OSCAR CONTRERAS
SAINT CLOUD
Summary
Dynamic Registered Nurse with extensive experience at Pinnacle Home Care, excelling in medication administration and chronic disease management. Proven track record of enhancing patient outcomes through tailored care plans and effective communication. Bilingual in Spanish, fostering strong patient relationships and education for improved health management. Committed to quality improvement and regulatory compliance.
Overview
9
9
years of professional experience
1
1
Certification
Work History
REGISTER NURSE
PINNACLE HOME CARE
04.2022 - Current
- Ensured optimal patient outcomes with diligent monitoring of vital signs and timely intervention for any changes.
- Provided wound care management expertise, resulting in faster healing times and reduced complications for patients.
- Reduced hospital readmission rates by providing thorough patient education on managing chronic conditions at home.
- Managed caseloads efficiently by prioritizing patient needs and organizing schedules accordingly.
- Facilitated seamless transitions from hospital to home care settings by collaborating with discharge planners and healthcare professionals.
- Educated patients on self-care strategies, such as medication management, nutrition, and lifestyle changes, empowering them to take control of their health.
- Administered medications as prescribed, achieving proper dosage and adherence to treatment plans.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Monitored patient reactions after administering medications and IV therapies.
- Evaluated patients'' wounds and recommended appropriate treatments, expediting the healing process.
- Treated and carefully tended to vascular and diabetic ulcers.
- Provided post-surgery treatment and care for patients with ostomies.
HEDIS Registered Nurse Quality Analyst
HEALTHSTONE PRIMARY CARE PROVIDERS
01.2018 - Current
- Acted as a primary resource for nursing staff in addressing questions or concerns related to HEDIS measures, fostering a supportive and inclusive work environment.
- Provided valuable feedback on potential improvements in clinical practice guidelines based on comprehensive HEDIS measure analysis.
- Collected, summarized and trended provider performance data to identify and strategize opportunities for provider improvement.
- Assisted with the development of targeted interventions aimed at improving specific areas identified as needing improvement during HEDIS performance assessments.
- Reduced claim denials by identifying and addressing common errors in the coding process.
- Conducted regular audits of coded data, pinpointing inconsistencies or inaccuracies that could impact reimbursements or compliance measures.
- Maintained ICD-10 proficiency, leading to more accurate code assignments and fewer claim rejections.
- Served as an integral team member in departmental meetings, contributing insights based on expertise in HCC coder''s perspective toward improving operational efficiency or addressing challenges faced within the unit.
- Assisted in staff training initiatives, sharing expertise on HCC coding best practices and industry updates to improve team performance.
- Maintained strict compliance with HIPAA regulations, ensuring the privacy and security of patient information during the coding process.
Register Nurse Case Manager
PERFECT CARE
12.2021 - 12.2022
- Improved patient outcomes by developing and implementing comprehensive care plans tailored to individual needs.
- Evaluated emerging trends in healthcare delivery models to identify best practices for incorporation into case management strategies.
- Collaborated with physicians, therapists, and other healthcare professionals to create holistic treatment plans focused on achieving optimal health outcomes.
- Participated in quality improvement initiatives aimed at enhancing overall patient experiences while reducing costs associated with unnecessary interventions.
- Monitored patient complaints and grievances, using data-driven insights to develop targeted interventions for improving service delivery.
- Enhanced compliance with regulatory standards through diligent monitoring of nursing procedures and protocols.
Education
Master of Science - Nursing
UDCA
COLOMBIA12-2015
Skills
- Medication and IV administration
- Medication administration
- Direct patient care
- Patient assessments
- Wound care
- IV setup
- Intravenous therapy
- Telemetry monitoring
- Tracheostomy care
- EMR systems
- Intake and discharge
- Vaccine administration
- Diabetes management
- Chronic disease management
- Hospice and palliative care
- Long-term care
- Removing sutures
- FLUENT IN SPANISH
Certification
- Registered Nurse License (RN) - State Board of Nursing.
- CPR/AED Certification
- Basic Life Support Certification (BLS)
- ICD-10-CM/PCS Trainer Certificate– American Health Information Management Association(AHIMA).
- Wound, Ostomy and Continence Nursing Certification (CWOCN) - Wound, Ostomy and Continence Nursing Certification Board. (IN PROCESS)
- Certified Risk Adjustment Coder(CRC)-American Academy of Professional Coders(AAPC). (IN PROCESS)
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
REGISTER NURSE
PINNACLE HOME CARE
04.2022 - Current
Register Nurse Case Manager
PERFECT CARE
12.2021 - 12.2022
HEDIS Registered Nurse Quality Analyst
HEALTHSTONE PRIMARY CARE PROVIDERS
01.2018 - Current
Master of Science - Nursing
UDCA
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