Beatriz Diaz-Rivera
Calle Horda NP 10 Bayamon
Summary
Dedicated and compassionate Registered Nurse (RN) with a progressive 5-year career history in direct patient care now with an interest of a remote workflow environment where I can use my clinical knowledge and skills to achieve goals of quality and production.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Recovery/Resolution Analyst, RN
Optum, UnitedHealth Group
08.2022 - Current
- Perform clinical coding review to ensure accuracy of medical coding and utilizes clinical expertise and judgment to determine correct coding and billing.
- Identify the ICD-10-CM/PCS code assignment, appropriate code sequencing, present on admission (POA) assignment, and discharge disposition, in accordance with CMS requirements, ICD-10 Official Guidelines for Coding and Reporting, and AHA Coding Clinic guidance.
- Redacts clear, accurate and concise rationales in support of findings using ICD-10 CM/PCS Official Coding Guidelines, and AHA Coding Clinics.
- Utilize proprietary workflow systems and encoder tools efficiently to make audit determinations.
- Maintain and manages daily case review assignments, with a high emphasis on quality.
Registered Nurse, Medicine and Surgery Department
Bayamon Medical Center
10.2020 - 04.2022
- Primary care, assessment and evaluation for pre operative, post-operative and general medicine patients.
- Provide direct quality care to patients including daily charting, medication and IV therapy administration and evaluating medical conditions of up to 21 patients per day.
- Primary care, assessment and evaluation for pre operative, post-operative and general medicine patients.
- Experienced on phlebotomy, medications administration and blood transfusions.
- Advanced documentation skills in EHR (Meditech).
- Provide education and development of interdisciplinary patient care.
Patient Care Coordinator
THE CCM HEALTH
07.2020 - 10.2020
- Acted as main point of contact for patients and hospital staff by closely reviewing electronic medical charts (Meditech) and maintaining high levels of communication in order to be viewed by the physician and fill in all the gaps of the care plan, re-calibrating medication dosages, address patients’ needs and refer patients to specialists when needed.
Registered Nurse, Telemetry Unit
Hospital Pavia Santurce
02.2019 - 07.2019
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Registered Nurse
Hogar Hacienda El Paraiso
12.2018 - 02.2019
- Take and monitoring of vital signs, medications administration, wound and hospice care to elderly and final-stage patients.
Education
Bachelor of Science - Nursing
Interamerican University of Puerto Rico
Bayamon, Puerto Rico05.2017
Skills
- Analytical Skills
- Effective Communication
- Critical Thinking
- Performance Monitoring
- Time Management
- Computer Literacy
Certification
- Registered Nursing license Puerto Rico# 86941
- Member of Colegio de Profesionales de la Enfermería de Puerto Rico #66985
- Phlebotomy technician course #192353
Languages
Spanish
Native language
English
Proficient
C2
Timeline
Recovery/Resolution Analyst, RN
Optum, UnitedHealth Group
08.2022 - Current
Registered Nurse, Medicine and Surgery Department
Bayamon Medical Center
10.2020 - 04.2022
Patient Care Coordinator
THE CCM HEALTH
07.2020 - 10.2020
Registered Nurse, Telemetry Unit
Hospital Pavia Santurce
02.2019 - 07.2019
Registered Nurse
Hogar Hacienda El Paraiso
12.2018 - 02.2019
Bachelor of Science - Nursing
Interamerican University of Puerto Rico
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