Manager Quality Assurance
Resume:
RESUME
Anamaria Fernandez, R.N.
Tampa, Fl. 33624
C: 813- 244-9439
***************@*******.***
Objectives: Continue to develop in the nursing fields of manage and long term care.
EDUCATION
Hillsborough Community College, Tampa, Fl.
Associate in Applied Science Degree Nursing, 5/1999
Bachelors in Business Administration 1/2010
PROFESSIONAL EXPERIENCE
Wellcare, Tampa Fl.
9/6/11- Present: Case Manager
• Acts as liaison and member advocate between members/family/physicians.
• Maintains accurate documentation of case management activities in the EMMA system, using
clinical guidelines.
• Coordinates community resources with emphasis on medical, behavioral, & social services.
• Applies case management standards and maintains HIPPA standards & confidentially to protect
members health information.
• Ensures compliance with all state and federal regulations & guidelines in the day to day actives
Bay Care Health Systems, Inc. Tampa, Fl.
12/2007 to Present: Bay Care Home Care division, Weekend Supervisor:
• Responsible for the coordination and processing of all intake referrals, coding diagnoses, staff
assignments, patient triage via phone.
• Monitoring Tele Health Machine and other administrative duties for all weekends.
• Supervisor of weekend staff of 10 -12 employees which include RN’s, LPN’S PT’s & ST
American Nurses LLC, Tampa Fl.
5/10/2010- 8/11: Director of Nursing
6/2009/11/2009
• Direct and supervised clinical and auxiliary staff which totaled 10 employees. Which included
RN, LPN, PT’s, OT’s & HHA?
• Participated with Administrator in policy formulation and programmatic development and
implementation including assessing adequate and appropriate staffing.
• Consulted with staff individually or in groups, regarding patients or families for the agency.
• Direct and implement of services, goals, and objectives.
• Follow existing standards and develop new standards as appropriate.
• Supervise and evaluate the program services and field personnel.
• Maintain procedure manuals and update procedure and job descriptions as policies and
produces.
• Serve as liaison with patients and physicians.
• Lead periodic quality assurance program team.
• Follow State and Federal compliances.
• Participate in On-Call rotation.
American Elder Care, Clearwater, Fl.
11/2009-5/2010: Director of Patient Services
• Coordinates and oversees all direct and indirect patient/client services provided by clinical
agency personnel.
• Supervised 25 employees which included RN, LPN, PT’s & HHA and front office staff.
• Serve as a resource to all direct staff for individual patient plans of care or other related issues
and concerns.
• Assist with hiring process for all direct care employees; orient professional and
paraprofessional staff, as appropriate.
• Develop and implement programs for in-service and staff development.
Fusion Home Health, Tampa Fl.
1/2009 to 4/2009: Case Manager
• Responsibilities included Perform initial & ongoing assessments of pt.’s need (Oasis)
assessments.
• Initiate plan of care & revise as necessary.
• Inform physician 7 other staff of changes in pt.’s status.
• Evaluate the effectiveness & outcomes of care.
• Plan for pt.’s discharge from Home Health Care.
• Make referrals to medical services as needed.
• Supervised LPN & HHA’s.
• Participate in On-Call rotation.
Quality of Life, Tampa FL
8/2008 to 1/2009: Clinical Manager:
• Responsibilities included: Coding & reviewing of Oasis
• Monitor & ensure that all documentation is complete, accurate & submitted on time.
• Receive initial patient referral information from all resources.
• Coordinate care with case manager with regards to patient’s care.
• Communicate with physician’s office & filed staff to determine pt.’s needs.
• Maintain visit frequency & change schedule as per physician’s order.
• Monitor labs faxes & other information to physician or medical offices.
• Counsel personnel as necessary regarding job performance.
• Supervised a total of 12 staff members which included RN’s, LPN’s, PT’s OT’s and HHA’s.
• Assisted DON with 90 day & annual evaluations.
Aseria Care, Tampa, FL
5/2008 to 8/2008 (Temp. Position): Clinical Manager
• Responsibilities included: Coding & reviewing of Oasis.
• Monitor & ensure that all documentation is complete, accurate & submitted on time.
• Receive initial patient referral information from all resources.
• Coordinate care with case manager with regards to patient’s care.
• Communicate with physician’s office & filed staff to determine pt.’s needs.
• Maintain visit frequency & change schedule as per physician’s order.
• Monitor labs faxes & other information to physician or medical offices.
• Counsel personnel as necessary regarding job performance. Supervised a total of 20 staff
members which included RN’s, LPN’s, PT’s OT’s and HHA’s.
• Assisted DON with 90 day & annual evaluations.
Lifepath Hospice and Palliative Care, Inc. Tampa, Fl.
11/2000 to 5/2008
• Held various positions including Staff R.N. (3years), Preceptor and advanced to Clinical
Supervisor.
• Functions included direct care, staff training, 90 day and yearly evaluations.
• Monitor labs, faxes & other information to physician or medical offices.
• Facilitating weekly team meetings to discuss patient’s appropriateness for Hospice care.
• Pay roll and all management duties including assisting with the facilities’ budget preparation,
operating within Medicare guidelines
Bilingual: English and Spanish
Computer skills: Intermediate skills: Microsoft Word, Excel, Outlook and various other clinical programs
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