Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Stephanie Garcia Hernandez

Fajardo

Summary

Diligent nursing professional with demonstrated success in patient care. Agile and responsive to dynamic patient needs and environmental conditions. Team-oriented and reliable with expert healthcare knowledge, clear verbal and written communication skills and sound clinical judgment.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Register nurse – medical assistant

Cardiovascular & Vein Clinic of Puerto Rico
2022.01
  • Assisted physician with minor procedures in office
  • Proficient in obtaining medical history and vital signs, promptly recording data in EHR and documenting patient concerns during doctor evaluation
  • Under physician approval, verify patient pharmacy and medication to order refills.

Clinical investigator Analyst

Optum
2022.09 - Current
  • Investigate, review, and provide clinical and / or coding expertise in review of post - service, post payment claims, which requires interpretation of state and federal mandates, billing practices / patterns, applicable benefit language, medical and reimbursement policies, coding requirements and consideration of relevant clinical information on claims with overt billing patterns and make pay / deny or payment recommendation decisions based on findings.
  • Maintain and manage daily case review assignments, with a high emphasis on quality, with at least 95% accuracy and within client / guidelines and provides clinical explanation both to the provider.
  • Participate in training of new staff and serves as a clinical resource to other areas within the clinical investigative team and provides guidance and feedback to peers when applicable.

Register Nurse

La Clínica de Rinosinusitis
2017.01 - 2021.01
  • Assisted the doctor during minor surgeries and procedures
  • Provided patient and family pre-operative and post-operative education
  • Monitor and maintain inventory and supply levels; prepare and submit supply replenishment orders to maintain par levels
  • Record patients medical history, vital statistics, and test results in electronic and physical medical charts
  • Monitored new recruits in the team and trained them about the procedures perform in the office
  • Facilitated therapeutic communication to help patients have a successful post-operative recovery
  • Coordinate appointment for pre-admissions.

Register Nurse

Dr. Wagner gynecology and obstetrics office
2015.01 - 2017.01
  • Responsible for handing the doctor the right tools during each step in an office procedures
  • Expertise in providing monitoring vital signs
  • Record patient information obtained from interviews concerning symptoms, medications, and prior treatment.

Education

Master Degree Nurse educator -

National University College
Caguas
08.2023

Bachelor of Science in Nursing -

Colegio Universitario de San Juan
01.2016

Skills

  • Ability to maintain calm under stressful situations and strong endurance
  • Ability to work directly with patients, families, and doctors.
  • Critical thinking and problem solving
  • Teamwork and dependability
  • Case Management
  • Inventory
  • Medical electronic records Management
  • Appointment Scheduling
  • Recording Patient Medical history
  • Patient Preparation
  • Equipment Sterilization
  • Experience with insurance authorizations
  • Microsoft Office

Certification

  • CPR Certified
  • Colegiación de Enfermería vigente

Languages

Spanish
English

Timeline

Clinical investigator Analyst

Optum
2022.09 - Current

Register nurse – medical assistant

Cardiovascular & Vein Clinic of Puerto Rico
2022.01

Register Nurse

La Clínica de Rinosinusitis
2017.01 - 2021.01

Register Nurse

Dr. Wagner gynecology and obstetrics office
2015.01 - 2017.01

Master Degree Nurse educator -

National University College

Bachelor of Science in Nursing -

Colegio Universitario de San Juan
  • CPR Certified
  • Colegiación de Enfermería vigente
Stephanie Garcia Hernandez