Professional in care management, prepared to drive impactful improvements in patient care and operational efficiency. Known for fostering team collaboration and delivering reliable results while adapting to evolving needs. Skilled in conflict resolution and strategic planning, bringing empathy and solution-oriented mindset to every challenge.
Overview
16
16
years of professional experience
Work History
Care Service Manager RN
Superior Health Plan Inc
02.2018 - Current
Promoted a culture of safety within the workplace through close monitoring of procedures, ongoing staff training, and adherence to best practices.
Cultivated a positive team environment through effective conflict resolution strategies that addressed workplace issues in a fair and timely manner.
Developed comprehensive staff training programs, improving overall team performance and quality of care.
Oversaw regulatory compliance initiatives, ensuring adherence to industry standards and maintaining accreditation status.
Collaborated with interdisciplinary teams to develop comprehensive treatment plans for clients, maximizing their potential for recovery and independence.
Mentored new Care Service Managers as part of an ongoing professional development initiative within the organization.
Conducted thorough assessments of members needs, ensuring accurate service delivery and optimal care outcomes.
.
Educated members/families/caregivers on community resources, treatment options and health care services to better manage conditions.
Communicated with healthcare providers to facilitate continuity of care.
Participated in team meetings and trainings to stay updated on best practices and new developments in care management.
Maintained detailed records in compliance with agency standards and regulations.
Assisted in recruiting, hiring and training of team members.
Recruited and trained initial personnel, working to establish key internal functions and outline scope of positions for new organization.
ADON
United Home Health Care
07.2017 - 02.2018
Established strong partnerships with community resources including hospice providers, home health agencies, and outpatient rehabilitation centers to enhance patient care transitions and discharge planning.
Mentored new nursing staff, fostering professional growth and development while maintaining high standards of patient care.
Reduced medication errors by conducting thorough medication administration audits and providing feedback to nursing staff.
Assisted in developing policies and procedures that were in compliance with state regulations, maintaining accreditation standards for the facility.
Assisted in the recruitment, hiring, and retention of top nursing talent by participating in job fairs, conducting interviews, and providing mentorship to new hires.
Facilitated an on-going assessment of patient/family needs and implementation of interdisciplinary team care
plan.
Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set
standards.
Confidently managed the overall operation of nursing services and patient care, including financial
management, quality assurance, patient care, safety risk management, teammate satisfaction, quality index
scores and facility maintenance.
Certified that equipment and supplies were properly maintained for quality patient care and safety.
Continually improved knowledge, skills and performance based on feedback and self-identified professional
developmental needs.
Confirmed accurate completion of forms/reports for the admission, transfer and/or discharge of each patient.
Initiated audit process to evaluate thoroughness of documentation and maintenance of facility standards.
Monitored Infection Control and Critical Incidents, Risk Management and Quality Improvement plans.
Created and maintained computerized record management systems to record and process data and generate
Director of Nursing
Onsite Home Health
11.2016 - 06.2017
Developed positive employee relations, incentives, and recognition programs to promote teamwork and mutual respect.
Collaborated with interdisciplinary teams to develop comprehensive care plans for patients with complex needs.
Worked closely administration to develop and implement best practices to improve patient outcomes.
Enhanced staff performance by conducting regular evaluations, providing constructive feedback, and offering tailored professional development opportunities.
Served as a liaison between nursing leadership, hospital administration, medical staff, allied health professionals, patients, families, and other stakeholders to ensure effective communication and collaboration.
Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
Created customized care plans, working with hospital staff and families to assess and meet individual needs.
. In the absence of the Administrator, ensured adequate staff education and evaluations according to requirements
relating to staffing policies
Investigated and reported issues relating to patient care or conditions that might hinder patient well-being.
Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set
standards.
Confirmed accurate completion of forms/reports for the admission, transfer and/or discharge of each patient.
Initiated audit process to evaluate thoroughness of documentation and maintenance of facility standards.
Monitored Infection Control and Critical Incidents, Risk Management and Quality Improvement plans.
Created and maintained computerized record management systems to record and process data and generate
reports.
Skillfully developed departmental goals, objectives, standards of performance, policies and procedures
Registered Nurse
Mi Casa Home Health
07.2015 - 03.2016
Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
Served as a preceptor for nursing students during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.
Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
Implemented evidence-based fall prevention strategies, resulting in a significant decrease in patient falls within the unit.
Demonstrated expertise in wound management techniques resulting in accelerated healing times for patients with complex wounds or pressure injuries.
Educated family members and caregivers on patient care instructions.
Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Managed patients recovering from medical or surgical procedures.
Monitored patient reactions after administering medications and IV therapies.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Licensed Vocational Nurse
Community Action Health Clinic
08.2009 - 12.2012
Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
Prevented medication errors by meticulously reviewing physician orders and administering medications as prescribed.
Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
Cared for wounds, provided treatments, and assisted with procedures.
Promoted patient safety through vigilant monitoring of vital signs and reporting any abnormalities to the appropriate healthcare provider promptly.
Facilitated effective communication between patients, families, and healthcare providers to ensure continuity of care during transitions between facilities or levels of care.
Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
Documented accurate and complete patient information to address patient problems and expected outcomes.
Improved patient satisfaction by providing compassionate and attentive care.
Streamlined patient flow in a busy clinic setting, ensuring timely access to care for all patients.
Used aseptic techniques to provide sterilized wound care and dressing applications.
Assisted physicians during examinations and procedures, ensuring safe practices were maintained throughout each encounter.
Gathered lab specimens, ordered testing, and interpreted results to diagnose patients.
Provided excellent wound care management, resulting in faster healing times for patients with complex wounds.
Safeguarded patient confidentiality by adhering to HIPAA regulations and maintaining secure medical records.
Minimized staff and patient infection risk by cleaning and disinfecting equipment instruments.
Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
Answered incoming phone calls from patients to provide basic assistance and triage medical concerns.
Administered medications and injections to patients.
Took samples to complete diagnostic and routine assessment tests.
Education
Associate of Science - Registered Nurse
Coastal Bend College
Alice, TX
05-2015
LVN - Licensed Vocational Nurse
Coastal Bend College
Alice, TX
05-2009
High School Diploma -
Ysleta High School
El Paso, TX
05-2000
Skills
Care coordination
Recruitment and hiring
Delegation
Technology proficiency
Marketing and promotion
Case assessments
Patient education
Vital sign monitoring
Care planning
Quality improvement
Problem-solving abilities
Staff training/development
ICD-10 proficiency
Accomplishments
Star Kids 2022 Most SAI Completions Award
Languages
Spanish
Native or Bilingual
Timeline
Care Service Manager RN
Superior Health Plan Inc
02.2018 - Current
ADON
United Home Health Care
07.2017 - 02.2018
Director of Nursing
Onsite Home Health
11.2016 - 06.2017
Registered Nurse
Mi Casa Home Health
07.2015 - 03.2016
Licensed Vocational Nurse
Community Action Health Clinic
08.2009 - 12.2012
Associate of Science - Registered Nurse
Coastal Bend College
LVN - Licensed Vocational Nurse
Coastal Bend College
High School Diploma -
Ysleta High School
Similar Profiles
Johnathan MelvinJohnathan Melvin
Supervisor, LTSS Care Management at Superior Health Plan IncSupervisor, LTSS Care Management at Superior Health Plan Inc