Summary
Overview
Work History
Education
Skills
Languages
Timeline
Summary of Qualifications
Generic

RAFAELA ZUNIGA

San Benito,TX

Summary

A highly talented Licensed Vocational Nurse with huge experience in providing a wide variety of direct patient care.

Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.

Overview

19
19
years of professional experience

Work History

Nurse Case Manager

Wellmed
Harlingen, Texas
01.2019 - Current

Home Health LVN

APC Home Health
01.2017 - 01.2019

BRM/Merida Healthcare Group
01.2011 - 01.2017

LVN Floor Nurse

Willacy Immigration Detention Center
01.2007 - 01.2011

BRM Home health
01.2007 - 02.2007

Education

Licensed Vocational Nursing Certificate -

Valley Baptist School Of Vocational Nursing
Harlingen, Tx
01.2007

Skills

LVN – Case Manager

  • Conducted patient outreach to schedule transition visits and ensure timely post-discharge follow-up
  • Provided education on disease processes, medication adherence, and individualized plans of care
  • Assessed and addressed gaps in Social Determinants of Health (SDOH) to reduce barriers to care
  • Built and maintained strong relationships with patients, caregivers, and external partners to promote continuity of care
  • Ensured all patient needs were met prior to case closure, including coordination of follow-up appointments and services
  • Completed Utilization management tasks, including initial reviews of authorization requests for DME, home health, and ambulance services
  • Managed interdepartmental communication, ensuring timely and accurate exchange of critical patient information
  • Coordinated care between Post-acute facilities, hospice, home health agencies, specialist offices, and PCP offices
  • Adapted to frequent process changes due to organizational restructuring and evolving CMS regulations
  • Acted as a resource for internal and external stakeholders to optimize member outcomes
  • Documented all interactions and interventions in compliance with organizational and regulatory standards
  • Participated in team meetings and contributed feedback to improve workflows and patient outcomes
  • Monitored and tracked patient progress to ensure adherence to care plans and timely resolution of issues
  • Supported quality improvement initiatives and assisted in identifying process gaps
  • Maintained confidentiality and adhered to HIPAA regulations in all communications and documentation
  • Teamwork and collaboration
  • Friendly, positive attitude
  • Problem-solving

Languages

Spanish
Native or Bilingual
English
Native or Bilingual

Timeline

Nurse Case Manager

Wellmed
01.2019 - Current

Home Health LVN

APC Home Health
01.2017 - 01.2019

BRM/Merida Healthcare Group
01.2011 - 01.2017

LVN Floor Nurse

Willacy Immigration Detention Center
01.2007 - 01.2011

BRM Home health
01.2007 - 02.2007

Licensed Vocational Nursing Certificate -

Valley Baptist School Of Vocational Nursing

Summary of Qualifications

  • More than Eighteen Years’ experience as Licensed Vocational Nurse.
  • Great knowledge of general nursing procedures and techniques involved in the care of patients, disease processes and possible results, medical terminology, hospital routine, and equipment
  • Excellent ability to learn and operate a wide variety of medical equipment
  • Profound ability to properly administer enemas, douches, irrigations, and catheterizations.
  • Deep ability to give medications prescribed by physicians.
  • Excellent ability to recognize critical and significant changes in patients.
  • Remarkable ability to keep records and prepare reports.
  • Strong ability to establish and maintain effective working relationships with the staff, patients and patients' families
  • Sound knowledge of EKG testing, immunization skills, and current normal lab values.
  • Proficiency in basic computer data entry skills, and experience with email.
  • Immense ability to accurately record patient information in the patient medical record and to notify appropriate personnel when deviations from the norm occur.
  • Deep ability to accurately measure medication doses, weights, lengths, and count vaccine/pharmacy inventory.
  • Excellent ability to draw blood and to administer oral and injectable medications.
  • Uncommon ability to converse in Spanish and deep cultural sensitivity in serving patients of varied ethnic and socioeconomic backgrounds is preferred.
  • Ability to maintain confidentiality of patients' medical and personal information.
  • Ability to lift and transfer up to 25 lbs.