Yanet Moreda
Utilization Review Nurse - Case Manager at Baptist Health South Florida- Claim this Profile
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Spanish Native or bilingual proficiency
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English Native or bilingual proficiency
Topline Score
Bio
Credentials
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Certified Medical-Surgical Registered Nurse (CMSRN)
Academy of Medical-Surgical Nurses (AMSN) & Medical-Surgical Nursing Certification Board (MSNCB)Sep, 2018- Oct, 2024
Experience
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Baptist Health
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United States
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Hospitals and Health Care
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700 & Above Employee
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Utilization Review Nurse - Case Manager
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Dec 2019 - Present
Coordinated efforts with the utilization department to determine available resources.Assessed the condition of patients and recorded the basic info for each patient.Reported patient conditions to insurance companies and/or the appropriate agency.Determined the resources available to each patient.Provided periodic updates on patient conditions.Evaluated the progress of each patient and provided updates to insurance providersPerformed utilization reviews in accordance with state and federal regulationsAttended meetings with medical staff to finalize patient discharge plansResponded to calls and emails from insurance providersAssessed the physical and mental status of each patientCoordinated in-hospital and outpatient care arrangements.
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Registered Nurse
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Jun 2017 - Dec 2019
Assessed need for, ordered, obtained and interpreted appropriate lab tests.Examined patients and dispensed other medications as needed.Self-directed with astute judgment skills. High level of personal accountability.Developed patient care plans, including assessments, evaluations and nursing diagnoses.Applied reasoned judgment when administrating medication to patients via PO, IM, IV, Topical and PEG and monitored vital signs to ensure their stable condition Kept patient and family informed of condition and diagnosis and provided emotional support.
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University of Miami Health System
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United States
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Hospitals and Health Care
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700 & Above Employee
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Charge Nurse
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Jul 2016 - Dec 2019
Works with head nurse to determine the optimal allocation of staff, per shift on each unit. Applied reasoned judgment when administrating medication to patients via PO, IM, IV, Topical and PEG and monitored vital signs to ensure their stable condition Assessed need for, ordered, obtained and interpreted appropriate lab tests. Examined patients and dispensed other medications as needed. Assessed need for, ordered, obtained and interpreted appropriate lab tests. Examined patients and dispensed other medications as needed. Self-directed with astute judgment skills. High level of personal accountability.
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Education
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2017 - 2019
South University
Master's degree, Aprn -
2017 - 2018
Florida National University
Bachelor's degree, Nursing Science
Community
