VANESSA GALINDO

***** ** *** ******* · 786-***-****

ad3bdx@r.postjobfree.com

EXPERIENCE

**/**** ** **/****

TRANSITION CARE NURSE/FIELD CARE MANAGER NURSE 2, CONVIVA CARE SOLUTIONS

Maintain daily contact w/ multidisciplinary team (Attending/CM/SW) at facilities where our clients are admitted following admissions, POC, health status, and needs for services/devices/equipment upon DC.

Establish a line of communication with patients upon admit and throughout stay to readily identify needs upon DC

Coordinate with various service providers to ensure the fulfillment of what the client needs upon DC

Utilize clinical knowledge and knowledge of evidence-based practices to ensure members are receiving safe and effective optimal care for diagnoses

Demonstrate excellent timely documentation skills specifically written and verbal communication

Demonstrate excellent ability to establish trust and rapport w/ members, multidisciplinary team, and peers

Excellent experience with CGX and ECW programs

Experience working with the adult population

Knowledge of community health and social service agencies and additional community resources

Exceptional communication and interpersonal skills with the ability to quickly build rapport

Ability to work with minimal supervision within the role and scope

Ability to use a variety of electronic information applications/software programs including electronic medical records

Advanced computer skills and experience with Microsoft Word, Outlook, and Excel

Excellent keyboard and web navigation skills

Passionate about contributing to an organization focused on continuously improving consumer experiences

5+ years of in home assessment and care coordination experience

Experience with health promotion, coaching and wellness

Previous managed care experience

Bilingual — English, Spanish

Healthcare Administration Expert

Patient Care Management

Patient-centered care coordination expert

Care coordination, patient advocacy

04/2013 TO 04/2016

RN UTILIZATION REVIEWER/CARE COACH, Continucare/humana

Same as above

Intermediate/Excellent experience with InterQual, EQ Health and Milliman programs

01/2010-01/2013

RN / DIRECTOR OF NURSING (DON), A-Superior Home health agency

Managed and lead all nursing personnel and operations

Acted as a point of contact between the HHC agency staff and all other healthcare consultants

Created a standard of care that complied with state and national standards of care and law

Monitored expenses, finances and accounting

Collaborated with all health staff members and outside agencies to improve the quality of services provided and to prevent/resolve any problems

Oversaw hiring, firing and developing of staff (RN’s, LPN’s, PT, OT)

Developed long-term and short-term goals for separate departments

Established new policies and updating existing policies to improve the standard of care for patients

Effectively communicated and established rapport with patients, families and multidisciplinary team

Healthcare Administration Expert

Patient Care Management

03/2012 TO 10/2012

RN CASE MANAGER, larkin community hospital

Experienced knowledge with EQ Health and Milliman programs

Coordinated with various service providers (Hospice, HHC, Outpatient PT/OT) to ensure the fulfillment of what the client needs upon DC

Provided holistic and comprehensive case management services to all members including: Intake assessment, benefit assessment, goal setting, long-term case plan development, weekly case plan development, progress monitoring and DC planning

Provided families with available community resources

Contacted landlords to validate eviction notices, facility staff to validate acceptance after DC

When prior living arrangement were impossible due to unsafe DC to home or facilities not accepting patient, ensured safe placement satisfactory to patient and family

Effectively identified hard cases of neglect in the elderly population that required DCF evaluation and intervention

Effectively identified patient’s w/ impaired mentation requiring proxy designation or legal guardianship program needs.

EDUCATION

07/2017 - 2018

BACHELORS OF SCIENCE IN NURSING, grand canyon univeristy

GPA: 3.89

08/2005 TO 12/2007

A.S. REGISTERED NURSE, miami dade college

SKILLS

Team leader, Team builder

Proficient in speaking/writing (Bilingual)

Excellent in time management

Passionate, Driven, Motivated

Compassionate, Empathetic

Organized

Task/Goal Oriented, Self-directed

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