Case Management Registered Nurse
Resume:
GRACE
RAMOS
REGISTERED NURSE
EXPERIENCE
Endoscopic RN Pre/Post Surgery ORMC AM-Surg Orlando FL
October 2022-December 2022
Prepared patients for endoscopic procedures: Vital signs, administration of IV medication and IV fluids, as needed. Collected health information and authorization signature for pre-procedures. Followed up on PACU patients (post procedures) for vital signs and administration of medication. Checked for side effects of sedation medication and administration of Oxygen, IV fluid and medication, as necessary. Discharge coordination per procedure and orientation for F/U patient after discharge. Work in Am-Surg 10/22/ to 12/22 as a PRN Endoscopic RN. Work as the same of above 8/21 to 12/21.
Acute Register Nurse Med-Surg Dept. and as Case Manager ORMC AM-Surg Orlando FL
August 2021-December 2021 and February 2021 to May 2021
Inpatient Utilization review and Case management working in Med- surgery and neuro departments. Admission and Discharge to home, SNF/HHC. Tasks: assign medical equipment, review patient medication history, confirm patient address, POA and history of previous admission to SNF/HHC. Responsible for validation of patient admission as inpatient. Discuss cases with medical provider/attending and plan of discharge.
Concurrent Review RN Orlando Family Physicians Orlando FL
August 2019-August 2021
Working in a Corporate position in Department of Ergonomics. Informed management a daily list of patients in excel form containing: Length of stay, High-cost admission, weekly and monthly bases as well as patient listed in LTAC admission and COVID 19 admitted patients in Hospital.
Utilization Management RN II Anthem, Inc. Tampa FL
May 2018-August 2019
Precertification for inpatient and outpatient surgeries and procedures. Surgery specialties include Pediatric Tonsillectomy, Mastectomy, renal surgery, sinus surgery. Procedure specialty includes Cystoscopy, Endovascular surgery, Sleep studies for children and Adults. Office services that required precertification from Live calls per Medicaid services, such as non-Par providers visit, vascular services, etc. Also provided services in other states like Kentucky, N.Y, Tx, Fl, Virginia, and AR, ETC.
RN Case Management and Pre-authorization RN Humana Care Plus San Juan PR USA
January 2011-October 2017
Bilingual Case management for patients in Florida. Referrals for social service and social workers. Management for admissions and follow up for special programs for patients for high-risk conditions such as DM, COPD, CHF, ETC and Multiple inpatient admission, Polypharmacy, Psych conditions. Work Medicare advantage patient for authorization for DME, Radiology studies: CT Scan, MRI, Pet CT, Biopsy, Home Health Care, wound care and Home infusions.
CONTACT
7126 Matchet Road
Orlando FL 32809
13329 Willow Bluestar Loop
Tampa FL 335579
*************@*****.***
https://www.linkedin.com/in/grace-ramos-897839201/
COMMUNICATION
I fluently speak English and Spanish and can work very well with different settings, cultures and backgrounds.
REFERENCES
Cheryl Craig - 813-***-****
(Anthem)
Jeannette Adams - 787-***-****
(CT Radiology complex)
Idabelle Matos - 1-939-***-****
(Humana Care Plus MMM)
EDUCATION
Universidad de Puerto Rico
Bachelors of Science in Nursing
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