Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Timeline
Generic

Mouline Guerrier

Wellington,USA

Summary

Dynamic Advanced Practice Registered Nurse with extensive healthcare expertise in nursing, quality assurance, case management, and clinical coordination across diverse settings, including hospitals, educational institutions, and insurance companies. Proven track record in risk management and consultation to hospital staff, effectively reducing risks and enhancing patient safety outcomes. Clinical proficiency includes oncology, pediatrics, medical-surgical, and telemetry nursing, ensuring comprehensive care for diverse patient populations. Committed to leveraging advanced practice skills to drive improvements in patient care and operational efficiency within healthcare environments.

Overview

2024
2024
years of professional experience
3
3
Certification

Work History

Quality Risk Adjustment Nurse Practitioner

United Health Group/Wellmed


  • Counsel’s patients on various disease conditions they may be treating to ensure that the patient is educated to their disease process, treatment, and expected outcomes
  • Educated patients on treatment options, medical needs, and non-medical options for treatments and therapy.
  • Improved patient outcomes by implementing evidence-based care and treatment plans tailored to individual needs.
  • Promoted health maintenance and disease prevention through patient education and counseling on lifestyle modifications.
  • Developed strong relationships with local healthcare providers to facilitate seamless coordination of referrals for specialized services.
  • Utilized telehealth technology effectively, increasing convenience for patients while maintaining high-quality care standards.
  • Decreased hospital readmissions by providing thorough discharge education and follow-up care coordination.
  • Streamlined workflow processes for increased efficiency in providing comprehensive care to patients.
  • Reduced hospital readmissions for high-risk patients through meticulous discharge planning and education.
  • Conducted regular health screenings at community events, increasing early detection of common health issues.
  • Led community health initiatives to raise awareness and promote preventive healthcare measures.

Long Term Care Assessor

Lifeplans
01.2010 - 11.2023
  • Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
  • Authored initial assessments of patients and family to develop plans for individual home care needs.
  • Conducted comprehensive assessments of patients'' physical, emotional, and social needs in order to develop individualized care plans that facilitated optimal health outcomes.

Hospital Care Coordinator Travel

Total Med
01.2022 - 07.2022
  • Enhanced interdisciplinary team communication through regular case conferences, promoting effective collaboration for optimal patient care.
  • Advocated for patients'' rights, facilitating access to necessary services and resources within the community.
  • Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
  • Developed professional relationships with community partners to enhance available support services for patients transitioning from acute care settings.
  • Collaborated with physicians and other healthcare providers to ensure appropriate resource utilization for complex cases.

Care Sight Nurse Practitioner

PopHealthCare
05.2021 - 01.2022
  • Delivered high level of care and service to patients through email, video chat and online assessments.
  • Improved patient outcomes by providing comprehensive care and developing tailored treatment plans for adult patients.
  • Utilized telehealth technology to provide remote consultations for homebound or rural patients who had limited access to healthcare resources.
  • Monitored patient progress closely through regular follow-ups, adjusting treatment plans as needed to achieve optimal results.

Clinical Coordinator/Assistant Professor

Nova Southeastern University
01.2019 - 01.2021
  • Initiates the affiliation agreement between NSU and the clinical agency and assure it is executed prior to student placement
  • Receives requests and facilitates clinical placements for APRN nursing students.
  • Provides documentation related to student's clinical performance; participates in composing clinical outcome measures
  • Review student immunizations, background and drug screening for clinical placement
  • Identifies trends and issues related to clinical sites, adjusting as needed based on learning outcomes, data, feedback

Clinical Coordinator/Case Management

Bethesda Health
01.2018 - 01.2019
  • Assist nursing team with patient assignments, provide clinical skill and judgment as needed
  • Make schedule for nursing staff, assign admissions review charts to ensure orders are updated
  • Collaborate with Medical Director. Case Management/Social Worker for patient discharge planning and length of stay
  • Coordinate with healthcare team members to facilitate patient transfer to next level of care
  • Educate patients on regulatory standards for transfer to next level of care

Risk Manager

Martin Health Systems
01.2016 - 01.2019
  • Review medical records to identify and resolve patient grievances
  • Monitor activity to assess effectiveness of progress and maintain current information for regulatory and legal requirements.
  • Create educational materials to improve quality and decrease exposure to risks.
  • Facilitated clear communication channels between departments regarding risk-related issues and proposed solutions.
  • Conducted root cause analysis on identified risks, developing action plans to address issues promptly.

