RN Case Manager

Maria Pacheco

*********@*******.*** / 305-***-**** / Miami, USA 33172

Summary

Dedicated RN Case Manager Supervisor with over a decade of experience in patient advocacy and case management. Proven ability to lead teams in delivering exceptional healthcare services and developing individualized care plans. Skilled in enhancing community relationships and improving patient outcomes through strategic referrals and resource coordination. Experience

Conviva Care Solutions - CARE INTEGRATION TEAM MANAGER 01/2024 - Current

Miami, USA

• Led a team of Case Managers to improve service delivery and client outcomes through strategic training and support.

• Facilitated team meetings to address case concerns and enhance problem-solving strategies.

• Developed and maintained community partnerships to address service gaps and improve client referrals.

• Drafted staff evaluations, delivering actionable feedback for professional growth.

• Compiled reports on team productivity and customer satisfaction metrics

Molina Healthcare of Florida - LONG TERM CARE-SUPERVISOR 01/2016 - 12/2023

Miami, USA

• Supervised and trained case managers to optimize client service delivery and outcomes.

• Conducted case reviews and team meetings to address issues and elevate service quality.

• Oversaw budget management for case management activities, including training and resource allocation.

• Ensured compliance with healthcare standards while safeguarding confidential client records.

• Cultivated relationships within community to meet client needs and reduce service duplication.

Skills

• Leadership in Healthcare

• Patient Advocacy

• Team Coordination

• Healthcare Policy Development

• Strategic Planning

• Data analytics

• Quality assurance

Education

08/2024

St. Thomas University

MASTER OF SCIENCE: NURSING

01/2018

University of Phoenix

BACHELOR OF SCIENCE: NURSING

08/2007

Broward College

ASSOCIATE OF SCIENCE: NURSING

Molina Healthcare of Florida - TELEPHONIC NURSE CASE MANAGER 06/2014 - 01/2016

Miami, USA

• Assessed client needs and developed individualized service plans to meet health objectives.

• Facilitated communication among clients, families, and healthcare providers for coordinated care.

• Provided referrals to appropriate healthcare and community resources as needed.

• Advocated for vulnerable populations during interdisciplinary team meetings to strengthen support.

Gentiva Hospice - HOSPICE ADMISSIONS NURSE

11/2010 – 05/2014

Miami, USA

• Assessed patient needs and developed care plans to manage symptoms effectively.

• Coordinated interdisciplinary hospice care through eligibility assessments.

• Maintained accurate electronic medical records for treatments and patient progress.

• Acted as liaison between families and healthcare teams regarding care options.

Baptist Hospital of Miami - STAFF REGISTERED NURSE 11/2007 - 11/2010

Miami, USA

• Provided direct patient care following established protocols and safety standards.

• Conducted comprehensive physical assessments and developed nursing care plans.

• Administered medications and documented patient conditions accurately.

• Collaborated with multidisciplinary teams to optimize patient care delivery.

• Demonstrated leadership by guiding nursing staff and ensuring patient safety.

Languages

• English

• Spanish

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