Bilingual international Medical Doctor (not ECFMG certified) and New Graduate Registered Nurse with extensive experience in Care Coordination and Case Management, providing quality, culturally competent, patient-centered care. Background with underserved and diverse populations and patient education on a broad range of preventive and treatment care issues. Demonstrated success building positive relationships with patients, family members, and staff. Excellent interpersonal and leadership skills.
Overview
27
27
years of professional experience
Work History
Lead Care Coordinator
Sanitas Medical Center Of New Jersey
New Jersey
12.2021 - Current
Oversee programs that evaluate patient utilization of healthcare services decreasing ER visits and inpatients by 30 %
Served as liaison between Care Coordinators, Health insurance and Clinical corporative members
Analyze clinical data to understand reason behind patient utilization of healthcare services
Provides training and support to Care Coordination team
Care Coordinator
Sanitas Medical Center
New Jersey
09.2020 - 12.2021
Oriented and educated patients and their families about Care Coordination Program
Created individualized Care Plan for roster of 30 high risk patients
Evaluated outcomes of care with interdisciplinary team by measuring intervention effectiveness
Maintained quality service by establishing and enforcing organization standards
Maintained patient care database
Ensured continuity of care to patients
Community Liaison Worker Level-I
NYC Health + Hospitals
New York
07.2019 - 09.2020
Engaged and recruited eligible patients and conduct clinical or community-based assessments and interviews to identify their health goals and needs.
Assessed and addressed health, social and service-related needs of assigned/identified 40 patients and created individualized, patient-centered, goal-directed care plans for each patient.
Supported and motivated 40 patients to achieve their health goals by coaching them through behavior change and identifying their strengths and community support systems.
Helped 40 patients connect to primary care provider, specialty care providers, community services and/or mental health services, attend medical appointments, and fill prescriptions.
Accompanied 40 patients during medical appointments and provided in-person support during hospital stays as needed; communicated with their care team to help coordinate care.
Assessed ability of 40 patients to manage their chronic disease(s) and work with care team to connect them to appropriate education and monitoring programs.
Assisted 40 patients with social needs such as food insecurity, housing issues, legal needs, insurance or other health care coverage, or transportation and provided referrals and follow-ups, as needed (for example, helping patients fill out benefit applications or escorting them to community organizations to obtain needed services).
Educated 40 patients regarding available community services, health services, and patient rights; provide feedback from patients to NYC H+H to inform quality improvement efforts.
Care Coordinator
Morris Heights Health Center Bronx
New York
12.2018 - 07.2019
Performed phone calls and home visits to 50 PLWHIV monitoring to ensure viral load suppression and engagement in care
Performed treatment adherence support, risk, and harm reduction counseling for 50 patients
Developed & maintained referral network of community-based organizations
Provided newly diagnosed and HIV known positive patients with prevention counseling and referred to Positive Life Workshop
Conducted referrals & escorted 50 patient to needed services
· Maintained required documentation of all services provided in client’s electronic medical record
Patient Navigator
Paramount Specialty Pharmacy
Long Island, NY
02.2018 - 10.2018
Provided excellent customer service to 100 patients and medical staff of 3 organizations
Applied administrative knowledge and courtesy to explain procedures and services to 100 patients.
Resolved customer complaints using established follow-up procedures.
Recommended service improvements to minimize recurring patient issues and complaints.
Clinical HIV Case Manager
Betances Health Center
New York
04.2015 - 02.2018
Completed psychosocial evaluations and needs assessments for 250 patients.
Traveled to street venues to conduct various types of HIV tests weekly.
Distributed condoms to promote use for HIV-infected persons and persons at highest risk of acquiring HIV weekly.
Conducted scientific-based prevention education sessions with 20-30 HIV positive individuals through workshops weekly.
Collaborated with healthcare providers to drive continuity of care for a caseload of 250 patients.
Performed 20-30 HIV tests and interpreted test results, recording and maintaining test results in medical records weekly.
Surgical Coordinator
North Jersey Laparoscopic Associates
Teaneck, NJ
09.2014 - 01.2015
Organized and maintained patient chart filing system to promote quick data finding for staff.
Managed office bookkeeping with insurance billing and patient payments.
Resolved scheduling conflicts to maintain high-quality patient services.
Expertly managed planning, scheduling, and coordination of 10 outpatient procedures weekly.
Greeted and interacted with 50 patients to provide information, answer questions and assist with appointment scheduling.
Educated 50 patients about surgeries and provided treatment plan documentation weekly.
Conducted 50 patient intake interviews, recording and documenting relevant information.
Coordinated with facilities to set up surgeries for 3 bariatric surgeons.
Certified Clinical Medical Assistant
Riverside Medical Group
North Bergen, NJ
08.2012 - 09.2014
Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
Directed 30 patients to exam rooms, fielded questions, and prepared for physician examinations.
Obtained 30 clients medical history, medication information, symptoms, and allergies.
Called and faxed pharmacies to submit prescriptions and refills.
Collected and documented 30 patients medical information such as blood pressure and weight.
Taught 30 patients about medications, procedures, and care plan instructions.
Helped improve patient outcomes by educating and advising on relevant treatments and care.
Completed EKGs and other tests based on patient presentation in office.
Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
Sanitized, restocked, and organized exam rooms and medical equipment.
Certified Clinical Medical Assistant
Dr. Jose B. Munin's Office
North Bergen, NJ
09.2005 - 08.2012
Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
Directed 30 patients to exam rooms, fielded questions, and prepared for physician examinations.
Obtained 30 clients medical history, medication information, symptoms, and allergies.
General Medical Practitioner
Mission Barrio Adentro
Barquisimeto, Lara Venezuela
05.2004 - 10.2004
Diagnosed and treated patients suffering from chronic conditions from a populations of 1000 patients.
Educated patients on treatment options for various illnesses, collaborating with specialists to provide thorough education.
Monitored vital signs during treatments and adapted plans to maintain patient comfort.
Provided emergent medical care and treatment for life-threatening injuries and illnesses.
Teamed with other physicians, specialists, and health care providers to provide well-rounded care for complex cases.
Instructed and advised patients regarding preventive health care measures to promote early detection, diagnosis and management of medical conditions.
Engaged with other professionals to impart knowledge and discuss best treatment courses.
Thoroughly examined patients and elicited medical history data to use in assessing health and identifying conditions.
Kept detailed records of medical conditions and histories to provide best-in-class and individualized care.
Adhered to universal precautions and other appropriate infection control practices.
Participated in patient education sessions among targeted populations with prevalent health risk factors.
Evaluated patient histories, complaints, and current symptoms.
General Medical Practitioner
MINSAP
Camaguey, Cuba
09.1996 - 05.2004
Reviewed patient allergies, problems, medications, and immunization statuses for a population of 2500 patients.
Ordered x-rays, ultrasounds and laboratory tests.
Delivered prenatal care to pregnant women and provided postnatal care to infants and mothers.