Summary
Overview
Work History
Education
Skills
References
Languages
Timeline
Generic
Yvette Tamez

Yvette Tamez

San Antonio

Summary

Results-driven professional seeking a full-time position to leverage expertise in problem-solving and lean management within a transformative healthcare organization. Committed to enhancing community health through quality improvement initiatives and knowledge sharing. Proven ability to deliver optimal outcomes in dynamic environments.

Overview

16
16
years of professional experience

Work History

Case Manager, Medical Surgical team

CVS/American Health Holding
01.2025 - Current
  • Case manager for commercial line of service, voluntary program. Manage approximately 40 members monthly. Communicate telephonically, educate, and provide guidance with their health experiences.

Stroke Program Manager

Christus Santa Rosa hospital
San Antonio
11.2023 - 12.2024
  • Quality Data Review of all Stroke patients, report quality data to leadership for process improvement projects, educate staff on Stroke Policies and Procedures, educate members on stroke process, participate in community Stroke awareness.

Case Manager, LTSS

Molina Healthcare
07.2023 - 12.2024
  • Case manager for Medicaid long-term services and support adult population. Home visits to support/manage health conditions, benefits, and referrals.

Clinical Service Educator/ utilization Management/ Appeals/ Case Management

Community First Health Plan
San Antonio
04.2016 - 09.2023
  • Management of Service Coordination Team for STAR Kids Population of 2K members and 22 staff. Case Management, Service Coordination, Utilization Management, and 2nd level medical and claim appeals. Staff Educator.

Director and adjunct nurse educator

Baptist Health System
San Antonio
04.2010 - 04.2016
  • Staff Nurse, Educator and Unit Director for Telemetry Unit.

Education

Master of Science - Nursing Education

Our Lady of The Lake University
San Antonio, TX
05.2016

Bachelor of Science - Nursing

University of The Incarnate Word
San Antonio, TX
09.2013

Associate of Science - Nursing

San Antonio College
San Antonio, TX
12.2009

Registered Medical Assistant -

San Antonio College of Medical & Dental Assistants
San Antonio, TX
10.1993

Skills

  • Proficient in all Microsoft Office Applications
  • Proficient in Multiple Medical Management Systems
  • Typing Skills at 70 words per minute
  • Proficient in reading, writing, and speaking Spanish
  • Quality improvement
  • Data analysis
  • Utilization review
  • EMR / EHR
  • Utilization management
  • Staff education and training
  • Care coordination
  • Regulatory compliance
  • Program evaluation
  • Court mandated reporter

References

  • Sylvia Rodriguez, RN Manager, 210-279-1055
  • Haydee Sierra Santos, LCSW, MSW, 210-843-1508
  • Cecilia Garcia, MA, 210-833-6536

Languages

Spanish
Professional

Timeline

Case Manager, Medical Surgical team

CVS/American Health Holding
01.2025 - Current

Stroke Program Manager

Christus Santa Rosa hospital
11.2023 - 12.2024

Case Manager, LTSS

Molina Healthcare
07.2023 - 12.2024

Clinical Service Educator/ utilization Management/ Appeals/ Case Management

Community First Health Plan
04.2016 - 09.2023

Director and adjunct nurse educator

Baptist Health System
04.2010 - 04.2016

Master of Science - Nursing Education

Our Lady of The Lake University

Bachelor of Science - Nursing

University of The Incarnate Word

Associate of Science - Nursing

San Antonio College

Registered Medical Assistant -

San Antonio College of Medical & Dental Assistants

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