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Medical Manager

Location:
Miami, FL
Salary:
13.00/hr
Posted:
August 15, 2017

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Resume:

Julio Cesar Aldana Garcia

***** ** ***** ** **** 12208. Miami Florida. 33196.

ac1uet@r.postjobfree.com

WORK EXPERIENCE

Highly personable Case manager. Health insurance with over 19 years of experience in health.

•Talent for identifying patient’s needs and offering the proper treatment.

•Demonstrated ability to take vital sings, measure height and weight and administering medication. Verifying patient information. Labeling specimen vials. Submitting laboratory requisition forms to specimen tubes, disposing of blood or other biohazard fluids or tissue, in accordance with applicable laws, standards, or policies. Documenting the route or specimen from collection, or billing information into the computer.

•Expertise in making indications and assessing Clinical Histories.

•Proficient with Microsoft Office System (including Microsoft word, Microsoft excel, Microsoft PowerPoint and Microsoft Outlook).

Objective

A position with an organization where my education, experience and capabilities in the areas of Admitting/Register, insurance verification case Manager, medical Assistant, and Medical Collector.

Summary:

•Extensive Experience in reviewing authorization history to determine if there is an authorization for the service already on file and reviewed Medical Record and copy the claim.

•Experience in verifying member eligibility for date of service (DOS) and document it on the working cover sheet.

•Strong experience in reviewing medical records to evaluate the validity of 3rd party denials.

Make recommendation to the medical director by completing form attached to the medical record using benefit information according to the member’s benefit plan, for Medicaid-applicable InterQual criteria and medical fee schedule.

Strong communication and interpersonal skills to maintain effective work relationships with levels of personnel.

Local to Miami FL and is available for phone/in person interview immediately.

Certificate of HIV-HBV-AIDS.

Certificate of OSHA-Infection Control.

Certificate of HHA.

Positive Behavior support training. Introduction to ABA, Measurement, Assessment, Skill Acquisition, Behavior Reduction, Documentation & Reporting, Ethics, Professional Conduct &Scope of Practice.

Registry of Phlebotomy technicians.

Skills:

•InterQual, QNXT, Millenium.

•Proficient with MS Suite (Excel, PowerPoint, Acces, Outlook).

Professional Experience.

Depatament Children and Families: (2017)

401 NW 2ave Miami, Florida

Phone: 1-800-***-****

Position: Case worker

Responsabilities : Implement and supervise the operational phase of the services of each Program, at the levels. Administer the Programs under their jurisdiction according to the public policy established by the Department of the Family Department and evaluate the results. Propitiate and offer preventive and remediable services for the strengthening of the family such as: day care. Ensure compliance with the Department's public policy and processes to promote individual, family and community development.

Laboratory Finlay. (03/2017)

330 SW 27th AVE W Flagger, Miami Fl. 33135

Phone: 305-***-****

Position: Phlebotomy

Responsibility: Is responsible for the collection, processing and transport of blood samples to the laboratory. Select the appropriate and accurate sample vessel for the specified tests. The samples properly labeled. Perform the computer operations and update the record sheets where required. Perform the point of attention test and quality control. Respect all safety standards. Locating Appropriate Veins for Blood Collection. Maintaining Lab Equipment.

RoRock Fitness, (2016-2017)

12039 SW 132nd Ct. Unit (6) Miami Florida, 33186

Phone :305-***-****

Position: Controller Processor.

Responsabilities: Control the appropriate doses in meals. Modes of elaboration and control. Preparation of the portions per client.

Hospital Martires 9 de Abril (2012-2015)

Calzada 9 de abril, Sagua La Grande, Villa Clara, Cuba.

Phone: 663011

Position: Doctor.

Responsibilities: Taking vital signs, give bath, administering medications intramuscular and intravenous. Phlebotomy works. Surgery preparation, work in pediatric skills, intensive care.

Arnaldo Millian Hospital Surgery Room (2009-2012)

Acueducto y Circunvalacion, Santa Clara, villa Clara, Cuba

Phone: 270000

Position: Sterilization room manager.

Responsibilities: Taking vital signs, give bath, administering medications intramuscular and intravenous. Phlebotomy works. Surgery preparation, work in pediatric skills, intensive care. Gynecology assistant, dialysis and hemodialysis, room burned patients. Assessing Clinical histories, Physical exam of patient, wrote indications of laboratory exams and interpreted radiology exams, making differential diagnoses.

Clinic Martires 8 De Abril (1997-2009)

9na AVE Sur, Quemado De Guines, Villa Clara, Cuba

Phone: 697770

Position: Doctor

Responsibilities: Taking vital signs, give bath, administering medications intramuscular and intravenous. Phlebotomy works. Surgery preparation, work in pediatric skills, intensive care. Gynecology assistant, dialysis and hemodialysis, room burned patients . Assessing Clinical. Doctor teacher in university of medical science.

Summary of Qualifications

Expert Physician with experience performing highly advanced medical work; directing medical activities, diagnosing and treating patients, and administering specialized medical treatments and procedures.

Excellent patient and communication skills; ability to make life-changing decisions; ready for immediate work in a cardiology group. A phlebotomist works on the blood collection of his clients, preparation of the tests and sending of the samples. Phlebotomist duties include verifying records, assembling and checking equipment and communicating with patients.

Investigate and describe the determinants and distribution of disease, disability, and other health outcomes and develop the means for prevention and control.

Conduct research dealing with the understanding of human diseases and the improvement of human health. Use ABA to help clients acquire many different socially significant behaviors including communication, academics, social skills, reading and adaptive living skills such as gross and fine motor skills, toileting, self-help, safety, play and socialization skills and also to decrease maladaptive behaviors like tantrums, aggression, self-stimulatory behaviors, self-injury. Parent training on these principles and procedures are an instrumental part of service.

Experience

09/1997 03/2009 MINISAP, Villa Clara, Cuba

Prescribe or administer treatment, therapy, medication, vaccination, and other specialized medical care to treat or prevent illness, disease, or injury.

Order, perform and interpret tests, and analyze records, reports and examination information to diagnose patients' condition.

Monitor the patients' conditions and progress and re-evaluate treatments as necessary. Collect, record, and maintain patient information, such as medical history, reports, and examination results. draws blood from patients for tests, transfusions or blood donations. They are responsible for correctly labeling samples and sterilizing their work area and tools

Explain procedures and discuss test results or prescribed treatments with patients.

Advise patients and community members concerning diet, activity, hygiene, and disease prevention.

Refer patients to medical specialists or other practitioners when necessary.

Direct and coordinate activities of nurses, students, assistants, specialists, therapists, and other medical staff.

Coordinate work with nurses, social workers, rehabilitation therapists, pharmacists, psychologists and other health care providers.

Education

Positive behavior support training. 2017

Registry of Medical Assistants 02-28-2017.

Registry of Phlebotomy technicians 04-07-2017.

Electrocardiography technician 11-16-2016.

Upper Institute of Medical Sciences, Doctor in Medicine 1991- 1997

Villa Clara, Cuba

Specialist in first degree in Integral General Medicine 1998 – 2002.

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Diploma in Intensive care and emergencies 2002– 2006.



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