Ramiro Garacia
Edinburg
Summary
Dynamic Senior LTSS Service Care Manager at Superior HealthPlan with expertise in patient care planning and service coordination. Proven track record in developing personalized care plans and empowering patients through education. Skilled in critical thinking and clinical documentation, fostering optimal health outcomes and enhancing patient self-management.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Senior LTSS Service Care Manager
Superior HealthPlan
02.2017 - Current
- Developed personalized care plans to meet individual member needs and promote optimal health outcomes.
- Trained and mentored new staff on best practices in patient management and effective communication techniques.
- Educated members and families on community resources, treatment options and health care services to better manage conditions.
- Assessed members and developed plans to meet their needs.
- Established and maintained relationships with members, families and community partners to coordinate services to meet client's needs.
- Promoted member self-management by providing education on chronic condition management and healthy lifestyle choices.
- Communicated with healthcare providers to facilitate continuity of care.
- Participated in team meetings and trainings to stay updated on best practices and new developments in care management.
- Maintained strict adherence to professional ethics and confidentiality guidelines, safeguarding sensitive information and promoting trust.
Case Manager
BrightStar Care
08.2014 - 02.2017
- Managed comprehensive care plans for diverse patient populations, ensuring tailored interventions and support.
- Conducted thorough assessments of patients' health conditions, developing individualized nursing care protocols.
- Monitored medication administration and educated patients on proper usage, fostering adherence to treatment regimens.
- Implemented quality assurance measures to enhance patient outcomes and streamline operations within the home health environment.
- Trained and mentored junior nurses on best practices in patient care management and documentation standards.
- Managed complex caseloads efficiently by prioritizing tasks, delegating responsibilities to support staff, and maintaining detailed records.
- Expedited wound healing using advanced wound care techniques such as negative pressure therapy or hydrocolloid dressings when appropriate.
- Empowered patients and their families to take an active role in care decisions, fostering a sense of self-efficacy and improving long-term health outcomes.
- Collaborated with external healthcare providers to facilitate seamless transitions between acute care settings and home environments.
- Mentored new RNs entering the field of home health case management fostering a supportive learning environment for professional growth.
- Coordinated multidisciplinary team meetings regularly to discuss complex cases, share best practices, and develop collaborative solutions for challenging patient situations.
Case Manager
PSA Healthcare
05.2012 - 08.2014
- Collaborated with interdisciplinary teams to streamline communication and optimize healthcare delivery processes.
- Facilitated discharge planning by coordinating resources and follow-up care for pediatric patients transitioning from the hospital to home setting.
- Evaluated the effectiveness of implemented interventions periodically, adjusting treatment plans as needed to promote optimal patient outcomes.
- Educated caregivers on healthcare protocols and processes.
- Navigated regulatory requirements effectively, ensuring proper documentation and compliance with relevant laws and guidelines.
- Developed strong relationships with patients and their families, providing support and education on health management.
- Ensured compliance with healthcare regulations and standards, conducting regular reviews of patient care activities.
- Advocated for patients with insurance companies, securing coverage for necessary treatments and medications.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
Education
Associate of Science - Nursing Practice
Lamar State College
Port Arthur, TX02-2012
Skills
- Patient care planning
- Case assessments
- Clinical documentation
- Patient education
- Service coordination
- Quality improvement
- Policy adherence
- Technology proficiency
- Treatment management
- Discharge planning
- Critical thinking
- Decision-making
Certification
- [Area of expertise] License - [Timeframe]
- [Area of certification] Training - [Timeframe]
Languages
Spanish
Full Professional
English
Full Professional
Timeline
Senior LTSS Service Care Manager
Superior HealthPlan
02.2017 - Current
Case Manager
BrightStar Care
08.2014 - 02.2017
Case Manager
PSA Healthcare
05.2012 - 08.2014
Associate of Science - Nursing Practice
Lamar State College
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