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Service Coordinator Case Manager

Location:
Kissimmee, FL
Posted:
May 10, 2023

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Resume:

LC

OBJECTIVE

Compassionate and dedicate registered nurse seeking to leverage nursing experience and passion toward a career in health.

SKILLS

Wee-regarded skills in providing optimum patient care. Committed to continued professional training.

Team work with medical personal, social workers, CAN and Chaplain

LINETTE CAMACHO, RN, BSN

PROFESSIONAL NURSE

4628 YELLOW BAY DR-KISSIMMEE FL. 34758

EXPERIENCE

NURSE AND INTERINE SUPERVISOR • ONCOLOGY HOSPITAL DR. ISAAC GONZALEZ, RIO PIEDRAS • 1998 TO 2000

Provided nursing care to surgical patients, competing pre-operative and post-operative procedures; performed physical assessments, administered medications/ IV fluids and monitored recovery progress. Tracked lab values and test results, updating physicians when appropriate. Operate and inserted Foley catheters and nasogastric (NGT) feeding tubes; monitored intake and output. Effectively prioritized assignments.

Consistently exceeded call of duty by working through additional shifts.

Ensure the best and most cohesive patient care possible by partnering with other medical personnel and communicating effectively with patient’s family members.

CASE MANAGER • HUMANA HEALTH PLAN • 2002 TO 2007

Clinical audits, emergency room, managed cased for Medicare Program, Hedis Audits, quality improvement between primary physician an patient, quality evaluation of providers patient care, pre-certifications, service coordinator, hospital discharge planner, close cases, interview patients with special cases. Apply the guide Milliman and Interqual.

AUDITOR OF QUALITY AND CLINICAL AFFAIRS • MEDICAL CARD SYSTEM (MCS) • 2008 TO 2016

Quality audits, credential and facility evaluation, manage premiums, evaluation of medical records for HEDIS coding, validation of diagnoses, fraud evaluation.

RN BSN • TERRACE OF ST. CLOUD • 2016 TO 2020

Provided direct nursing care to patients in home care. Prepare and administer medications to patient and monitoring. Manage and care of tracheotomy, gastrostomy care and feeding through gastrostomy. IV pump, ulcer care, monitoring and patient care in general.

Consistently exceeded call of duty by working through additional shifts.

Ensure the best and most cohesive patient care possible by partnering with other medical personnel and communicating effectively with patient’s family members.

RN BSN CASE MANAGER• HALIFAX- HOSPICE • 2017 TO 2020

Provided direct nursing care to patient in Hospice. Educate the patients and family members about medical conditions, health care, medication administrate and ulcer healing. Take and execute medical orders, between other tasks.

Care plan creation, assessment patient, symptomatic evaluation of the patient. Re-certification of patients update medical records and make discharge process.

ORLANDO HEALTH ST. CLOUD • CASE MANAGER • 2021 TO PRESENT

Hospital discharge planner, service coordinator guest service. Apply the guide Milliman and Interqual.

EDUCATION

MASTER DEGREE IN ADMINISTRATION OF HEALTH SYSTEMS • 2003 •

CERTIFICATION IN ONCOLOGY NURSE • 2000 •

BACHELOR DEGREE IN NURSING • 1998

BEHAVIORAL HEALTH CASE MANAGEMENT • 2020

AFFILIATIONS

Member; Oncology Nursing Society of Puerto Rico

Member; Registered Nurse, Department of Health Division of Medical Quality Assurance

***********@*****.*** 787-***-****



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