Strategic, Board-Certified Family Nurse Practitioner with over 10 years of advanced clinical experience seamlessly integrated with deep expertise as a specialty medication access and reimbursement champion. Expert at navigating the complex patient onboarding pipeline for self-injected and infused biologic therapies across gastroenterology and endocrinology landscapes. Master utilizing clinical acumen to resolve dense administrative barriers: driving end-to-end prior authorization and complex appeal management, troubleshooting coding/billing rejections, and securing alternative funding sources. Exceptional matrix field partner skilled at working alongside healthcare providers and pharmaceutical sales consultants to leverage patient support programs, accelerate time-to-therapy, and safeguard clinical continuity.
Work History
Family Nurse Practitioner (Telemedicine & Care Access)
10 Months
OPEN LOOP HEALTH | 12.2025 - Current
Utilize advanced clinical judgment to review complex patient profiles, directing personalized treatment plans while actively driving the prior authorization and multi-level appeals pipeline for specialized therapies.
Analyze insurance formularies and clinical trial data to secure rapid treatment access, proactively mitigating administrative and financial roadblocks.
Educate patients and caregivers on clinical expectations, medication compliance protocols, and the management of potential side effects to support therapy adherence.
Travel Concierge Care Coordinator & Clinical Navigator
4 Years 9 Months
JFP NURSING SERVICES | 01.2022 - Current
Coordinate complex medical logistics and specialty care delivery across fragmented healthcare networks, managing interactions between premium clients, providers, pharmacies, and specialty insurance stakeholders.
Gastroenterology Advanced Practice Registered Nurse (APRN) — Biologics & Access Lead
1 Year 3 Months
GASTROMED | 10.2024 - 01.2026
Served as clinical and patient access lead for complex gastroenterology populations, managing the initiation, clinical tracking, and monitoring of self-injected and infused biologic therapies.
Leveraged advanced clinical documentation to clear intense reimbursement hurdles, managing end-to-end prior authorizations and building bulletproof appeal packages to overturn insurance denials.
Resolved complex billing, medical coding, and coverage rejections through comprehensive audits of payer medical policies.
Identified and secured alternative funding resources, including foundation grants, copay assistance, and manufacturer support programs, to bridge coverage gaps and prevent treatment delays.
Cultivated compliant partnerships with pharmaceutical sales consultants to leverage medical expertise, HUB services, and dedicated manufacturer programs for streamlined patient access.
Family Medicine / Endocrinology APRN — Access Advocate
1 Year 3 Months
PRIVATE PRACTICE | 07.2023 - 10.2024
Managed advanced clinical care for a high-volume daily caseload requiring specialized endocrine and metabolic therapies.
Acted as the chief clinical advocate for patients traversing complex prior authorization pathways and specialty-tier coverage restrictions.
Aligned clinical documentation with payer formulary requirements, substantially reducing initial coverage rejections and establishing high-trust relationships with patients and families.
Managed clinical consultations and ongoing treatment monitoring for diverse GI disease states, specializing in the onboarding and management of infusion and biologic therapies.
Evaluated complex payer policy criteria and researched alternative formularies for non-covered specialty drugs to build successful, clinically sound appeals against therapy denials.
Collaborated seamlessly with specialty pharmacies and interdisciplinary care teams to guarantee absolute clinical continuity and prevent critical treatment lapses.
Assisted patients in locating and enrolling in copay cards, external foundation funding resources, and manufacturer free-drug programs.
Nurse Practitioner – Neurosurgery
11 Months
BAPTIST HEALTH MEDICAL GROUP | 01.2016 - 12.2016
Nurse Manager (Care Coordination Lead)
1 Year 7 Months
COMPREHENSIVE INTERVENTIONAL PAIN MEDICINE | 05.2014 - 12.2015
Registered Nurse (RN)
8 Years 1 Month
DR. BUSTILLO FACIAL PLASTIC SURGERY / BAKER PLASTIC SURGERY | 04.2007 - 05.2015
Education
Master of Science in Nursing (MSN) - Family Nurse Practitioner
University of Miami | Miami, FL | 01-2015
Bachelor of Science in Nursing (BSN)
Florida International University | Miami, FL | 01-2013
Skills
Languages: Fully Bilingual (Fluent in written and verbal English & Spanish).
Technology: CRM Platforms
AI tools
Microsoft Office Suite (Word
Excel
PowerPoint)
and various EMR/EHR Systems (Epic
eClinicalWorks
Cerner).
Certification
Autonomous Advanced Practice Registered Nurse (APRN) – Florida License
Advanced Practice Registered Nurse (APRN) – Texas License
Family Nurse Practitioner Student at Lincoln Family Practice Joseph Hobbs PAFamily Nurse Practitioner Student at Lincoln Family Practice Joseph Hobbs PA