Nurse Practitioner Case Manager

WENDY CESAR LAFOREST, MSN, APRN, FNP-C

***** ** **** *****, ***** Springs, FL, 33076

Phone # 347-***-****

Email: *********@*****.***

CAREER SUMMARY

I am a Family Nurse Practitioner with valuable primary and geriatrics experience as well as pediatrics and women’s health through graduate school. I graduated from Nova Southeastern University with a GPA of 3.9. I am an active member of Sigma Theta Tau International and Chancellor’s List. I have been working as an internal medicine APRN at Healthy Partners powered by Cano Health since 2/2021 then MyCare Medical since 12/2023 providing excellent patient centered care to adults and elderly. I have been a RN for over 19 years and worked in the following settings: Acute care (neuro/vascular/ortho surgical), Long term care (SNF), Home care as a visiting case manager, Utilization review, case manager for the managed care plans: Humana and Amerigroup, and acute case manager at Broward Health Coral Springs hospital. I work well under pressure and independently provide safe care for patients with acute and chronic illnesses in adults and geriatric patients. I am extremely reliable and take full accountability for patient care and outcomes and will appropriately seek consultation from specialists as necessary. I worked collaboratively well with multidisciplinary health care team to optimize team performance (doctors, case managers, social workers, physical therapists, nurses, health care proxy and family members). I speak English, French and Creole fluently and basic in Spanish.

EDUCATION

•Master of Science in Nursing in family nurse practitioner, Nova South Eastern University: May/2020

•Bachelor of science in Nursing, Adelphi University, May/2005

•Honor Society of Nursing: SIGMA THETA TAU INTERNATIONAL; CHANCELLOR’S LIST

LICENSURE, CERTIFICATION & TRAINING

•Basic Life Support (BLS)

•Registered nurse, State of Florida

•Advanced Practice Registered Nurse

•DEA License

NURSE PRACTITIONER EXPERIENCE

MyCare Medical

Internal Medicine/Primary Care : APRN 12/22 – present Florida

oProviding comprehensive clinical primary patient care through interviewing, examining and establishing treating plan for patients to meet their health and wellness goals.

oDiagnosing, managing and treating common health problems, as well as serious and chronic illnesses such as Diabetes, HTN, CHF, Afib, CAD, CVA, DVT, thyroid disorders, Asthma, COPD, dementia, depression, anxiety, Parkinson’s disease, arthritis, GERD, Cellulitis in Commercial, Medicaid and Medicare patients.

oPrescribing appropriate medical treatment and clinical medications consistent with Medical Standards for patients and ordering and interpreting appropriate diagnostics, studies, tests, and ancillary care services as required.

oPerformed preventive care including well exams, Educated patients on wellness, prevention and early detection by discussion and/or providing materials and resources to the patients and families.

oProviding medically appropriate referrals for mammograms, HEDIS measures, meeting HRA requirements.

oUtilizing resources such as UpToDate, Epocrates, Medscape and latest clinical guidelines.

oFollowing all established rules and guidelines of evidence-based care and best clinical practice.

oConsults/collaborates with the Medical Director as needed regarding patient care, assessment, and education issues in patients with complicated medical conditions.

Healthy Partners, Cano Health

Internal Medicine/Primary Care : APRN 02/21 – 11/22 Florida

oProviding comprehensive clinical primary patient care through interviewing, examining and establishing treating plan for patients to meet their health and wellness goals.

oDiagnosing, managing and treating common health problems, as well as serious and chronic illnesses such as Diabetes, HTN, CHF, Afib, CAD, CVA, DVT, thyroid disorders, Asthma, COPD, dementia, depression, anxiety, Parkinson’s disease, arthritis, GERD, Cellulitis in Commercial, Medicaid and Medicare patients.

oPrescribing appropriate medical treatment and clinical medications consistent with Medical Standards for patients and ordering and interpreting appropriate diagnostics, studies, tests, and ancillary care services as required.

oPerformed preventive care including well exams, Educated patients on wellness, prevention and early detection by discussion and/or providing materials and resources to the patients and families.

oProviding medically appropriate referrals for mammograms, HEDIS measures, meeting HRA requirements.

oUtilizing resources such as UpToDate, Epocrates, Medscape and latest clinical guidelines.

oFollowing all established rules and guidelines of evidence-based care and best clinical practice.

oConsults/collaborates with Cano Health physicians as needed regarding patient care, assessment, and education issues in patients with complicated medical conditions.

