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R.N Case Manager

Location:
Austin, TX
Posted:
October 20, 2022

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Resume:

DIANE M. FLORES R.N. BSN.

EXPERIENCE

WESTERN GOVERNORS UNIVERSITY

December 2020 – October 2022

--RN to BSN Program/Full Time Student

ACUITY HEALTHCARE (Jacksonville Florida)

February 2019 – October 2020

--Transitions Case Manager – Case management for transitioning back home from hospital, HEDIS review. Managed care experience, preventative care gaps by working with primary care MD or specialists, medication management. education, provided community resources and assessments, education on disease process management and chronic disease education, prevention of hospitalization and unnecessary ER visits.

ONSITE (Austin, Texas)

January 2018 – February 2019

--Occupational Nursing/Contract –Wellness programs to provide screenings on blood work taken for health education, improve employee outcomes and streamline access to employee care at job sites or health fairs in Austin, San Antonio and Hillsboro area.

HEALTHY SCHOOLS (Austin, Texas)

August 2017 -- January 2018 and August 2018 -- December 2018

--Flu Immunization RN -Nursing service to provide flu immunizations to the elementary, middle school and high school population in the local Austin, Houston area schools and surrounding areas as a contract employee for each flu season.

VITALS

19211 Saint Raguel Rd,

Manor Texas 78653

Cell: 512-***-****

Email:

********@*****.***

SKILLS

Great critical thinking skills and

able to multitask effectively.

Ability to work independently

Strong organizational skills with

attention to detail.

Professional, self starter and

flexible

Able to consistently meet

deadlines and goals.

Strong written communication

skills

Team player with ability to

navigate team dynamics.

Remote work experience with

experience in PHI protection and

HIPPA guidelines

Motivational interviewing

experience

Knowledge of Microsoft Office

programs and EHR systems.

Willing to obtain out of state

nursing license for work contracts

Patient advocate to better patient

outcomes and increase patient

satisfaction.

Experience with diverse work

contracts involving to learn

quickly and adapt to new

environments, deadlines and

requirements.

2

Diane Flores

REGISTERED NURSE AXISPOINT HEALTH – REMOTE (AUSTIN TEXAS ) January 2015 – March 2017 – (formerly McKesson )

Contract work

-Community Based Primary Nurse- Telehealth disease education for the Texas Medicaid Wellness program for pediatric, geriatric and those with chronic illnesses. Designed to provide support, follow-up, education and resources for families experiencing problems with chronic illnesses to prevent hospitalizations and empower caregivers caring for their ill loved ones. Provided insurance coverage infomarion and community resources. Telehealth Nursing- Occasional field visits, for Texas Medicaid Wellness Program – Provide preventative health information, and education for families for chronic disease management to provide resources for families and to prevent hospitalizations.

--MNLOC/RUG assessments for Dept Disability and Aging Services contract for home visits to complete RUG assessments for families to start or continue receiving services in home.

--Utilization Review Contract - Florida based contract to assist company with UM review using Interqual.

MCKESSON – REMOTE (AUSTIN, TEXAS)

February 2012 –January 2015 - Disease Management RN Community Based Primary nurse – Telehealth – Telephonic caseload and field visits for pediatric and adult population with using motivational interviewing for monthly phone contact for education about disease processes or mental health to reduce hospitalizations, improve patient outcomes, retention and encourage compliance. Obtained additional RN licenses from other states to assist with working other state contracted programs.

ACCENT HOME HEALTH – FORMERLY TEXAS HOME

HEALTH (AUSTIN, TEXAS)

March 2009- January 2012 –RN Clinical Supervisor

Case management,Quality assurance review of nursing notes, Oasis assessment review, ICD-9Coding, Careplan assessments, 485 reviews, field nurse and CNA supervision to ensure patient visits match care plan and patient needs. Field visits when needed.

TEXAS HOME HEALTH (AUSTIN, TEXAS)

March 2006 – March 2009 – Field RN- Field visits for direct patient care, lab work, wound care, education.

ASERA CARE HOSPICE (ROUND ROCK,TEXAS)

Jan 1999 – Feb 2006 - RN Case manager - Field visits with managed caseload of patients in Round Rock and the surrounding areas 3

Diane Flores

REGISTERED NURSE

ROUND ROCK INDEPENDENT SCHOOL DISTRICT

(ROUND ROCK, TEXAS)

Oct 2002 – May 2003 – PRN Elementary campus school nurse Responsible for professional, medical treatment of students,and health evaluations. Assisted in promoting programs on health- education and immunizations.

LONE STAR HOSPICE (ROUND ROCK, TEXAS)

Aug 1997 – Jan 1999 - RN case manager

Direct care nursing that educates families and caregivers of the patient on recognizing potential symptoms and providing scare for the patient. Providing emotional and practical support for both the patient and their family or caregivers.

BRACKENRIDGE (Austin Texas)

Mar 1995 - Aug 1997 - Staff Nurse

Direct nursing care Telemetry and Neuro

EDUCATION

Austin Community College –AD- RN

Western Governors University -- BSN program

LICENSURE

RN -Texas # 612722

CERTFICATIONS

CPR -BLS

REFERENCES

Helen Conway

Office Mgr/Texas Home Health—512-***-****

Candy Sobeck -Billing/Ofc Manager/Accent Home Health— 512-***-****

Adriana Lindsey

Supervisor / Axispoint Health and McKesson – 512-***-**** Lisa Constatine

Supervisor / Acuity Health – 904-***-****



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