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Professional Profile of claudia -- nurse advocate
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Title:
nurse advocate

Location:
US-Florida-Miami

Work History:
December 2004 to Present
Neighborhood Health Partnership a UnitedHealth Care Company, Miami, Fl.
Clinical Onsite Manager
Achievements:
• Initially hired for the Utilization Management Department as a Pre-certification Specialist.
• Promoted to review appeals 6 months after being in the company.
• Promoted to Onsite Manager 1 year after being in the company.
Responsibilities:
• Clinical review of medical charts of patients currently admitted in the hospital. The idea is to coordinate care with the provider and guarantee the patient is receiving adequate care.
• Assist the facility and provider in discharge plans so patient can be safely discharged home or transferred to another facility if needed.
• Training of the UnitedHealth Care Nurses on the HMO review process.

2003 to Oct 2004
Mental Health Tech, Cedars Medical Center.

Task included supervising the patient, complemented with group and communitarian therapy, groups exercise and orienting the patient to develop the daily activities. In December 2003 I was awarded as employee of the month

May 2000 to January 2002
Senior Doctor, Celebrity Cruises.

Assignment as the Senior physician on board, with main tasks as follows: Crew and passengers’ regular and emergency visits, lab tests, X Rays, EKG’s, phlebotomy, billing, supply’s procurement and all required medical issues on board.

January 1999 to July 1999
Hospital San Vicente de Arauca.
Tasks included family practice medicine


Skills:
Computer literate, Windows, Internet, Excel, Word, Power Point, McKesson Interqual Guidelines, Milliman and Robertson Care Guidelines,
Fluent in English and Spanish. Excellent communication skills. Proficient in Medical Terminology.



Education:
January 7, 2008 Nursing Program for FMG to RN-BSN , Florida International University

January, 2008 CPR pro certification
July 2003, 5 Star Training Center, Miami, certification on CPR/AED.

May 2003 to Dec 2003
Florida Language Institute, Miami, English Conversation and writing skills. TOEFL preparation.

February 2002 to April 2003
Kaplan Institute, Miami, Student for Steps 1 and 2 of USMLE.

October 1999 to December 1999
University of Louisville, Louisville, Observer at the Infectious Disease Department and certification for ATLS and ACLS.

January 1993 to December 1998
Escuela de Medicina Juan N. Corpas, Bogota, Colombia, General Physician and Surgeon, MD



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