NURSE PRACTITIONER PRACTICUM EXPERIENCE

Internal Medicine- Dr. Jean Renelien, North General Center of Medicine,1/2020-4/2020

oDiagnosing, managing and treating common health problems, as well as serious and chronic illnesses such as high blood pressure, hyperlipidemia, thyroid disorders, COPD, dementia, depression, Parkinson’s disease arthritis, GERD, and diabetes in adults and the elderly under the supervision of Dr. Renelien.

o Performed preventive care including well exams, provided referrals for mammograms, vaccinations, Dietitian for weight management.

oOrdering and interpreting appropriate diagnostics, labs, prescribing medications, requesting referrals to consultants when needed under the supervision of Dr. Renelien.

oUtilizing resources such as Epocrates, Medscape and latest clinical guidelines.

•Pediatrics- Dr. Brian Udell, Child Development Center of Florida. 10/2019-12/2019

oConducted complete medical examinations, periodic preventive medical evaluations, and evaluated children on an acute care basis under the supervision of Dr. Udell.

oDiagnosed and treat various pediatric health problems included but not limited to acute otitis media, autism, ADHD, urticaria, upper respiratory infections.

•Women’s Health- Dr. Jane Matos-Fraebel, A New Life OB/GYN of Broward. 9/2019-10/2019

oProviding gynecological services such as yearly physical exam, breast exam, Pap smear, family planning/counseling, diagnose, evaluate and treat a number of diseases, and health education to the female population.

oOrder appropriate laboratory and diagnostic tests as well as necessary medication.

oPerformed procedures including insert/remove IUDs, minor sutures, splints, incision & drainage.

oConsultation and referral for a diverse patient population with a broad range of clinical issues. Educates patients regarding their disease, treatments, related drug and treatment side effects, and hazards.

•Urgent Care/ Internal Medicine - Dr. Ross Nochimson, Internal Medicine, 5/2019-8/2019

oProvide urgent care and primary care services in a high volume fast-paced setting under the supervision of Dr. Nochimson.

oPerforms procedures such as wound care. Incision and drainage under the supervision of Dr. Nochimson

oDiagnose and treatment of acute respiratory infection, costochondritis, as well as chronic conditions such as Asthma, COPD, pneumonia, dementia, Parkinson’s disease under the supervision of Dr. Nochimson.

oChronic and acute pain management.

•Internal Medicine/Geriatric specialty- Dr. Cristina Savu, Prestige Physicians, 1/2019-4/2019

oAssess patients, check for illnesses and diseases effectively, and confidently create a diagnosis.

oDiagnosing, managing and treating common health problems, as well as serious and chronic illnesses such as high blood pressure, hyperlipidemia, thyroid disorders, COPD, and diabetes in adults and the elderly under the supervision of Dr. Savu.

oReviewing and interpreting appropriate diagnostics, labs, prescribing medications, requesting referrals to consultants when needed under the supervision of Dr. Savu.

oDocumenting encounters in EHR

oUtilizing resources such as Epocrates, Medscape and latest clinical guidelines.

