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Nurse Practitioner Case Manager

Location:
Houston, TX
Posted:
January 17, 2023

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Resume:

Résumé of Monica Rayo RN, BSN, FNP

**** ***** ** *** *,, Houston Texas 77007 Cell: 832-***-****

E-mail: aduqsf@r.postjobfree.com

JOB OBJECTIVE

Seek employment, which will offer challenges and potential for growth while utilizing my nursing, bilingual, clerical, computer, and people skills.

EDUCATION

University of Texas Arlington Aug. 2020

Masters degree of Science in Nursing

University of Texas Arlington Aug. 2013

Bachelor degree of Science in Nursing

Houston Community College May 2011

Associates degree of Nursing

Houston Community College Aug. 2007

Associates of Liberal Arts

CERTIFICATION

FNP Family Nurse Practitioner, Texas

Texas board of Nursing

RN Registered Nurse Houston, Texas

Texas Board of Nursing

CPR Houston, Texas

American Red Cross

ALS Houston, Texas

American Red Cross

ASRM

Fertility Certification

WORK EXPERIENCE

Inovi Fertility and Genetic Institute

Nurse Practitioner

(Dec 2019 to Present)

Manage IVF cycles medications and management of patient care.

Assist with trans vaginal ultra sounds of in cycle patients.

Assist with 1st trimester obstetric ultrasounds.

Perform hystrosalpingogram procedures to determine tubal patency.

Perform insemination during fertility treatment.

Triage and management of patients health concerns and symptom management. Amed Hospice

RN case Manager

(February 2016 to present)

Triage 300 plus pts and manage any overnight critical concerns

Provide interdisciplinary care to patients during after hours.

Coordinate with physicians and faculties as well S families in providing patient care

Educate patients, families, and facilities in providing patient care and providing comfort measures during patient transitions.

Determining appropriate level of care for patients.

Admitting patients into hospice care and discharging from hospice as appropriate. United Healthcare

RN case manager

(December 2016 to 2018)

Make and confirm site visit appointment prior to the date of appointment. Provide patient lists to provider offices.

Locate and review all assigned medical charts, perform abstraction and copy all chart documentation per client specifications.

Assess the physical, functional, social, psychological, environmental, and financial needs of clients/patients; identify a cost-effective comprehensive plan to meet the families’ service needs, and implement the plan.

Provide referrals to appropriate community resources; facilitate access and communication when multiple services are involved; monitor activities to ensure that services are actually being delivered and meet the needs of the client; coordinate services to avoid duplication.

Assess the client’s formal and informal support systems.

Monitor client’s progress toward goal achievement and periodically reassess changes in health status.

Effectively monitor patient care delivery following established utilization review guidelines.

Monitor the care plan to ensure the effectiveness and appropriateness of services; ensure that services are being delivered and meet the needs of the client.

Assures open and timely communication with the patient, family, and other members of the health care team.

Assists and instructs clients, families, or other client representatives in the implementation of the care plan and other concepts and activities necessary to promote the client’s health, safety, and independent living.

Conducts/participates in multidisciplinary case conferences and/or patient rounds.

Act as patient advocate; identify and develop new community resources; assist with problem solving.

Provide or assist in providing appropriate medical, nursing or other health care in the home and/or in a clinic setting as needed.

Maintain accurate patient records; maintain patient confidentiality. Registered Nurse BSN

Houston Methodist Hospital

(March 2014-December 2016)

Provides care to increasingly complex patients and coordinates the interdisciplinary team

Identifies and presents areas for improvement in patient care or unit operations and offers solutions by participating in unit projects and shared governance activities.

Identifies leadership opportunities for professional growth.

Develops and updates plan of care in partnership with the patient and family using the nursing process, incorporating the patient`s priorities and abilities.

Establishes mutual educational goals with patient and family, provides appropriate resources, incorporating planning for care after discharge.

Supports patients and families in preventing/resolving clinical or ethical issues. Case Management Insurance

Universal American

(Aug 2013 to March2014)

Coordinate Patients Care after hospital discharge.

Anticipate patients’ needs for effective care.

Communicate with physician’s patients anticipated needs.

Discover barriers in patients care and coordinate patient’s needs.

Reduce readmissions into the hospital.

Implement and update nursing care planes based on patient’s needs.

Take appropriate action to reduce hospital readmissions based on needs addressed during assessment.

Educate patients and families regarding disease processes and how to better manage their care at home.

Educating patients and family on when to call the doctor and what signs and symptoms to watch out for.

Educating Patient and family about different disease processes such as CHF, Diabetes, and, Heart failure.

Case Manager-Registered Nurse

New Century Hospice

(Dec 2012-May 2014)

Assume primary responsibility for a patient/family caseload that includes the assessing, planning,

Implementing and evaluating phases of the nursing process.

Initiate communication with attending physicians, other hospice staff members and other agencies

Maintain regular communication with the attending physician concerning patient/family care needs

Obtain data on physical, psychological, social and spiritual factors that may influence patient/family and incorporate that data into the plan of care.

Seek input from other group members regarding the patient plan of care in order to obtain additional knowledge and support.

Maintain up-to-date patient records using computerized medical record system

Instruct primary caregivers, volunteers, and employed caregivers to provide care as indicated.

Meet regularly with hospice nursing staff to review problems or unique issues

Attend Interdisciplinary Team meetings and facilitate discussion of issues from caseload for full staff discussion, consultation and evaluation.

Supervise and document observance of the home health aide delivery of care every month.

Inform the Nurse Supervisor of unusual or potentially problematic patient/family issues.

Share in on-call rotation, providing 24-hour, seven-day-a-week

Provide appropriate support at time of death

Demonstrate familiarity with policies of the agency and rules and regulations

Perform specific assignments as directed.

Registered Nurse-Field

PSA Home Healthcare

(August 2011 to March 2012)

Responsible for the delivery and coordination of quality patient care in compliance with Physicians orders.

Observe and assess patient condition and care needs continuously.

Take appropriate nursing action based on assessment.

Implement and update nursing care plan.

Provide direct hands on care to assigned patient.

Document assessments, nursing action, response, and communication.

Educate the patient and family regarding the disease process, self-care techniques and prevention strategies.



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