Kimberly Hernandez, RN **** Sageline San Antonio, TX

Phone: 210-***-**** E-mail: adk0d1@r.postjobfree.com Objective

Patient-focused and empathic person seeking a position as a registered nurse.

Education

Highlands High School Class of 2009

San Antonio College Associates in Pre-Nursing August 2015- June 2016 Baptist School of Nursing January 2017- April 2018 Work Experience

HCA Healthcare

August 2019- Current Telemetry Nurse

Closely monitor patients to identify signs of arrhythmias and other life-threatening complications. Responsible for administering prescribed medications and perform treatment of patients as prescribed by physician.

Educate patients and families on disease prevention, healthy diet and exercise, and lifestyle changes. Ensure that the service meets the expected goals and objectives of the organization. Elara Caring

December 2018- Current RN Case Manager

Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments. Managed care for post-operative patients through discharge. Liaised between patients and physicians to ensure patient comprehension of treatment plans. Ensured HIPAA compliance. Assisted patients with multiple chronic diagnoses including COPD, cerebral palsy and asthma. Developed patient care plans, including assessments, evaluations and nursing diagnoses. Performed OASIS visits and assisted patient with community resources. Identifying potential home health patients and acquired referral. Tenet Healthcare

July 2018- December 2018 Medical Surgical Nurse-

Collaborates with the physician and assists with writing orders, scheduling tests, assisting with procedures. Establishes a care plan in collaboration with the patient, family and health care team. Assists with specialized diagnostic and therapeutic procedures. Provides health education to patients and families

May 2018- July 2018 Critical Care Nurse

Ensuring that ventilators, monitors and other types of medical equipment function properly Administering intravenous fluids and medications. Collaborating with fellow members of the critical care team. Responding to life-saving situations, using nursing standards and protocols for treatment . Performing as a patient advocate. Providing education and support to patient families Jordan Health Services

January 2013-January 2018 Home Health Services Provider Caring for a post-surgical patient with major depressive disorder with daily living activities such as prepared and meals according to instruction and assisted with feeding. Helped patient with bathing, dressing and grooming, and with toileting. Assisted patient with movement using cane, walker, and wheelchair Monitored medication as specified on plan of care in the evening and on weekends. MCNA Dental Plans

August 2013- December 2017, Claims Department

Examining and adjudicating claims accordingly for dental providers. Forward dental claims for medical necessity to Dental reviewers. Resolving escalated issues, reviewing legitimate claim denials, and assisting with questions co workers have. Reviewing appeals to determine if payment is reconsidered. Examining claims history for any trends of fraud, waste, or abused.Adhering to all HIPPA regulations. December 2012- July 2013- Reconsideration unit/Support Department Deescalating provider calls, handling main dental home provider changes received by fax, assisting team lead by auditing team members worked appeals, and keeping the work log as minimal as possible. April 2012-November 2012 -Provider Services Department Explaining the covered services and fees schedules to MCNA providers. Coordinating with providers on how to submit claims and pre-auths correctly so the member can receive services without delay. Assisting providers with credentialing issues and questions. Forwarding claims to be reprocessed or notifying the provider if resubmission was necessary. Forwarding member information when a member advocate is needed or requires case management attention. Educating providers with provider portal for member eligibility,claims,and pre authorization submissions December 2011-March 2012,Member Services Department Mastering all materials to give accurate information to member and to co-workers with any questions. Providing world class customer service by helping members locate doctors and answering questions in regards to MCNA Dental plan. Educating members on the importance of visiting the dentist and practicing good oral hygiene for their children. Identifying member needs and resolving issues regarding dental bills received. Assisting members with utilizing resources that they qualify for such as Medical Transportation Program, and Early Childhood Intervention, and Case management.

Language Skills

Fluent in English and Spanish - Read, Write, and Speak CPR Certified BLS and ACLS