MONICA DOMINGUEZ
MERCEDES,TX
Summary
Registered nurse and LTSS case manager with leadership experience in home health, nursing operations, and complex caseloads. Coordinates services for high-risk members, monitors condition changes, and connects families, providers, and community resources to support compliant, person-centered care in English and Spanish.
Overview
1
1
Certification
24
24
years of professional experience
Work History
LTSS Senior Care Case Manager
Centene Corporation
McAllen, TX
03.2018 - 09.2026
- Assessed service needs for complex, high-risk, high-acuity members and recommended care plans for best outcomes.
- Coordinated between members, families, caregivers, and care providers to support person-centered care and appropriate services.
- Built and updated long-term care plans, working with the care management team to identify providers, specialists, and community resources for member needs.
- Analyzed care plans, member condition changes, and goal progress, then engaged with members, caregivers, and providers to revise plans.
- Tracked member status for complications, clinical symptoms, and condition changes to ensure timely interventions and assess need for higher level of care or waiver eligibility.
- Reviewed member data to identify trends, enhancing operational performance and quality care compliance with state and federal regulations.
- Educated long-term care members and families and caregivers on disease processes, care gaps, provider instructions, care options, referrals, and healthcare benefits to empower informed decision-making.
- Manager: Melissa Mendoza
Director of Nurses, Registered Nurse
MS Healthcare Inc.
Edinburg, TX
06.2013 - 03.2018
- Managed case load of 400 patients, ensuring safe delivery of care and adherence to Medicare compliance.
- Completed skilled nurse visits, including comprehensive assessments for admissions, resumption of care, recertifications, and discharges.
- Supervised RN, LVN, CNA, and office staff.
- Performed required clinical skills, including IV therapy, wound care, and venipuncture.
- Coordinated recruitment, selection, hiring, orientation, training, evaluation, and dismissal of nursing and office personnel to build a competent team.
- Identified areas for improvement and implemented process changes to enhance patient care.
- Provided patient education on lifestyle changes to support disease management.
- Supported overall agency operations while maintaining day-to-day compliance.
- Referred patients to community programs for added support.
- Oversaw team operations under the direction of Eduardo Castro, Administrator.
ADON, Registered Nurse
MS Health Care, INC
Edinburg, TX
03.2012 - 12.2013
- Supervised by Isaias Uc, RN, Director of Nursing, and Eduardo Castro, Administrator.
- Worked flexible hours to meet staffing needs.
- Assisted with administrative duties to ensure compliance with policy and procedure.
- Contributed to agency operations by completing various tasks to enhance workflow.
- Completed skilled nurse visits, including full assessments for admissions, resumption of care, recertification, and discharges.
- Educated patients on lifestyle changes to promote effective disease management.
- Maintained continuity of quality patient care through accurate documentation.
- Ensure continuity of quality patient care delivered with appropriate documentation.
Registered Nurse
MS Health Care, INC
Edinburg, TX
04.2009 - 03.2012
- Supervisor: Sonia Reyna, RN, Director of Nurses.
- Completed skilled nursing visits, including full assessments for admissions, resumption of care, recertification, and discharge visits.
- Developed and updated nursing care plans to ensure tailored patient-centered care.
- Provided education on lifestyle changes to empower patients in managing their conditions.
- Supported continuity of quality care through accurate documentation.
- Coordinated administrative tasks to enhance workflow and support patient care.
- Adjusted work hours to meet patient needs.
Licensed Vocational Nurse
MS Health Care, INC
Edinburg, TX
10.2002 - 04.2009
- Provided skilled nursing care, patient teaching, assessment, and documentation per agency policies and procedures.
- Carried out physician orders for medications, treatments, and nursing care plan interventions.
- Completed lab draws, specimen collection, IV therapy, and PT/INR testing according to physician orders.
- Monitored wounds and tracked healing progress, promptly reporting changes to MD to facilitate timely interventions.
- Educated patients on lifestyle changes to support disease management.
- Coordinated with Eduardo Castro, Administrator, to streamline daily operations and improve workflow.
- Managed nursing staff operations, ensuring adherence to best practices under the guidance of Chris Molina, RN.
Education
Associate Degree - Nursing
South Texas College
McAllen, Texas03-2009
Licensed Vocational Nursing - Brownsville, Texas
University of Texas/Texas Southmost College
Brownsville, Texas08-1995
Skills
- Patient care management
- Wound and PICC care
- Intravenous therapy and venipuncture
- Vital signs and basic life support
- Patient and family education
- Care management software
- Working knowledge of Medicaid/Medicare guidelines
- Data analysis tools
- Nursing leadership and management
- Bilingual communication in English and Spanish
- Excellent communication skills
- Home health software knowledge
Certification
- RN License No: 768326-Exp: 01/31/2028, LVN License No:154344-Exp: 01/31/2028
LANGUAGES
English: Native Language, Spanish: Intermediate Listener and Speaker, Reading and Writing
Timeline
LTSS Senior Care Case Manager
Centene Corporation
03.2018 - 09.2026
Director of Nurses, Registered Nurse
MS Healthcare Inc.
06.2013 - 03.2018
ADON, Registered Nurse
MS Health Care, INC
03.2012 - 12.2013
Registered Nurse
MS Health Care, INC
04.2009 - 03.2012
Licensed Vocational Nurse
MS Health Care, INC
10.2002 - 04.2009
Associate Degree - Nursing
South Texas College
Licensed Vocational Nursing - Brownsville, Texas
University of Texas/Texas Southmost College