Rose Castro
Palm Beach Gardens,FL
Summary
BSN-prepared Registered Nurse with extensive acute healthcare nursing and case management experience. Proven leader of interdisciplinary teams, specializing in utilization review, clinical care assessments, InterQual criteria application, and safe/efficient discharge planning in compliance with State, Federal, and payor regulations. Highly skilled in managing complex transitions of care, proactively identifying operational barriers, and consistently maximizing patient satisfaction.
Overview
1
1
Certification
25
25
years of professional experience
Work History
RN Clinical Liaison
Select Specialty Hospital and Rehabilitation
Lake Worth, Florida
02.2023 - Current
- Conduct comprehensive clinical assessments of medically complex and acute rehab patients to evaluate appropriateness for admission, establishing medical necessity along the continuum of care.
- Facilitate seamless, high-quality transitions of care for post-ICU and complex surgical patients, counseling families on care decisions and collaborative discharge tracking.
- Partner directly with acute care hospital case managers, attending physicians, and insurance providers to proactively identify and eliminate payor-related, operational, and clinical barriers to care.
- Utilize deep knowledge of regulatory requirements, LTACH and IRF criteria, and commercial insurance/Medicare guidelines to ensure proper patient placement and utilization.
RN Case Manager
HCA Florida JFK Hospital
Lake Worth, FL
10.2020 - 02.2023
- Functioned as a leader of the interdisciplinary team to coordinate comprehensive plans of care throughout patients' hospitalization.
- Monitored length of stay and provided appropriate case management interventions according to medical/social needs and resources, ensuring a safe and compliance-focused discharge plan.
- Promoted safety and increased patient satisfaction by remaining heavily HCAHPS-focused and collaborating with colleagues to streamline and improve transitions of care.
- Responsible for InterQual criteria application, subsequent physician interaction, authorizations for level of care, and formal certification of current patient stay.
- Advocated for patients' needs within healthcare systems to enhance service delivery.
- Monitored treatment progress and adjusted care plans as necessary for effectiveness.
Travel RN
LMH New York Columbia Presbyterian Hospital
New York, NY
04.2020 - 06.2020
RN Case Manager
Florida Medical Center
Ft. Lauderdale, FL
01.2020 - 04.2020
RN Case Manager
HCA Aventura Hospital
Aventura, Florida
04.2019 - 01.2020
Registered Nurse
HCA JFK Florida Hospital
Aventura, Florida
07.2016 - 04.2019
- Managed a comprehensive patient care load of 7 acute patients on a 42-bed Orthopedic/Trauma Step Down unit, executing precise shift assessments and rigorous electronic documentation.
- Collaborated closely with physicians, trauma teams, physical/occupational therapists, and wound care specialists to achieve clinical post-operative recovery goals.
- Ensured compliance with standards of professional practice as well as state and federal regulations related to health care delivery services.
Bartender
Anthony's Coal Fire Pizza
Coral Gables, Florida
02.2013 - 03.2016
LTC Medicaid Waiver Specialist
Miami Jewish Health Systems
Miami, FL
11.2007 - 01.2013
Support Services Coordinator
Agape Coordinating and Consulting
Miami, FL
10.2006 - 11.2007
Family Services Counselor
Department Of Children and Families, State of Florida
Miami, FL
07.2004 - 10.2006
Child Protective Specialist/Hospital Sex Abuse Uni
Administration for Children's Services
New York, New York
09.2001 - 06.2004
Education
Bachelor of Science - Nursing
Nova Southeastern University
Davie, FL05-2020
Bachelor of Science - Sociology
Barry University
Miami, FL05-2000
Skills
- Bilingual (English/Spanish)
- Case Management and Care Coordination
- Utilization Review (InterQual Criteria)
- LTACH/IRF Admission Criteria
- Patient Assessment and Placement
- Discharge Planning and Transition of Care
- Multi-disciplinary Team Leadership
- Regulatory Compliance and HCAHPS
Certification
- Registered Nurse (RN): Active Florida Licensure
Timeline
RN Clinical Liaison
Select Specialty Hospital and Rehabilitation
02.2023 - Current
RN Case Manager
HCA Florida JFK Hospital
10.2020 - 02.2023
Travel RN
LMH New York Columbia Presbyterian Hospital
04.2020 - 06.2020
RN Case Manager
Florida Medical Center
01.2020 - 04.2020
RN Case Manager
HCA Aventura Hospital
04.2019 - 01.2020
Registered Nurse
HCA JFK Florida Hospital
07.2016 - 04.2019
Bartender
Anthony's Coal Fire Pizza
02.2013 - 03.2016
LTC Medicaid Waiver Specialist
Miami Jewish Health Systems
11.2007 - 01.2013
Support Services Coordinator
Agape Coordinating and Consulting
10.2006 - 11.2007
Family Services Counselor
Department Of Children and Families, State of Florida
07.2004 - 10.2006
Child Protective Specialist/Hospital Sex Abuse Uni
Administration for Children's Services
09.2001 - 06.2004
Bachelor of Science - Nursing
Nova Southeastern University
Bachelor of Science - Sociology
Barry University