Sonia Reyna

· Coordinate and manage relationships with participating provider practices.

· Maintain detailed understanding of HEDIS/STAR performance measures. Develop and maintain a process to ensure all customers in participating provider practices meet quality metrics.

· Responsible for coordinating the delivery of cost-effective, quality-based health care services for health plan customers by developing and implementing alternative treatments plans that address individual needs of customers, their benefit plan and community resources.

· Utilize clinical skills to assess, plan, implement, coordinate, monitor and evaluate options and services in order to facilitate appropriate healthcare outcomes for customers.

· Identify high-risk/high-cost patients for possible case management intervention.

· Identify customer needs, coordinates and supports planned and unplanned transitions and post-discharge follow up calls which may include primary care physician and specialist appointment scheduling.

· Attend and participate in weekly Complete Health Team rounds and actively participates in staff meetings.

· Perform telephonic outreach or home visits, as needed.

· Collaborate with all departments to resolve issues.

· Followed MD/NP, assisted and was trained on handling complex cases involving multiple comorbidities effectively by employing critical thinking skills and seeking expert consultations when necessary.

· Followed MD/NP, assisted and instructed to perform comprehensive physical assessments, accurately diagnose conditions, and determine appropriate interventions.

· Followed MD/NP, assisted and was trained on ordering and interpreting diagnostic tests to develop and implement treatment plans.

· Followed MD/NP, assisted and was trained and helped manage acute and chronic illnesses, assisted in developing personalized treatment plans that addressed patients' unique needs.

· Followed MD/NP, assisted and provided preventive care such as well-child checks, adult physicals, and gynecological examinations.

· Followed MD/NP, assisted and educated and guided patients on disease prevention and healthy lifestyle habits to prevent Type-2 diabetes and other complications.

· Followed MD/NP, assisted and coordinated with physicians, specialists, and other medical staff to develop treatment plans for chronic conditions.

· Followed MD/NP, assisted and coordinated referrals for specialty services and additional care.

· Followed MD/NP, assisted and promoted health maintenance and disease prevention through patient education and counseling on lifestyle modifications.

· Followed MD/NP and assisted in prescribing appropriate pharmacologic and non-pharmacologic treatment modalities to support health and comfort of patients.

· Followed MD/NP, instructed, and able to perform minor procedures such as handling suturing, wound care, and I&D.

· Followed MD/NP, able to assist with NST fetal monitoring, ultrasonography to measure fetal growth and helped in writing orders for induction or scheduling cesarean sections.

• Followed NP, assisted and was trained on handling complex cases involving multiple comorbidities effectively by employing critical thinking skills and seeking expert consultations when necessary.
• Followed NP, assisted and was trained to perform comprehensive physical assessments, accurately diagnose conditions, and determine appropriate interventions.
• Followed NP, assisted and was trained on ordering and interpreting diagnostic tests to develop and implement treatment plans.
• Utilized evidence-based and holistic approaches to care in family practice settings.
• Followed NP, assisted and provided preventive care such as well-child checks, adult physicals, and gynecological examinations.
• Followed NP, assisted and educated and guided patients on disease prevention and healthy lifestyle habits to prevent Type-2 diabetes and other complications.
• Followed NP, assisted and coordinated with physicians, specialists, and other medical staff to develop treatment plans for chronic conditions.
• Followed NP and assisted in prescribing appropriate pharmacologic and non-pharmacologic treatment modalities to support health and comfort of patients.
• Followed NP and assisted in discussion of care plans with patients and explained test results and proper use of medications.

· Followed MD/NP, assisted and provided preventive care such as well-women annual exams and gynecological examinations.

· Followed MD/NP and assisted in prescribing appropriate pharmacologic and non-pharmacologic treatment modalities to support health, comfort of patients and hormone, contraceptive treatment for patients.

· Followed MD/NP, assisted and was trained on ordering and interpreting diagnostic tests to develop and implement treatment plans.

· Followed MD/NP, instructed, and able to perform minor procedures such as handling suturing, wound care, and I&D.

· Followed MD/NP, able to assist with NST fetal monitoring, ultrasonography to measure fetal growth.

· Followed MD/NP to assist and care for patients in preparing for hysteroscopy/endometrial ablation, D&C pre-operative treatment/planning, IUD removals, post-operative vaginal cyst drainage care, etc.

• Planned and assigned workload to nursing staff to direct patient care.
• Evaluated work performance of 60+ nursing personnel to determine wage increases and implement discipline.
• Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
• Collaborated with staff, management, and external groups to coordinate patient care.
• Oversaw and approved recruitment, hiring and orientation of new nursing staff.
• Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
• Created customized care plans, working with nursing staff and families to assess and meet individual needs as needed.

• Planned and assigned workload to nursing staff to direct patient care.
• Evaluated work performance of 60+ nursing personnel to determine wage increases and implement discipline.
• Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
• Collaborated with staff, management, and external groups to coordinate patient care.
• Oversaw and approved recruitment, hiring and orientation of new nursing staff.
• Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
• Created customized care plans, working with nursing staff and families to assess and meet individual needs as needed.
• August 2003-May 2004: Wound Care Specialist: Performed, monitored and reported weekly report to Specialists regarding wounds, incisions, diabetic ulcers, stasis ulcers, and burns; Managed wound vacs; Educated patients, family members and healthcare staff on interventions required for skin healing and maintenance.; Documented and photographed skin treatments for weekly report to Specialists.

• Provided emotional support and guidance to new mothers and families during labor, delivery and postpartum.
• Responded to emergency situations such as pre-eclampsia, early labor, and fetal distress.
• Assisted physician during delivery, examination and surgical procedures by anticipating needs, encouraging patient, and attending to baby after birth.
• Supported physicians in both planned and emergency Cesarean section procedures.
• Assessed infant health directly after birth using APGAR and monitored health for specified amount of time for any changes in status.
• Managed epidural analgesia infusions and monitored vital signs during labor and delivery.
• Coached new mothers with breastfeeding techniques, postpartum self-care and infant care to promote easier transition into motherhood.
• Aided with induction of labor for women suffering from complications such as preeclampsia.
• Assisted obstetricians and midwives with deliveries and cared for newborns directly after birth.
• Advocated for patient autonomy by involving them in decision-making processes regarding their birth plan.
• Anticipated potential complications early in the labor process through vigilant assessment of both mother and fetus vital signs data.
• Educated expectant mothers on available pain management options during the birthing process while respecting individual preferences.