Zorynelle Feliciano
Guaynabo
Summary
Telephonic Nurse Case Manager acts as intermediary to drive appropriate and cost-effective healthcare services for medically rehabilitated individuals by developing patient-centered case management plans. Leverages effective, independent nursing judgment and skills and evidence-based clinical decision-making criteria to optimize and improve health for individuals across care continuum. Demonstrated experience in management of chronic disease process, nursing process and collaborative care planning.
Overview
9
9
years of professional experience
Work History
SSBCI- CMS PROGRAM
DR HOUSE INC
01.2020 - Current
- Implementing Supplemental Benefits for Chronically Ill Enrollees to improve health outcomes for the population
- Contact affiliates for fill out the formulary for the eligibility of the new special supplemental benefits
- Provide training and lead the team of nurses who works with SSBCI Program
- Reports the cases worked, validations and interventions, as requested
- Actively in team meetings to discuss strategies, compliance and benefits.
Telephonic Nurse Case Manager
DR HOUSE INC
01.2019 - Current
- Updated and maintained discharge plan of care with physician, members of health care team, patients, and families ensured accuracy of patient treatment plan.
- Assessed risk factors of patients and made referrals for further services.
- Provided resources and referrals for patients seeking additional support services, such as mental health counseling or nutrition counseling.
- Facilitated timely referrals to appropriate specialists, expediting necessary treatments and improving overall health outcomes.
NURSE TRAINER/EDUCATOR
01.2019 - Current
- Plans and implements a variety of educational programs based on the clinical staff’s identified learning needs, competency deficiencies and performance improvement findings
- Incorporates the patient safety goals into educational programs.
CMR Specialist
DR HOUSE PR INC.
01.2019 - Current
- Provided the group’s patients with a Comprehensive Medication Review
- Achieved the group’s CMR goal every year per my contract
- Provided training and lead the nurses team.
Nurse Care Manager
DR HOUSE PR INC.
07.2015 - Current
- Accepts responsibilities and assignments eagerly and works supportively and effectively with other members of the healthcare team while exhibiting a positive attitude
- Enjoys patient and family education, collaboration with other members of the healthcare team, and direct patient care.
HOME VISIT HEALTH SERVICES
DR HOUSE PR INC.
01.2015 - 01.2019
- Substantial experience of handling and performing diagnostic Dexa exams on patients
- Perform PFT (pulmonary function test) on outpatient with multiple chronic diagnoses, including COPD and asthma
- Glycosylated Hemoglobin Test (Hemoglobin A1c)
- Optical coherence tomography (OCT)
- MTM Medication therapy Management (MCS Pharmacy Department)
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
Education
BACHELOR’S DEGREE IN NURSING SCIENCE -
Universidad Ana G Mendez, Recinto de Cupey
05.2019
Associate of Science - Nursing Science
UNITEC
Aguadilla, Puerto Rico05.2012
Skills
- Spanish and English bilingual/fluent in reading and writing
- Skilled in Patient-Centered Communications
- Proficient in basic computer skills and Microsoft Office applications
- OUTCOMES MTM (CMR Platform)
- PRACTICE FUSION (Electronic Health Records Platform)
- PROVINET (System)
Associations
COLEGIO PROFESIONAL DE LA ENFERMERIA DE PUERTO RICO
References
Available Upon Request
Languages
Spanish
Native language
English
Upper intermediate
B2
Timeline
SSBCI- CMS PROGRAM
DR HOUSE INC
01.2020 - Current
Telephonic Nurse Case Manager
DR HOUSE INC
01.2019 - Current
NURSE TRAINER/EDUCATOR
01.2019 - Current
CMR Specialist
DR HOUSE PR INC.
01.2019 - Current
Nurse Care Manager
DR HOUSE PR INC.
07.2015 - Current
HOME VISIT HEALTH SERVICES
DR HOUSE PR INC.
01.2015 - 01.2019
BACHELOR’S DEGREE IN NURSING SCIENCE -
Universidad Ana G Mendez, Recinto de Cupey
Associate of Science - Nursing Science
UNITEC
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