Care Manager Case

ROSA C. CASTILLO, RN

**************@*****.*** 305-***-**** www.linkedin.com/in/rosacastillorn

RN – CM 2 Registered Nurse with experience in Care Management

Compassionate Register Nurse-RN with experience in Care Management, Outpatient Clinics, Rehab Facilities and Home Health Services and DME. Cross functional experience in Med-Surg, Oncology, Wound Care, IV meds administration and Managed Care. Solution oriented with knowledge of plan of care, detailed assessments and patient advocacy. Highly developed organizational, analytical and clinical skills accustomed to maintaining high productivity level with heavy workloads. Bilingual English and Spanish.

PROFESSIONAL EXPERIENCE

BAPTIST HOME HEALTH – MIAMI, FL 2019 – 2020

FIELD RN

Home Health RN working for Baptist Home Health Services Department in Miami-Dade area, what services Medicare, Medicaid, and private pts, performing OASIS assessment and, evaluation; developing a POC following MDs orders; provided Skilled Nursing Care as ordered by MDs, following POC developed; providing Coordination of Care, with HH aides, and Therapy services as prescribed by MDs, and accepted by pts; performing medication reconciliation during each visit in coordination with MDs offices. OASIS format knowledgeable for evaluation, and assessment, Recertifications, and Discharges. Able to perform Wound Care, using VAC systems; able to start peripheral IVs; to administer IV Therapy to pts as ordered by MDs, using PICC lines, Mediports, or Central Lines, delivering and maintaining the best standard of care, as voiced by the patient who received these services.

HUMANA AT HOME – Miami, FL 2013 – 2019

RN – Care Manager e to ER. Assisted to improve their health status providing for them coordination of care, medication reconciliation, and guidance to improve compliance, participation, and recovery. Worked with LTC, SNP, and Commercial Care management Programs to manage Chronic Disease, implementing best practices disease specific guide developed by health plan to improve members health status, encouraging families participation.

Volunteered to participate in development and implementation of pharmacy new programs in coordination Care Management services, aimed to provide pts medication safety and successful acceptation from pts, and MDs. Teaching on Falls prevention implementation by pts and families.

Improved Savings to patients, teaching about their benefits including in Health Plan, as Mail pharmacy program, Silver Sneakers, Dentist, Eye Services, PCPs and specialist Doctors, DME, medical supplies, Meal Programs, Community Clinic based what provides exercise and activities programs, HH Services, and Outpatient providers in Network; providing referrals to Community Services.

Volunteered for Feeding South Florida and Humana Bold Goal to provide fresh food to low income pts, and community to improve nutrition, while teaching healthy meals preparation.

Conducted training programs to new RN, and MSW–CMs to work in CM field, and working with electronic Medical records. Supervising HH services, and others ancillary services paid by the Health Plan.

HEBREW HOME & UNIVERSITY PLAZA – Miami, FL 2012 – 2013

Wound Care Manager at Skilled Nursing & Rehab Facility

RN – Wound Care Manager for Facility with 100 beds, in charge of initial assessment of every patient Skin Integrity, coordinating, and providing Wound Care as needed, implementing prevention to maintain patients Skin Integrity, working in collaboration with RNs, LPs, CNAs, and Therapy department following MDs and DPMs orders.

Implemented preventive program to decrease incidence of Pressure Ulcers for Elderly patients with limited mobility.

Provided In-services to Nursing, and Rehab departments to avoid Skin Integrity damage during transfers, and repositioning patients; involving family participation; improving protein intake on patients at risk of Skin Integrity damage due to age, and immobility.

Proactively reported changes in the patients to MDs, documenting any resident skin break down, maintaining updated electronic medical records; updating documentation daily, and when changes occurs.

Prepared facility for State inspection, passing them with no concerns. Supervising Nursing, and Therapy Departments when acting as RN Supervisor; helping to start IVs, and administering IV meds in facility.

GENTIVA HOME HEALTH SERVICES – Miami, FL 1990 – 2012

Home Health Field RN & On-Call Supervisor

Case Manager for Home Health agency what services Medicare, Medicaid, and private pts, providing OASIS assessment and, evaluation; developing a POC with MDs participation; provided Skilled Nursing Care as requested by MDs, and following POC; providing Coordination of Care, Medication reconciliation, HH aides, MSWs, and Therapy services as prescribed by MDs, and accepted by pts. OASIS format knowledgeable for evaluation, and assessment, Recertifications, and Discharges. Able to perform Wound Care, using VAC systems; able to start peripheral IVs; to administer IV Therapy to pts as ordered by MDs, using PICC lines, Mediports, or Central Lines. As On-Call RN supervisor, alternating with DON, to maintain after hours, and weekends agency Home Health services functioning while maintaining a high the Standard of Care for the patients. Assisting to prepare Agency for state inspections. Team player, taught RNs, and LPN on IV pumps and W.C. VAC equipment, resolving by phone any problem what arise from equipments with nurses, and patients.

MIAMI CHILDREN HOSPITAL & CLINICS – Miami, FL 2003 – 2007

Infusion RN for Outpatient & Inpatient Facility

Administer IV medications including Chemotherapy and Blood products in Outpatient Infusion Clinic providing services for Oncology and Hematology Clinic. Providing nursing care to Mediports, PICC and Central lines and teach family about care, and maintenance when patients must go home with them. Assisted MDs with patients sedation, Lumbar puncture, and Ommaya reservoir meds administration. Working with 13 different Clinics in the facility to administer diverse treatments, as Remicade, Immunoglobulins, and attending emergency reactions what arise from them in conjunction with MDs.

JACKSON MEMORIAL HOSPITAL – Miami, FL 1999 – 2003

RN Oncology Staff RN

Provided care to acute setting hospital at bedside to Oncology patients admitted to the facility unit, and willing to receive treatment prescribed; learning and teaching patients, and families about pertinent Oncology protocols, and medications. Administered Chemotherapy to patients via SQ, IM, peripheral IVs, PICC, Central lines at Oncology Unit, and intra-arterial lines in OR. Assisting MDs during sedation procedures, while monitoring pts during Lumbar punctures, Bone Marrow procedures, and Ommaya reservoir medications administration.

EDUCATION

Bachelor in Science, University of San Carlos of Guatemala, Ciudad Guatemala, Guatemala.

Associate in Arts Degree, Miami Dade Community College, Miami, Fl.

Associate in Sciences ADN Degree, Miami Dade Community College, Miami, Fl.

Licensed RN, State of Florida since 1996.

IV Administration Certified.

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