Patient Care Case Management
Resume:
SANJUANITA NAVA
SKILLS
Patient and family advocacy
Preventative health
Patient Care Planning
Infection Control
Critical care nursing
Nursing staff leadership
Current Texas licensure with State
Board of Nurse Examiners
Bilingual fluency (English/Spanish)
Sanitation
Family Education
Employee Evaluation
Care Coordination
Home care management
Case Evaluation
Clinical assessment
Community Resources
Medication Management
Case Management
Training staff
Strong Clinical Judgment
Documentation
Multidisciplinary Approach
HIPAA Compliance
Discharge Planning
Chronic Disease Management
Utilization review
Enthusiastic Registered Nurse eager to contribute to team success through hard work, attention to detail and excellent structured skills. Clear understanding of patient safety, quality, and risk management. Motivated to learn, grow, and excel in the healthcare industry. Patient-oriented Nurse with >10 years diverse experience in direct patient care, staff supervision and department operations. Skilled at multitasking and prioritizing patient needs and daily assignments. Offering expertise Case management specialty.
WORK HISTORY
October 2022 - Current
RN Case Manager/ On Call Nurse/ Part Time Laredo Kids Advanced Therapy And Nursing Services, Laredo, TX
Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
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Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
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Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
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Educated patients and families on available community resources, facilitating access to necessary support services.
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Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
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Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
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Promoted adherence to treatment plans by conducting regular follow- up visits and providing ongoing support to patients.
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Advocated for patients'' rights and preferences, working diligently to align care with individual values and goals.
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Conducted thorough assessments of patients'' needs, enabling more accurate diagnoses and targeted interventions.
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• Educated patients and caregivers on healthcare protocols and processes.
• Educated family members and caregivers on patient care instructions. Communicated with healthcare team members to plan, implement and enhance treatment strategies.
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Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
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Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
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Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
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• Managed patients recovering from medical or surgical procedures. Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
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Monitored patient reactions after administering medications and IV therapies.
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CONTACT
Laredo, TX 78045
****************@*****.***
Healthcare regulations
Quality Improvement
CERTIFICATIONS
PALS - Pediatric Advanced Life
Support
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• ACLS- Advanced Care Life Support
• BLS- Basic Life Support
CPI- Crisis Prevention Intervention
Training
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PERSONAL INFORMATION
Title: REGISTERED NURSE
LANGUAGES
English
Native or Bilingual
Spanish
Full Professional
October 2022 - May 2024
RN Case Manager Centene Corporation, Laredo Texas
July 2021 - October 2022
Director of Nursing Services Laredo Kids Advanced Therapy and Nursing Developed strong rapport with family members of patients under my care, addressing concerns promptly while providing emotional support.
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Protected patient safety by strictly adhering to infection control protocols and maintaining a clean environment.
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Supported comprehensive pain management efforts, skillfully administering medications while monitoring for potential side effects or adverse reactions.
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Promoted health education by discussing preventative measures and self-care strategies with patients.
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Collaborated with healthcare teams to develop personalized care plans for optimal patient outcomes.
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Administered medications via oral, IV, and intramuscular injections and monitored responses.
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Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
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• Evaluated patient histories, complaints, and current symptoms. Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
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Optimized resource utilization by identifying opportunities for cost containment while maintaining quality of care.
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Improved patient satisfaction scores by providing timely follow-ups and addressing concerns promptly.
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Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
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Advocated for patients'' rights and preferences, working diligently to align care with individual values and goals.
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Evaluated the effectiveness of implemented interventions periodically, adjusting treatment plans as needed to promote optimal patient outcomes.
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Educated patients and families on available community resources, facilitating access to necessary support services.
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• Educated patients and caregivers on healthcare protocols and processes.
• Evaluated patient histories, complaints, and current symptoms. Communicated with healthcare team members to plan, implement and enhance treatment strategies.
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• Educated family members and caregivers on patient care instructions. Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
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Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
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Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
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Established new policies and updated existing policies to improve standard of care for patients
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Performed rounds to observe care and interview staff, patients, and families
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Collaborated with staff, management, and external groups to coordinate patient care
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Recruited and trained licensed quality individuals to develop accountable top-quality staff
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May 2021 - June 2021
Registered Nurse-Seasonal/Covid CORE OCCUPATIONAL MEDICINE January 2021 - April 2021
Registered Nurse-Covid Seasonal INFUSION CENTER EXECU-SEARCH February 2020 - January 2021
Registered Nurse Doctors Hospital of Laredo
Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection
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Prepared and reviewed infection control surveillance reports to identify trends and develop effective actions to control and prevent infections
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Created customized care plans, working with hospital staff and families to assess and meet individual needs
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Communicated with patients, ensuring that medical information was kept private
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Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA.
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CARE COORDINATION WITH HOMELAND SECURITY, CENTERS
FOR DISEASE CONTROL & PREVENTION, BCFS, AND THE
COMMISSIONED CORPS OF THE U.S
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• PUBLIC HEALTH SERVICE
Educated patients and answered questions about health condition, prognosis, and treatment
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Observed and reported patient condition, progress, and medication side effects to accurately document updates
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Oversaw patient safety program and managed interventions as appropriate
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Assessed physical, psychological, physiologic, and cognitive status of patients
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Proved successful working within tight deadlines and fast-paced atmospheres.
