Daniel Durand Diaz
Urb. Pradera AJ-2
Summary
Proven Quality Analyst at Triple-S Salud with a strong background in healthcare industry experience and data analysis. Excelled in enhancing healthcare quality and patient satisfaction through innovative interventions and meticulous HEDIS auditing, achieving sustained improvements. Skilled in Microsoft Office and bilingual communication, adept at fostering professional growth and streamlining processes for efficiency.
Overview
7
7
years of professional experience
Work History
Quality Analyst
Triple-S Salud
02.2024 - Current
- Evaluated th effectiveness of implemented interventions by tracking progress toward established goals and making necessary adjustments as needed, ensuring sustained improvements in overall healthcare quality.
- Participated in annual HEDIS auditing projects, consistently meeting deadlines while maintaining exceptional attention to detail and accuracy levels.
- Ensured accurate reporting of HEDIS measures by meticulously verifying data sources and documentation.
- Partnered with physicians and staff to explore new ways to encourage member clinical participation in wellness and education.
Care Management Nurse
Triple-S Salud
05.2022 - 02.2024
- Educated clients and families on community resources, treatment options and health care services to better manage conditions.
- Established and maintained relationships with clients, families and community partners to coordinate services to meet client's needs.
- Participated in team meetings and trainings to stay updated on best practices and new developments in care management.
- Led team by answering complex customer questions and mentoring personnel one-on-one.
- Developed comprehensive documentation to facilitate seamless handoff to other team members.
Med-surg RN BSN
Hospital Metropolitano
08.2021 - 03.2022
- Administered medications accurately and safely, reducing medication errors and adverse reactions.
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
- Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
Medical Documentation Review Specialist
Thomas J Henry Law
12.2020 - 08.2021
- Established strong relationships with clients, addressing concerns promptly and maintaining open lines of communication.
- Promoted a positive work environment by facilitating open discussions and encouraging feedback from team members.
- Leveraged technology to enhance review processes, resulting in time savings and improved accuracy rates.
- Mentored junior review specialists, fostering professional growth and development within the team.
School Nurse
Colegio Bautista De Levittown
08.2017 - 07.2020
- Administered medication to students as prescribed by physicians to provide necessary treatment and manage health conditions.
- Monitored ongoing medical conditions such as asthma or diabetes, adjusting care plans accordingly to maintain optimal student wellness levels.
- Supported students with special needs by coordinating individualized healthcare plans and working closely with the interdisciplinary team.
- Managed immunization compliance within the school population to prevent the spread of communicable diseases.
- Assessed students'' physical and emotional well-being during daily clinic visits, providing appropriate care or referrals as needed.
- Oversaw health services for school of 600 students and faculty.
- Streamlined administrative processes for efficiency, reducing paperwork and improving staff productivity.
- Oversaw day-to-day operations of the school, including staff supervision, facilities management, and safety protocol, ensuring a seamless educational experience for students.
Education
MBA - Business Administration
University of Phoenix
Arizona08.2024
Bachelor of Science - Nursing
Universidad Interamericana De Puerto Rico
San Juan, Puerto Rico06.2017
Skills
- Audit processes
- Quality Improvement
- Data Analysis
- Healthcare Industry Experience
- Microsoft Office
- Bilingual
- Inventory Management
- Problem Solving
- Coaching and Feedback
- Adaptability
Timeline
Quality Analyst
Triple-S Salud
02.2024 - Current
Care Management Nurse
Triple-S Salud
05.2022 - 02.2024
Med-surg RN BSN
Hospital Metropolitano
08.2021 - 03.2022
Medical Documentation Review Specialist
Thomas J Henry Law
12.2020 - 08.2021
School Nurse
Colegio Bautista De Levittown
08.2017 - 07.2020
MBA - Business Administration
University of Phoenix
Bachelor of Science - Nursing
Universidad Interamericana De Puerto Rico
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