Nivea Baldini, RN, CCM
Coconut Creek
Summary
Experienced clinical nursing leader in the areas of hospital setting for medical/surgical/telemetry, clinic setting, and managed care. Dependable with track record of success in field, attention to detail and proactive mindset. Seeks opportunities to improve processes and workflows for team benefit. Conscientious, hardworking and excels at multitasking in fast-paced environments.
Overview
14
14
years of professional experience
1
1
Certification
Work History
RN Manager
Humana/Conviva
12.2014 - Current
- Worked as a Care Coach and TCN nurse. Transitioned to Supervisor and Managent position. Worked as a Supervisor/ Manager for the last 6 years.
- Supported several markets over the years including Broward, Miami-Dade, and Tampa.
- Helped onboard, train, and integrate new Care Coaches through the various markets.
- Supported new initiatives and technology processes including Trinity migration to eCW, PCMH certification & recertification, high risk meetings, huddles, workflow processes, and Salesforce implementation. Superuser for Athena migration.
- Helped onboard new PCP and providers in Broward market to our Care Facilitation team programs and goals.
- Developed strong relationship with the market AMDs and Regional Operations leaders.
- Collaborated with multidisciplinary teams on developing strategies for improving care quality, controlling costs, and utilization.
- Performed discharge planning including referrals, coordination of services as needed after hospitalization such as home health care, durable medical equipment, transportation.
RN Case Manager
Simply Healthcare Plans Inc.
07.2014 - 08.2014
- Responsible for following the Simply Healthcare Plans CM Programs
- Worked on early identification, assessment and management of those members requesting or requiring care management services.
- Educated patients on disease prevention strategies, wellness promotion techniques and lifestyle modifications.
- Conducted weekly interdisciplinary team meetings to review case management activities for assigned caseloads.
RN
Memorial Hospital West
12.2012 - 06.2014
- Prioritizing care to the adult/geriatric population on a fast paced medical/surgical/telemetry unit.
- Worked with physicians, PT/OT, respiratory, social workers/case managers, and caregivers to assess, plan, implement, and evaluate patient’s needs.
- Provided direct nursing care to patients, including administering medications, wound care, and IV therapy.
- Educated patients on health maintenance, disease prevention, and treatment options.
RN/Medical Assistant
South Florida ENT Associates
06.2012 - 10.2012
- Took medical histories, vitals, assisted physician with procedures, prep rooms, sterilize equipment, triage, answer patient inquiries, refill medications, scan and file paperwork.
- This was a temporary position in which I filled in for the nurse on maternity leave.
Education
BSN -
Florida International University
Miami, FL12.2011
Skills
- Staff Management
- Training and Mentoring
- Process Monitoring and Improvement
- Data Analytics
- Operations Management
- Patient Management
- Chronic Disease Management
- Case Management
- Care Planning
- Managed Care
- Utilization Management
Certification
- RN 9339192
- Certified Case Manager (CCM) 4237840
Programs Used
· Word, Excel, Spreadsheet, PowerPoint, etc.
· eCW, Salesforce, QNXT, Catamaran, MdFlow, Epic, CGX, Athena
Education and Training
other
Timeline
RN Manager
Humana/Conviva
12.2014 - Current
RN Case Manager
Simply Healthcare Plans Inc.
07.2014 - 08.2014
RN
Memorial Hospital West
12.2012 - 06.2014
RN/Medical Assistant
South Florida ENT Associates
06.2012 - 10.2012
BSN -
Florida International University