Vivian Gomez
Hialeah,Florida
Summary
Dynamic RN Care Manager at Somatus with expertise in care coordination and patient assessment. Proven track record in developing personalized care plans and enhancing patient outcomes through effective crisis intervention and compassionate health education. Committed to regulatory compliance and leveraging electronic health records to streamline processes and improve care delivery.
Overview
17
17
years of professional experience
Work History
RN Care Manager
Somatus.
McLean, VA
01.2023 - Current
- Assessed patient health and developed individualized care plans accordingly.
- Educated patients on health maintenance, disease prevention, and treatment options.
- Managed complex cases involving multiple diagnoses or treatments.
- Participated in continuing education programs related to nursing practice.
- Identified potential safety hazards in the environment or among patients' behaviors.
- Responded quickly to life-threatening situations by providing appropriate interventions.
- Advised family members on the best course of action for their loved ones' healthcare needs.
- Maintained accurate documentation of patient records in accordance with HIPAA regulations.
- Counseled patients on lifestyle changes that could improve their overall health outcomes.
- Participated in quality improvement initiatives to enhance patient care outcomes.
- Educated patients on disease prevention and health maintenance.
- Created, implemented and evaluated patient care plans with medical team.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Provided patient and family health education focusing on self-management, prevention and wellness.
- Educated patients and families on health care needs, conditions, and options.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
- Referred patients to specialized health resources or community agencies to furnish additional assistance.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Collaborated with health groups to plan or implement programs designed to improve overall health of communities.
- Developed service plans based on assessment findings; monitored effectiveness of plans regularly.
- Arranged referrals for additional services such as housing assistance or financial aid programs when needed.
- Served as a liaison between clients' families and community agencies providing services to them.
- Evaluated potential living arrangements for clients including independent living facilities or supervised residential settings.
- Provided crisis intervention services when needed by utilizing de-escalation techniques.
- Participated in team meetings with other staff members to discuss case management issues.
- Facilitated the coordination of medical appointments and transportation for clients when needed.
- Coordinated with other health care providers, such as physicians and psychiatrists, to develop comprehensive treatment plans.
- Ensured that all documentation is completed accurately according to state regulations.
- Provided crisis intervention services to clients when necessary.
- Educated family members about patient's condition, treatments and available resources.
- Utilized evidence-based practices to guide decision-making and care planning processes.
- Educated clients and families on disease management, prevention strategies, and healthy lifestyle choices.
- Conducted initial assessments and periodic reassessments of clients' needs and eligibility for services.
- Participated in continuing education and professional development activities to stay current with best practices in care management.
- Monitored care plan to evaluate effectiveness, document interventional achievement and suggest changes.
- Provided crisis intervention services as needed, ensuring client safety and access to appropriate resources.
- Managed caseloads effectively, prioritizing needs and ensuring timely access to necessary services.
- Collaborated with community resources to facilitate referrals and access to additional services for clients.
- Developed, implemented, and regularly reviewed personalized care plans in collaboration with healthcare providers.
- Conducted regular follow-up with clients to assess satisfaction with services and identify any unmet needs.
- Ensured compliance with all federal, state, and local regulations governing client care and privacy.
- Utilized technology and healthcare information systems to streamline care coordination and documentation processes.
- Maintained comprehensive records of client assessments, care plans, and progress notes in compliance with regulatory standards.
- Created plan of care to assist patients in reducing problems or barriers to achieve optimal level of health.
- Coordinated comprehensive care plans for individuals across various settings to ensure continuity of care.
- Developed and implemented care management plan to address needs and goals.
- Monitored and evaluated the effectiveness of care plans, making adjustments as necessary to meet clients' evolving needs.
- Communicated with patients with compassion while keeping medical information private.
- Maintained awareness of government regulations, health insurance changes and financing options.
Clinical Case Manager
Independent Living Systems, ILS
Doral, Florida
06.2008 - 12.2022
- Provided individualized case management, counseling, and referrals to appropriate community resources.
- Maintained accurate records of client information in accordance with HIPAA regulations.
- Responded quickly and effectively when contacted by outside agencies or referral sources regarding assigned cases.
- Educated clients on mental health diagnosis and medications prescribed by physician.
- Actively participated in weekly staff meetings to discuss best practices for clinical interventions.
- Met regularly with supervisor to review caseloads, provide updates on client progress and status changes, discuss any potential issues or concerns related to cases being managed.
- Adhered to all ethical guidelines established by professional organizations when working with clients.
- Developed strategies to assist clients in developing independent living skills.
- Collaborated with interdisciplinary team members to develop treatment plans for clients.
- Monitored client progress towards meeting goals and objectives in treatment plan.
- Reviewed treatment plans against individual goals and healthcare standards.
- Maintained logs and electronic client records following department and agency policies for effective monitoring.
- Maintained up-to-date case records with case activity status.
- Adhered to ethical principles and standards to protect clients' confidential information.
- Coordinated comprehensive care plans for clients to meet their individual needs.
- Provided referrals to appropriate medical, mental health, and social services.
- Maintained confidentiality and adhered to professional ethics and standards.
- Conducted initial assessments to determine client eligibility for programs and services.
- Utilized case management software and databases for efficient information tracking.
- Monitored client progress through regular follow-ups and case reviews.
- Monitored and evaluated client progress compared to measurable treatment and care plan goals.
Education
Bachelor of Science - Nursing
Antigua College International
Miami, FL03-2023
Skills
- Care coordination
- Patient assessment
- Electronic health records
- Case management
- Crisis intervention
- Health education
- Compassion and empathy
- Regulatory compliance
- Clinical judgment
- Patient care planning
- Diabetes management
- Appointment scheduling
- Chest pain management
- Health and wellness expertise
- Policy compliance
Languages
English
Professional
Spanish
Professional
Timeline
RN Care Manager
Somatus.
01.2023 - Current
Clinical Case Manager
Independent Living Systems, ILS
06.2008 - 12.2022
Bachelor of Science - Nursing
Antigua College International
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