Ronda Montanez
Gahanna,OH
Summary
Results-driven Nursing Leader with over 13 years of experience, including 10 years at Aetna/CVS Corporation. Expertise in patient care, case management, and care coordination, ensuring high-quality outcomes in dynamic environments. Proven ability to build relationships with patients, families, and multidisciplinary teams through effective communication and collaboration.
Overview
14
14
years of professional experience
1
1
Certification
Work History
RN Case Manager
Aetna/CVS
05.2014 - Current
- Promoted wellness by delivering essential healthcare information to members.
- Coordinated care to ensure members received appropriate treatment levels.
- Facilitated successful transitions for members returning to home care environments.
- Assessed and implemented tailored care plans to optimize member wellness.
- Executed timely authorizations for nursing facilities served by the organization.
- Ensured compliance with State contract requirements for service delivery.
- Updated care plans after each member interaction for accuracy and relevance.
- Collaborated with interdisciplinary teams and community organizations to enhance member outcomes.
RN Case Manager
ViaQuest INC.
05.2013 - 04.2014
- Facilitated patient care coordination, improving health outcomes and service efficiency.
- Supervised LPNs and home health aides to enhance care delivery standards.
- Navigated Medicaid and Medicare regulations to ensure compliance and optimal patient support.
- Collaborated with healthcare teams to streamline patient care and service planning.
- Acted as a community resource, supporting interdisciplinary teams and patient needs.
- Managed care delivery issues, ensuring quality and cost-effective patient services.
RN Case Manager
Premier First Home Health Care
04.2012 - 04.2013
- Enhanced patient outcomes through efficient medication administration and case management coordination.
- Conducted thorough physical assessments, ensuring accurate company documentation and vital sign monitoring.
- Optimized patient care schedules, aligning daily assignments with individual health needs.
- Advanced patient advocacy by addressing specific needs and supporting family members effectively.
- Improved care quality through timely recertification and monitoring of patient outcomes.
- Established nursing diagnoses and goals tailored to each patient's specific medical condition.
Education
Bachelor of Science - Nursing
Ohio University
Athens, OH05.2018
RN/ADN - undefined
Fortis College of Nursing
Westerville, OH12.2012
undefined
Columbus State Community College
Columbus, OH04.2003
Skills
- Chronic disease management
- Discharge planning
- HIPAA compliance
- Multidisciplinary approach
- Care coordination
- Home care management
- Case evaluation
- Community resources
- Quality improvement
- Case management
- Critical thinking
- Compassionate and caring
- Interdisciplinary collaboration
- Documentation
- Accurate documentation
- Microsoft office
- Preventive healthcare
- Preventive health
- Clear patient communication
- Community program referrals
Certification
- CPR and First Aid Certified
- Competent with Microsoft Office Suite of Products
- Completed Staff Development programs
Timeline
RN Case Manager
Aetna/CVS
05.2014 - Current
RN Case Manager
ViaQuest INC.
05.2013 - 04.2014
RN Case Manager
Premier First Home Health Care
04.2012 - 04.2013
RN/ADN - undefined
Fortis College of Nursing
undefined
Columbus State Community College
Bachelor of Science - Nursing
Ohio University