient CMs
Collaborated with team in lowering high risk patient list in a University clinic that usually non compliant.
RN Clinical Coding Consultant at WellMed Medical Management - United Health GroupRN Clinical Coding Consultant at WellMed Medical Management - United Health Group
Registered Nurse Case Manager at WellMed Medical Management - United Health GroupRegistered Nurse Case Manager at WellMed Medical Management - United Health Group