Sylvia Rodriguez

• Coordinated and analyzed sustainable person-centered care plans involving internal and external providers.
• Reduced hospital readmissions by closely monitoring patients'' progress and adjusting care plans as needed.
• Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing, and other enabling services for patients.
• Worked with providers to define quality metrics and outcome reporting process.
• Collected and aggregated data to identify problems or trends, such as turnaround time and issues with physician offices.
• Arranged transportation and documented details of discharge transition plans.
• Facilitated assessment of individual physiological, psychological, financial, cultural and family situation and coordinated social services to address individual and family needs.
• Assessed healthcare needs and monitored effectiveness and progress plans to achieve desired outcomes.
• Interpreted regulations to identify patient care requirement criteria to be monitored and establish systems to achieve compliance.
• Improved patient outcomes by implementing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
• Served as an advocate for both patients and staff members alike when addressing concerns related to policy implementation or ethical dilemmas.
• Evaluated effectiveness of care plans regularly, making necessary adjustments based on changing patient needs or status updates from other providers involved in the case management process.
• Actively participated in quality improvement initiatives for nursing practices within the organization.
• Managed complex caseloads for high-risk patients, ensuring timely delivery of appropriate interventions and services.
• Enhanced patient satisfaction through timely communication, empathetic listening, and personalized education on health management.
• Caseload of over 100 members, company decided to change caseload goal to 75 for intensive members. Goal was met. Part of this caseload were members in a state driven program who had to be closely monitored to assure state guidelines were met.
• Streamlined workflow efficiency by collaborating with team members to optimize utilization of resources and prevent gaps in care.
• Collaborated with community organizations to connect patients to additional resources for further support in achieving their health goals.
• Offered leadership, support and clinical expertise within care management teams to achieve outcomes.
• Developed strong relationships with patients and their families, providing emotional support during challenging medical situations.
• Conducted thorough assessments of patients'' physical, emotional, social, and environmental needs to develop tailored care plans.
• Reviewed patient history to verify conditions and current medications.
• Responded to patient requests with appropriate clinical and personal assistance.
• Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
• Identified and reported unsafe situations to maintain adherence to safety protocols.
• Furthered skills by actively taking part in employee training and taking classes to improve skills.
• Collaborated on evaluation of care plan outcomes, implementing or adjusting interventions accordingly.
• Educated family members and caregivers on patient care instructions.
• Evaluated patient histories, complaints, and current symptoms.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Managed patients recovering from medical or surgical procedures.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
• Implemented care plans for patient treatment after assessing physician medical regimens.
• Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
• Equipped patients with tools and knowledge needed for speedy and sustained recovery.
• Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.

This was a temporary assignment with CareSource prior to being hired fulltime as a Case Manager.

• Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
• Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
• Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
• Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
• Enhanced communication between clients and providers through consistent follow-ups and progress updates.
• During this time, responsibilities included overseeing members considered medically frail. Caseload was approximately 90 when company changed status to full time employee.
• Achieved positive client outcomes by developing and implementing comprehensive case management plans.

• Promoted sustainability practices within the organization by implementing eco-friendly solutions and energy-saving measures.
• Mentored junior team members in best practices for facility administration, developing future leaders in the field.
• Was responsible for several dialysis units.
• Was responsible for budgets and working to stay on budget
• During this time responsibility was for > 30 FTEs.

• Kept practices, techniques, policies and procedures consistent with professional standards and regulatory agencies.
• Interviewed, hired, evaluated and terminated management and support staff.
• Reviewed financial reports, made modifications to reduce costs and identified sound alternatives for purchasing equipment and supplies.
• Chaired committees, work groups and meetings.
• In this position there was travel to New York and Florida to oversee their surgical services.
• Developed and maintained a high-quality surgical services team through rigorous training and performance evaluations.
• Mentored junior staff members to foster professional development within the surgical team.
• Evaluated new technologies for potential incorporation into the department''s surgical procedures, enhancing overall operational effectiveness.
• Oversaw regulatory compliance, ensuring adherence to state, federal, and accreditation standards for surgical services departments.
• Maximized resource utilization by scheduling elective surgeries according to available operating room capacity and staffing levels.
• Established effective communication channels between physicians, nurses, and support staff for optimal collaboration during surgeries.
• Coached, mentored and supported managers, colleagues and staff.
• Managed financial resources, establishing budgets and monitoring expenditures to ensure fiscal responsibility in the department.
• Implemented continuous quality improvement initiatives, identifying areas of concern, and developing action plans to address issues proactively.
• Enhanced patient safety with thorough preoperative assessments and risk evaluations.
• Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
• Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
• Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
• Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
• Spearheaded and implemented new projects to expand scope of engagement.
• This assignment as interim came with responsibility for >100 FTEs.

• Enhanced communication among perioperative team members through facilitating regular team huddles, debriefings, and open forums to discuss current practices and areas for improvement.
• Promoted a culture of continuous learning by encouraging perioperative staff to participate in professional development opportunities such as conferences, webinars, or workshops.
• Maintained accurate records of employee attendance, participation, and progress during training sessions, ensuring compliance with regulatory requirements.
• Facilitated skills development of perioperative staff, leading hands-on training workshops and simulations.
• Promoted a culture of patient-centered care by incorporating evidence-based practices into educational materials and teaching strategies.
• Improved employee retention rates through engaging and informative orientation programs for new hires in the perioperative department.
• Implemented evidence-based practices in educational strategies, staying current with industry trends and research findings.
• Enhanced perioperative staff competency by developing and implementing comprehensive educational programs.
• Streamlined the onboarding process for new employees, ensuring a smooth transition into their roles within the perioperative team.
• Increased patient safety levels by conducting thorough training sessions on surgical procedures and protocols.
• Led regular team meetings to review progress on learning objectives, address concerns or issues, and provide ongoing support for staff members.
• As educator each class consisted of approximately 16 students. As Manager of Pre-Op there was responsibility for >50 FTEs.