Susel Paneca
Winter Garden,FL
Summary
I am a compassionate, hardworking nursing professional, and have a reputation as a flexible team player with a positive attitude. Exceptional clinical and patient communication skills; bilingual in English and Spanish. Known the ability to discern needs, solve problems, and strengthen relationships with a high volume of diverse patients and family members while maintaining a composed, diplomatic, and helpful demeanor quickly and effectively. Demonstrated perseverance, compassion, and attention to detail. Well-regarded skills in providing optimum patient care. Committed to continued professional training.
Overview
11
11
years of professional experience
1
1
Certification
Work History
RN Case Manager
Florida Healthcare Plans
2018.01 - Current
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Educated patients and families on available community resources, facilitating access to necessary support services.
- Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
RN, Transitional Care Manager
Anthem Blue Cross (Healthsun Health Plan)
2016.01 - 2018.01
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
- Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
- Improved patient outcomes by providing high-quality nursing care and implementing evidence-based practices.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Provided emotional support to patients and their families.
Utilization Review
Healthsun Health Plan
2013.01 - 2016.01
- Supervised and maintained all utilization review documentation through [Software].
- Led weekly utilization review to go over recent clinical activities.
- Worked with utilization review to establish prior authorization for timely discharges.
- Conducted utilization review to verify medically necessary care is received in correct setting.
- Improved patient care quality by efficiently reviewing and analyzing medical records for utilization review purposes.
- Assisted leadership in setting annual objectives for the Utilization Review Department based on organizational priorities.
Education
Bachelor of Science - Nursing
Chamberlain University
01.2020
Associate of Science - Nursing
Saber College of Miami
01.2016
Skills
- Bilingual
- Chronic Disease Management
- HIPAA Compliance
- Multidisciplinary Approach
- Care Coordination
- Utilization review
- Case Management
Personal
I passionately believe that I will be an asset to your institution. I am organized, detail-oriented, and efficient. If you conclude that my qualifications meet the requirements for the position, I would appreciate a personal interview at your convenience.
Awards
Hispanic Chamber of Commerce of Central Florida- Annual Regional Healthcare Awards for Outstanding Nurse
References
- Adlay Gey, BSN, RN, AART, 786-365-5853
- Jennifer Gilligan, Registered nurse, CCM, manager, 386 451-8809
- Joann Baugher, Registered nurse, CCM, supervisor, 386-852-8380
Certification
. Registered Nurse license in Florida & multi-State
. ACLs (American Heart Association)
. CPR & AED (American Heart Association)
Languages
Spanish
Native or Bilingual
Timeline
RN Case Manager
Florida Healthcare Plans
2018.01 - Current
RN, Transitional Care Manager
Anthem Blue Cross (Healthsun Health Plan)
2016.01 - 2018.01
Utilization Review
Healthsun Health Plan
2013.01 - 2016.01
Bachelor of Science - Nursing
Chamberlain University
Associate of Science - Nursing
Saber College of Miami
. Registered Nurse license in Florida & multi-State
. ACLs (American Heart Association)
. CPR & AED (American Heart Association)
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