•Internal Medicine - Dr. Mario Pereira, CCG of South Florida, 10/2018-12/2018

oAssess patients, check for illnesses and diseases effectively, and confidently create a diagnosis.

oDiagnosing, managing and treating common health problems, as well as serious and chronic illnesses such as high blood pressure, hyperlipidemia, thyroid disorders, COPD, and diabetes in adults and the elderly under the supervision of Dr. Pereira.

oReviewing and interpreting appropriate diagnostics, labs, prescribing medications, requesting referrals to consultants when needed under the supervision of Dr. Pereira.

oDocumenting encounters in EHR

HEALTHCARE EXPERIENCE AND SKILLS

Broward Health Coral Springs Hospital

Acute Care Case Manager 12/18 – 02/21 Florida

oEnsure member access to services appropriate to their health needs.

oConduct assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.

oImplement care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.

oCoordinate and manage an assigned case load to promote positive clinical focused outcomes.

oReview for the appropriate level of care, resource utilization and evaluate the need for services for continuity of care and prevent readmission.

oCoordinate internal and external resources to meet identified needs.

oMonitor and evaluates effectiveness of the care management plan and modify as necessary and promote safe and appropriate discharge planning.

oInterface with Medical Directors and Physician Advisors on the development of care management treatment plans.

AMERIGROUP

• Case Manager 06/15 – 10/18 Florida

oEnsured member access to services appropriate to their health needs.

oConducted assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.

oImplemented care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.

oCoordinated internal and external resources to meet identified needs.

oMonitored and evaluated effectiveness of the care management plan and modified as necessary.

oInterfaced with Medical Directors and Physician Advisors on the development of care management treatment plans.

oNegotiated rates of reimbursement, as applicable.

oAssisted in problem solving with providers, claims or service issues.

HUMANA

Acute Case Manager- Onsite 09/14 to 06/15 Florida

oManaged network participation, care with specialty networks, care with DME providers and transfers to alternative levels of care using your knowledge of benefit plan design

oRecommended services for Humana Plan members utilizing care alternatives available within the community and nationally

oIdentified potentially unnecessary services and care delivery settings, and recommended alternatives if appropriate by analyzing clinical protocols

oExamined clinical programs information to identify members for specific case management and / or disease management activities or interventions by utilizing established screening criteria

oConducted admission review, post-discharge calls and discharge planning

VNS CHOICE Community Care

• Consultant Nurse 02/08 to 07/14 New York, NY

oProvided care management through a collaborative process of assessment, planning.

oMaintained members in the most independent living situation possible and prevent readmission.

oEnsured consistent care along entire health care continuum by assessing and closely monitoring members' needs and status.

oProvided nursing services and authorized/coordinated services within a managed care system.

oReview discharge information to include discharge summary and hospital medication reconciliation.

oClosely communicated and collaborated with primary care practitioners, interdisciplinary team and family members.

LONG ISLAND JEWISH MEDICAL CENTER

• Registered Nurse 05/06 to 10/07 New Hyde Park, NY

oCoordinated care for 9-13 assigned patients on a 12-hour shift.

oWorked collaboratively with multidisciplinary health care team to optimize team performance (doctors, case managers, social workers, physical therapists, nurses, nurses’ aid, health care proxy…).

oAdministered prescribed medications orally, intravenously and by injection.

o Provided treatment using therapeutic equipment.

o Assessed and executed surgical wound dressings.

oProvided and received reports in status of patients at the change of shifts.

Other Skills

•Proficient in EHR systems: eClinicalWorks, Cerner, Kareo etc, computer and clinic software

•Responsive and comfortable working in a fast-paced, high accountability environment.

•Flexible and self-motivated.

•Excellent judgment and ability to prioritize resources where they will be most useful.

•Strong attention to detail and clinical skills and knowledge

•Strong leadership skills and interpersonal skills

•Ability to work well under pressure and minimal supervision

•Ability to handle a wide range of situations and circumstances effectively, positively and professionally.

•Outstanding organizational skills and ability to multi-task

•Ability to perform complete physical exams and arranging referrals.

•Ability to maintain quality, safety, and infection control standards.

LANGUAGE

• Fluent in French and Creole; Basics in Spanish

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