Supervisor Integrated Care Management

Amerihealth Caritas
08.2012 - 01.2014
  • Provide clinical oversight and coordination of chronic/complex case management programs
  • Participate in development and review of work processes, policies, procedures relating to Chronic/Complex Case Management. Maintain current knowledge of policies and procedures, state and local laws, and NCQA standards
  • Perform quality audits per policy, share audit results with associates to provide education and counseling to improve performance.
  • Monitor staff assignments to make appropriate adjustments based on staff experience, severity of case and interventions.

Case Manager

Palm Beach Gardens Medical Center
01.2010 - 01.2012
  • Assess patients to determine care coordination & case management needs
  • Utilization Review for all units including ED, inpatient and outpatient using InterQual criteria
  • Assess, care coordination and discharge planning for patients
  • Collaborate with healthcare team members to facilitate patient transfer to next level of care
  • Educate patients on regulatory standards for transfer to next level of care

Clinical Auditor

Broward Health
01.2009 - 01.2010

Care Coordinator

Blue Cross & Blue Shield of Florida
01.2007 - 01.2009

Health Quality Assurance Registered Nurse

Agency for Healthcare Administration
01.2005 - 01.2007

Registered Nurse Oncology

University of Miami/Sylvester Cancer Center Hospitals and Clinics
01.2003 - 01.2005

Case Management Manager

ASA Home Care
01.2002 - 01.2004

Registered Nurse- Oncology, Telemetry and Orthopedics

Aventura Hospital
01.2001 - 01.2003

Registered Nurse- Pediatrics

Miami Children’s Hospital
01.2000 - 01.2002

Education

Doctor of Nursing Practice -

Florida Atlantic University
Boca Raton, FL
01.2018

Master of Science in Nursing - Advance Practice Registered Nurse

Florida Atlantic University
Boca Raton, FL
05.2018

Master of Science in Nursing - Education Track

Florida Atlantic University
Boca Raton, FL
05.2014

Master of Science in Health Law - undefined

Nova Southeastern
Davie, FL
07.2009

Bachelor of Science in Business Administration - Finance

Florida International University
Miami, FL
05.2004

Associate Degree in Nursing - undefined

Miami-Dade College
Miami, FL
05.2000

Skills

  • Health risk management
  • Health education implementation
  • Patient-centered care
  • Team-based collaboration
  • Telehealth proficiency
  • Quality improvement
  • Geriatric care
  • Care delivery coordination

Affiliations

  • The Nurse Practitioner Council of Palm Beach County
  • The Commission for Case Manager Certification
  • Florida Society of Clinical Oncology

Certification

  • Adult-Gerontology Primary Care Nurse Practitioner -AGNP
  • Registered Nurse -RN
  • Licensed Healthcare Risk Manager
  • Certified Case Manager -CCM
  • Risk Adjustment Professional

Timeline

Hospital Care Coordinator Travel

Total Med
01.2022 - 07.2022

Care Sight Nurse Practitioner

PopHealthCare
05.2021 - 01.2022

Clinical Coordinator/Assistant Professor

Nova Southeastern University
01.2019 - 01.2021

Clinical Coordinator/Case Management

Bethesda Health
01.2018 - 01.2019

Risk Manager

Martin Health Systems
01.2016 - 01.2019

Supervisor Integrated Care Management

Amerihealth Caritas
08.2012 - 01.2014

Long Term Care Assessor

Lifeplans
01.2010 - 11.2023

Case Manager

Palm Beach Gardens Medical Center
01.2010 - 01.2012

Clinical Auditor

Broward Health
01.2009 - 01.2010

Care Coordinator

Blue Cross & Blue Shield of Florida
01.2007 - 01.2009

Health Quality Assurance Registered Nurse

Agency for Healthcare Administration
01.2005 - 01.2007

Registered Nurse Oncology

University of Miami/Sylvester Cancer Center Hospitals and Clinics
01.2003 - 01.2005

Case Management Manager

ASA Home Care
01.2002 - 01.2004

Registered Nurse- Oncology, Telemetry and Orthopedics

Aventura Hospital
01.2001 - 01.2003

Registered Nurse- Pediatrics

Miami Children’s Hospital
01.2000 - 01.2002

Master of Science in Nursing - Advance Practice Registered Nurse

Florida Atlantic University

Master of Science in Nursing - Education Track

Florida Atlantic University

Master of Science in Health Law - undefined

Nova Southeastern

Bachelor of Science in Business Administration - Finance

Florida International University

Associate Degree in Nursing - undefined

Miami-Dade College

Quality Risk Adjustment Nurse Practitioner

United Health Group/Wellmed

Doctor of Nursing Practice -

Florida Atlantic University

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