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Delivered IV antibodies for positive Covid -19 patients, Regeneron and Bamlanivimab IV infusions
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Educated patients and answered questions about health condition, prognosis and treatment
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Observed and reported patient condition, progress, and medication side effects to accurately document updates
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• Educated unit staff on new policies and guidelines Ensured compliance with national patient safety standards and facility policies
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Assessed physical, psychological, physiologic, and cognitive status of patients, taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence
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Conducted Quality Assurance investigations and Root Cause Analysis studies.
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Effectively prioritized assignments, triaged, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care
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Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence
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Taught new staff members patient safety, clinical protocols and precepted new RNs
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Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns
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Educated patients and answered questions about health condition, prognosis, and treatment
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June 2019 - June 2020
Registered Nurse Laredo Specialty Hospital
October 2018 - March 2019
Registered Nurse Case Manager Centene Corporation/ STAR Kids February 2018 - October 2018
NICU Staff Registered Nurse Laredo Medical Center
Observed and reported patient condition, progress, and medication side effects to accurately document updates
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Assessed physical, psychological, physiologic, and cognitive status of patients
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Proved successful working within tight deadlines and fast-paced atmospheres.
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Conferred with physicians to discuss diagnoses and devise well- coordinated treatment approaches
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Worked within interdisciplinary health care team to develop, implement, and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals
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Monitored patients' conditions and reported changes in physical ability, appearance and behavior to discuss treatment with physicians
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Oversaw risk management and quality control programs, ensured respiratory protection plan was implemented and audited for compliance
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Assisted with workers compensation and advised on any needle-stick injuries
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Coordinated with physicians to perform bedside procedures such as intravenous injections, vascular line insertions and bronchoscopies
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Identified patient care requirements by establishing personal rapport with patients and families
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Observed and reported patient condition, progress, and medication side effects to accurately document updates
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Formulated plans for nursing measures to restore, maintain and promote patients' physical and mental health
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Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection
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Communicated with family members and loved ones to provide information about patient care, treatments and medical options
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Followed all policies, procedures and hospital regulations for protocol compliance and patient safety
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Implemented interventions, including medication and IV administration, catheter insertion and airway management.
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Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs
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Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans as needed
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Reduced care costs without sacrificing quality through effective service coordination and multidisciplinary collaboration
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Responded promptly and professionally to patient questions and concerns
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Completed initial assessments of patients and family to determine and address individual home care needs.
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Communicated with family members and loved ones to provide information about neonatal care, treatments and medical options
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Administered medications and fluids and checked vital signs on critically ill newborns
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• Assessed, evaluated and cared for neonate and pediatric patients April 2014 - February 2018
Director of Nursing Services Laredo Kids Advanced Therapy and Nursing August 2013 - April 2014
NICU Staff Registered Nurse Laredo Medical Center
Followed all policies, procedures and hospital regulations for protocol compliance and patient safety
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Guided family members on plans of treatment and helpful resources available locally to support care
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Crafted tailored nursing care plan for each neonate and evaluated it daily for effectiveness
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Coordinated with healthcare staff from various disciplines to devise, carry out and manage personalized care plans to benefit infant health and recovery.
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Established new policies and updated existing policies to improve standard of care for patients
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Performed rounds to observe care and interview staff, patients, and families
•
Collaborated with staff, management, and external groups to coordinate patient care
•
Recruited and trained licensed quality individuals to develop accountable top-quality staff
•
Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection
•
Prepared and reviewed infection control surveillance reports to identify trends and develop effective actions to control and prevent infections
•
Created customized care plans, working with hospital staff and families to assess and meet individual needs
•
Communicated with patients, ensuring that medical information was kept private
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Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA
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Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees
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Organized and facilitated case conference meetings weekly, discussing current census, admissions, discharges and changes in plan of cares
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• Supervised team of 8 licensed nurses
Generated and reviewed incident reports for execution of appropriate corrective action plans to mitigate ongoing and potential situations
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Monitored and inspected staff processes to eliminate hazards posed for both patients and staff while ensuring continuous compliance with regulations
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Implemented quality control checks on metered glucometers used for patient care as well as weekly Nursing Bag checks to ensure of proper equipment, expirations, and availability of nursing materials
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Collaborated for obtaining state licensing through CHAPS accreditation for home health agencies.
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Communicated with family members and loved ones to provide information about neonatal care, treatments and medical options
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Administered medications and fluids and checked vital signs on critically ill newborns
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• Assessed, evaluated and cared for neonate and pediatric patients Followed all policies, procedures and hospital regulations for protocol compliance and patient safety
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Guided family members on plans of treatment and helpful resources available locally to support care
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Crafted tailored nursing care plan for each neonate and evaluated it daily for effectiveness
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Coordinated with healthcare staff from various disciplines to devise, carry out and manage personalized care plans to benefit infant health and recovery.
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EDUCATION
June 2013
Bachelor of Science: Nursing
Texas A&M International University, Laredo, TX
December 2005
Licensed Vocational Nursing Program
Laredo Community College, Laredo, TX
Contact this candidate