JENNY LOMBANA, MSN, APRN, FNP-C

Phone 786-***-****

Port St Lucie, Florida 34953

ad164d@r.postjobfree.com

PROFESSIONAL SUMMARY

Hardworking, dedicated, and self-motivated bilingual Family Nurse Practitioner with over 18 years of experience in the medical field. Flexible, quick learner who adapts easily to new situations and enjoys challenges. Developed analytical thinking, problem solving, and time management skills. I am looking forward to leveraging my experience and knowledge to fulfill a position in the Health Care Industry.

PROFICIENCIES

Assessment, evaluation and treatment of patients in accordance with standard of care.

Ordering & interpreting diagnostic labs and test results

Collaborating with Physician and coordinate patient services including DME`s and Home Health. Familiar with Medicaid and Medicare guidelines.

Excellent communication and computer skills. Familiar with coding and billing.

Document and Review medical records using EMR, Cerner, Allscripts, and CGX.

Educating patients & family about disease processes & mangement to prevent hospital admission. Health Plan experience including Utilization Management, Case Management, Compliance and Quality assurance. Knowledge Hedis, AHCA, CMS, MCG and NCQA accreditation.

Bilingual: fluent in English and Spanish

EDUCATION

Master of Science in Nursing – Family Nurse Practitioner March 2018

South University – Savannah, GA

Bachelor of Science in Nursing December 2015

Florida International University- Miami, Florida

Associate in Arts, Nursing May 2014

Miami Dade College of Nursing- Miami, Florida

Associate of Science in Nursing July 2004

Miami Dade College of Nursing- Miami, Florida

LICENSES / CERTIFICATIONS

Advanced Registered Nurse Practitioner, Florida, ARNP 9220791 Exp. March 2023

Board Certified Family Nurse Practitioner (AANP)

Multistate Compact RN License.

CLINICAL EXPERIENCE / PRACTICUM

Family Nurse Practitioner Student completed 780 clinical hours in different clinical settings at:

Advanced Health & Physical Assessment Dr. S Alexander Family Practice

Provided education about disease process, management of chronic condition and medication reconciliation

Assessed, diagnosed and treated complex chronic patients under the supervision of the preceptor

Practicum I: Family Health – Adults & Gerontology Dr. Y Tapanes Family Practice

Performed annual physicals exams and sports physicals

Ordered and interpreted labs, EKG’s, spirometry and x rays exams

Practicum II: Women’s Health Dr. C Castellon OB/GYN Practice

Performed pap smears, and breast exams.

Performed endometrial, cervical biopsies and colposcopies

Provided prenatal care in high risk pregnancies

Practicum III: Pediatrics Dr. M Capote Pediatric Private Practice

Administered vaccines, IM injections, venipunctures and bladder catheterizations.

Completed school physicals including Snellen Tests, hearing screenings and pre-ops clearances

Practicum IV: Primary Care Dr. Y Tapanes Family Medicine

Performed and assisted in multiple procedures such as suturing, splinting, I&D of abscesses, removal of foreign bodies, and treated minor burns.

PROFESSIONAL EXPERIENCE

Compliance Nurse Auditor January 2014- current

Humana, Miramar, Florida

Recommend process changes and training opportunities related to audit trends and quality improvement to the clinical teams.

Provided timely audit results with very low rate of challenges and errors.

Assisted to create and update the Audit Department Policies and Procedures.

Facilitated the shadow an auditor with new associates to educate about the internal audit process and implemented tools to assist with cross functional collaboration

Nominated multiple times with Employee Star Award for exhibiting Humana values.

Participated in NCQA audits for accreditation for Utilization Management and Case Management Dpt.

Case Manager Registered Nurse July 2012- January 2014

Humana, Miramar, Florida

Manage member`s physical, environmental and psychosocial health issues. Achievement resulting in patient safety across the continuum, risk reduction, effective regulatory affairs, performance improvement, optimal access to health care, appropriate utilization of resources, and cost effectiveness to the organization.

Responsible for meeting and performing HEDIS Measure in order to promote optimal quality care.

Demostrated clinical knowledge by providing intervention to manage chronic members working with Pediatrics, Women Health, Geriatric and Mental Health.

Emergency Room Case Manager October 2010- October 2014

Palmetto General Hospital, Hialeah, Florida

Designated training staff member for all new employees based on knowledge of work procedures and expressed commitment to process improvement and professional development including training on InterQual Reviews; Coding & Billing for HMO`s, Medicaid and Medicare Utilization Management.

Home Health Case Manager September 2007- May 2010

Nursing South Corp, South Miami, Florida

Chosen by management staff to participate in complex wound care cases.

Gained expertise in managing Diabetes and Congestive Heart Failure Protocols.

Developed working knowledge of medical protocols for complex disease management and treatment plans.

Registered Nurse Medical Surgical_Telemetry Unit August 2004-September 2007

Memorial Hospital West, Pembroke Pines, Florida

Displayed clinical expertise for pre and post-operative patients including Breast surgical oncology, neurosurgery, gastric bypass, and telemetry patients.

Precepted Nursing Students and became a member of the hospital emergency disaster team.

Collaborated with Physicians in high-pressure environments while developing appropriate patient treatment plans and supervising patient outcomes with clear and concise communication to medical staff, patients and family members.

VOLUNTEER SERVICES

Nurse Practitioner Student at Mission Clinic of Palm Springs, WPB Florida 2017-2018

Contact this candidate