CAREER OBJECTIVE

State-licenced professional with solid clinical and research experience ready to utilize exceptional people and communication skills to help patients and to enhance the growth of the organization.

Proficiencies: Microsoft Office XP, Microsoft Office 2000, Microsoft Office 1997, MS Word, MS Access, MS Excel, MS FrontPage, Internet Explorer, Outlook, Outlook Express, PowerPoint, Scheduler, Publisher.

§Strengths: Team player; Dependable; Problem-Solving; Flexible; Resourceful

§Languages: Fluent in both Spanish and English

EDUCATION

2016-2018 Master’s Degree in Family Nurse Practitioner (South University, Savanah, GA)

1998-1999 Diploma (Health Services Management, Granma, Cuba)

1990-1995 Nursing BSN (Institute of Medical Sciences, Santiago de Cuba, Cuba)

EXPERIENCE

Anthem Company/ Simply Healthcare Plans 03/2016-Present

Manage Care Coordinator

Develop, monitor, evaluate, and revise members’ care plan to optimize members’ health across the care continuum

Provide direction to non-RN clinicians participating in the member’s case in accordance with applicable state law and contract

Perform telephonic and/or face-to-face clinical assessments for the identification, evaluation, coordination and management of member’s needs

Identify members for high risk complications and coordinate care in conjunction with the member and the health care team

Manage members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits

Obtain a thorough and accurate member history to develop an individual care plan

Establish short/long-term goals in collaboration with the member, caregivers, family, natural supports, physicians, etc.

Facilitate authorizations and referrals for services within benefits structure or through extra-contractual arrangements, as permissible

Management Resources College, Miami, FL 04/2015-02/2016

Concorde Career College Miramar FL 04/2014-11/2014

CENSA Miami College, Miami FL 10/2013-10/2015

Nursing Instructor

Taught material from approved curriculum in accordance with assigned schedules and deadlines to assure an appropriate level of student satisfaction

Established and maintained a positive student-centered learning environment

Instructed students on matters related to academics, attendance, career readiness and professionalism

Proactively monitored students’ achievement and actively outreached to at-risk students to ensure course persistence as well as program retention

Created and implemented curricular scaffolding tools and materials to match student learning styles and academic needs, supplementing those provided in the core curriculum

Provided students with feedback in a constructive and positive manner highlighting both strengths and areas in need of improvement

Effectively communicated with students, instructors, supervisors, and/or other school personnel

Remained responsive to student needs and student requests for support

V&L Health Medical Centre, Miami, FL 05/20012- 10/2013

Registered Medical Assistant/Phlebotomy Technician

Escorted patients to exam rooms, interviewed and prepared patients for examination by performing preliminary physical tests; taking Vital Signs; and documented all information in patients’ chart

Scheduled procedures by deciding with the appropriate center; verifying times with patients; preparing charts, pre-admission and consent forms.

Kept supplies ready by inventorying stock; placing orders; verifying receipt

Ensured all related reports, labs and information is filed is available in patients’ medical records prior to their appointment

Triaged and processed messages from patients and front office staff to physicians

Processed prior-authorizations for medications and procedures

Scheduled patients’ appointments

Authorized prescription refills as directed

Diabetes Association Dialysis Unit, Kingston, Jamaica 02/2005-12/2009

Dialysis Nurse

Primed dialyzer and bloodlines

Recorded patients’ medical information and vital signs

Cleaned and dressed permanent and temporary catheters

Monitored patient and adjusted specialized equipment used on patients, and interpreted/recorded information

Identified irregular dialysis reactions and notified appropriate medical team members

Taught patients and significant others how to manage their illness by explaining post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication, accordingly

Provided pre- and post-procedure care to patients within the Hemodialysis Unit

Performed other position-related duties as assigned, depending on assignment setting

LICENCES

APRN-NP

Reg. No 11001873

Exp. Date.: 07/31/2022

Registered Nurse, Florida, USA

Reg. No. RN 9368289

Exp. Date: 04-30-2021

Contact this candidate