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Nurse Practitioner Health Care

Location:
Miami, FL
Posted:
September 19, 2023

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Resume:

REGIS JAVIER LLERENA, APRN-FNP-C

E-mail: adztfl@r.postjobfree.com Phone: 786-***-****

OBJECTIVE: To acquire a challenging position in the health care industry where I can best utilize my clinical skills and educational background in order to make a positive contribution to the company.

EDUCATION

-Miami Regional University MRU, Master of Sciences in Nursing, Family Nurse Practitioner

-ACI College, Associate of Science in Nursing. Miami Fl

-Florida International University (FIU), Miami: Post Graduate Certificate in Health Risk Management

-St. Agustin National University, Arequipa, Perú: Medical Specialization in Otolaryngology at Essalud Hospital “Carlos Seguin Escobedo”

-St. Agustin National University, Arequipa, Perú. : Medical Doctor Degree

Licenses and Certifications

-Advanced Practice Registered Nurse Licensed APRN 11023538

-Florida Board of Nursing RN license # 9545611

-Certified Coding & Billing Specialist (CBCS) by NHA/ATI.

-CPR-BLS -OSHA and HIPAA -Domestic Violence -Alzheimer -Infection Control HIV/AIDS

PROFESSIONAL EXPERIENCE

Portella Medical ENT Group (June 2023 –Present)

Provided services to patients in the area of otolaryngology including diagnosis, treatment, referrals and specialized procedures to outpatient –ambulatory patients on local Medicare clinics and children Hospital services as part of the medical team conducted by Dr. Rafael and Antonio Portela.

HCA East Florida Division: R.N. Utilization Review (Part Time June 2017 –Present)

Provided clinical information to patient Insurance Plans according to the terms of the contract, receive authorization/certification for the stay, work concurrent denials, determine the correct patient status and communicate to the facilities, follow the X code process per HCA policy, maintain communication with the facility case managers, physicians and the Insurance Plans. Emphasis on initial and continued stay utilization review and denials to include assessment of medical records for appropriateness, level of care provided, including assessment of treatment modalities, medications, services, application of treatment protocols and permanent communication with Physicians.

Mercy Hospital, Miami: Case Management. Discharge Planning (Weekend Per Diem 2017 Present)

Responsible for promoting patient-centered care by coordinating patient plan of care, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. Proactively communicates with the physician and other members of the health care team to determine the best options to meet the patients’ needs in an efficient and effective manner Assesses, collaborates and coordinates the patients discharge planning needs and readiness for discharge with other members of the healthcare team and the patient/family. Assists Physicians in the decision of proper status placement. Informs and educates internal personnel for correct status assignment. Works with physician advisor to assure InterQual criteria is applied. Mount Sinai Medical Center, Miami Beach. Case Management. Discharge Planning (Per Diem, March 2016 – Present)

Provided coordination of care for patients using the right resources, at the right time and at the right level of care by assessing, planning, implementing and evaluating the options and services required to meet an individual’s health and health related needs. This includes the use of Interqual criteria to ensure medical necessity of admissions and appropriateness of continued stay. Also, making arrangements with physicians and other health care providers for any post-discharge needs as well as having oversight into each patient to ensure care is being progressed appropriately.

CBT College, Miami, Fl. Medical Instructor. (Oct. 2009- December 2015)

-Instructed classes in the areas of Anatomy & Physiology, Medical Terminology, Pharmacology, Pathophysiology, Legal, Ethics, Quality Performance Improvement, Medical Insurance & Billing, Microbiology, and others.

Baptist Hospital of Miami, Florida: Medical Observership (June 2008 – June 2009)

-Participated in the clinical rounds and took part of the clinical care of patients admitted in the Medical Unit at Baptist Main Hospital under supervision of hospitalist Dr. Felipe del Valle.

“Union Positiva” Miami, Fl. Community Health Educator (Jan. 2006- Dec. 2006)

-Performed prevention, counseling and informative activities along with screening tests on HIV/AIDS and other Sexually Transmitted Diseases on patients at Outpatient and mobile Clinic.

FOREIGN PROFESSIONAL EXPERIENCE

EsSalud Hospital, Cuzco, Peru – Otolaryngology Attending Physician

-Provided ambulatory/outpatient and inpatient medical and surgical care in the Specialties of Otorhinolaryngology and Head and Neck Surgery

Pardo Clinic, Cuzco Peru- Emergency Department –Assisting Physician

-Assessment and Evaluation of local and international patients with urgent and emergency conditions; formulation of differential diagnosis, requesting appropriate diagnostic tests and

developing immediate medical care plan; performing emergent medical procedures, referral and appropriate consultations to specialties in collaboration with Physicians team and multidisciplinary healthcare professionals.

Goyeneche Hospital, Arequipa, Perú –STD Department Attending Physician

-Diagnosed, treated, counseled and communicated effectively with patients and family members seeking medical assistance at Sexual Transmitted Diseases and HIV/AIDS department.

-Reported to the Health Regional Department and conducted statistical and epidemiology studies following ONUSIDA and national guidelines.

Polobaya Community Health Center. Perú, Ministry of Health – Primary Care Physician

-Provided the full scope of primary medical care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance promotional activities.

GRADUATE STUDENT CLINICAL ROTATIONS

Medical Office Dr. Hilda Brito. Kendall, Miami. Family Practice: Advance Nurse Practitioner (September 2021 to August 2022)

-Performs physical exam based upon age and patient history as per the Standard Care Arrangement with a collaborating physician. Assist to provide primary care to patients. Record patient medical histories and symptoms. Create patient care plans and contribute to existing plans. Order, administer and analyze diagnostic tests. Diagnose health issues. Administer medicines and treatments under physician supervision. Evaluate responses to treatments and medications. Consult with healthcare professionals. Educate patient and family on managing diseases or injuries and promoting health prevention.

FOCUSED SEMINARS & TRAINING WORKSHOPS

-National American Alliance for Medical Auditing Specialists (NAMAS): Medical Auditing. 2010

-Joint Commission International: Practicum on Medical Quality Management and International Accreditation of Healthcare Organizations. 2011

-AHIMA Courses: Query Policy & Query Forms; Coding and Clinical Documentation Improvement Compliance Education on ICD-10-CM, CPT -4. 2016

EMRs and clinical software skills: 3M encoders, T-Sys; EPIC, Care Tracker, Meditech, HPF, Morrissey, Med soft, All Scripts and Spring Charts.

LANGUAGES: -Fluent in English and Spanish..

REFERENCES: Excellent professional references upon request.



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