Yamile Nicaragua
Miami,FL
Summary
Exceptional capacity to multitask: manage competing priorities with ease while fostering delivery of superior patient care. Fluent in English and Spanish with solid administrative and referral experience including assessment, treatment, referral, and education for a
broad range of patients. Proven ability to build positive relationships with patients, family members, physicians, and other medical professionals. Enjoy fast paced environment and learning new ways to ameliorate professionally.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Remote Nurse Case Manager
Anthem Blue Cross Blue Shield
Miami, FL
02.2022 - 05.2022
- Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals.
- Reported patient assessment findings and physical and psychosocial responses to nursing intervention for progress towards care goals.
- Discussed individualized education to answer questions for patient and family.
Remote Occupational Health Nurse- Covid19
Unilever, North America
Miami, FL
04.2020 - 06.2021
- Liaised between employees with health concerns and supervisors, maintaining medical confidentiality to communicate work status and coordinate return to work accommodations.
- Quickly responded to symptomatic or exposed employees in order to asses need to implement monitored quarantine management.
- Actualized outbreak prevention interventions following current CDC guidelines in order to control spread of COVID-19 in interest of sustaining employee safety and continuity of production.
- Created presentations illustrating policies and procedures used to train new healthcare team members and educate non medical management personnel.
Remote Humana at Home SNP Care Manager
Humana
Miami, FL
01.2020 - 03.2020
- Telephonically assessed and evaluated members needs and requirements to achieve and/or maintain optimal wellness state.
- Identified high risk behaviors and barriers of health used to developed individualized care plans that assists with providing members with support, education, and resources that impower self management and promote optimal medical outcomes.
- Offered friendly and efficient service to customers, handled challenging situations with ease.
Clinic Case Manager
Palm Medical Centers
Miami, FL
05.2019 - 10.2019
- Performed effective and efficient utilization of resources to patients ranging from pediatric to geriatric, in order to achieve desired clinical outcomes.
- Adhered to relevant state and federal laws to standards set by accredited agencies such as Medicare/Medicaid.
- Provided patients with consistent communication as the most critical intervention, ensuring safe transitions of care through evaluation of patient understanding, risk factors, family dynamics, and patients self-determination to adhere to plan of care.
Community Nurse Case Manager
Chen Senior Medical Center
Miami, FL
08.2017 - 11.2018
- Managed chronic illnesses in high risk senior population including, heart failure, COPD, diabetes, dementia, and palliative/ hospice care.
- Maintained continuity of care through utilization review and discharge planning with objective of promoting optimal outcomes and reducing hospital sick days and organizational costs in managed care setting.
- Developed effective working relationships with physicians and support staff by directing and participating in collaborated briefings driven to implement quality patient care protocols and management of complex cases.
- Promoted effective and efficient utilization of resources in order to achieve desired clinical outcomes.
Home Health Case Management and Biometric Screener
Various Agencies
Miami, FL
09.2013 - 08.2017
- Delivered complete range of direct RN care, services, and expertise including IV, SQ, IM medication administration, IV IG therapy, phlebotomy, PICC care, wound care and trach care.
- Provided strong contributions as key patient advocate to identify, evaluate, and manage needs of patients with ability to deliver complete range of direct RN care, services, and expertise.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Capacitated optimal health and fitness goals through education and understanding of screening results and lifestyle changes necessary to improve current
health status.
Occupational Health Nurse
Goodwill Industries Of South Florida
Miami, FL
07.2011 - 09.2012
- Rendered basic first aid to personnel who become ill or suffer injury or accident and provided TB, HEP B, Tetanus, and Flu vaccines as appropriate.
- Performed preliminary medical assessments for all prospective new hires and re-hires including pre-employment and random drug screen for forklift and DOT drivers according to FTA regulations.
- Assisted and/or case manage Worker’s Compensation Program and Family Medical Leave Act Compliance.
while acting as resource for American Disabilities Act related issues. - Aid Safety Committee and assisted in management of aggressive Safety and Workers Compensation Program.
- Performed staff training/certification in, basic first aid at work, HIPAA, FMLA, and substance abuse and alcohol awareness.
Education
Associate of Science - Nursing
Keiser University
Lakeland, FL05.2010
Skills
- Motivational Interviewing
- Patient and Caregiver Education
- Accurate Documentation
- Preventive Healthcare
- Empathetic advocate
- Infection Control Procedures
- Technologically proficient
- Community Program Referrals
- Immunizations and Vaccinations
- Outcome Oriented
- Patient Condition Monitoring
- Clear Patient Communication
- Pre-Employment Screening
- Educational Materials
- Alternative Treatments
Certification
Registered Nurse license in state of Florida with active multi-state compact license
Languages
English
Spanish
Timeline
Remote Nurse Case Manager
Anthem Blue Cross Blue Shield
02.2022 - 05.2022
Remote Occupational Health Nurse- Covid19
Unilever, North America
04.2020 - 06.2021
Remote Humana at Home SNP Care Manager
Humana
01.2020 - 03.2020
Clinic Case Manager
Palm Medical Centers
05.2019 - 10.2019
Community Nurse Case Manager
Chen Senior Medical Center
08.2017 - 11.2018
Home Health Case Management and Biometric Screener
Various Agencies
09.2013 - 08.2017
Occupational Health Nurse
Goodwill Industries Of South Florida
07.2011 - 09.2012
Associate of Science - Nursing
Keiser University
Similar Profiles
Tereta Steed-ClarkeTereta Steed-Clarke
Customer Service Representative at Anthem Blue Cross Blue ShieldCustomer Service Representative at Anthem Blue Cross Blue Shield
Johnny GabiceJohnny Gabice
Customer Service Representative at Anthem Blue Cross Blue Shield/Elevance HealthCustomer Service Representative at Anthem Blue Cross Blue Shield/Elevance Health
Zurema C PearsonZurema C Pearson
ECOB Specialist III at Anthem Blue Cross Blue ShieldECOB Specialist III at Anthem Blue Cross Blue Shield
Nicole PooleNicole Poole
Patient Care Coordinator/Claims Representative at Anthem Blue Cross Blue ShieldPatient Care Coordinator/Claims Representative at Anthem Blue Cross Blue Shield
Amanda Diaz MartinAmanda Diaz Martin
Manager in Sales Acquisition at AT&TManager in Sales Acquisition at AT&T