Alejandro Florez, RN
San Diego
Summary
- Proficient bilingual Spanish/English
- 22 years of management and supervisory experience in the healthcare setting
- Innovative and expert knowledge regarding healthcare systems
- Currently employed as RN Case Manager at UC San Diego Health
Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Overview
23
23
years of professional experience
Work History
RN Case Manager
UC San Diego Health
2019.01 - Current
- Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Educated patients and families on available community resources, facilitating access to necessary support services.
- Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
- Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
Registered Nurse, Clinical and Operations Manager
Interim Healthcare of San Diego CA
2018.04 - Current
- Organization, coordination and compliance of the continuous care home care program and the interfacing of Interim Healthcare staff with home care clients and referral sources.
- Review documentation including progress notes, supervisory reports, 485's, and physicians' orders to assure compliance with all regulations and participate in on-going chart audits of home health agency patients.
- Oversee and participate in the Utilization Review program, CQI programs and clinical record reviews.
- Logistical maintenance and requisition of medical supplies in support of care for case load of 170 patients to include specialty need of skilled nursing, occupational and physical therapy.
- Weekly payroll auditing, supervision, and management ensuring all employees are compensated accurately and timely
- Monthly RN supervisory visits with patients and families of continuous care cases to anticipate client needs, ranging from case management, logistical support, and referral to community resources, as well as direct supervision of all licensed vocational nurses.
Registered Nurse Case Manager, Emergency Dept.
Providence Tarzana Medical Center
2017.02 - 2017.05
- Perform the primary functions of assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care professionals involved in the client’s care.
- Ensure timely discharge through early intervention and identification of post-hospital care needs
- Ensure continuity of care needs are assessed and met for both inpatient and outpatients as needed, based on the age of the patient
- Identify high-risk/cost patients
- Facilitate opportunities to coordinate interventions and design treatment plans
- Control costs and manage total patient care to ensure optimal outcomes
Senior Registered Nurse UM/Case Manager
Clinicas del Camino Real, Inc.
2016.11 - 2017.04
- Advanced clinical review for inpatient, outpatient and ancillary service requests for medical appropriateness and medical necessity
- review, triage, and prioritize authorization requests to meet patient need and keeping in compliance with clinical guidelines
- Expedite access to appropriate care for members with urgent or immediate needs using the expedited review process
- Perform research and analyze complex issues, assessing member's medical and psychosocial needs
- Acquire appropriate clinical records, clinical guidelines, policies, and benefit policy for care coordination and care plan monitoring/update
Registered Nurse, Charge
Family Health Centers of San Diego
2016.07 - 2016.11
- Assessment and triage of patients from different demographics to include pediatrics, adults, seniors, disabled, and homeless
- Effective communication with interdisciplinary care team and supportive services, including physicians, PSRs, medical assistants, and others
- Maintain clinic work flow, focusing on productivity and efficiency, including ordering of supplies and vaccines to ensure correct supply is on hand
- Maintain clinic compliance in accordance with TJC, DHS, CHDP, and Medi-Cal Managed Care requirements
- Supervise assigned team, including hiring, and scheduling as needed. Provide clinic oversight in absence of Clinic Director/ Manager
Registered Nurse, Home Health Coordinator
San Diego PACE
2015.04 - 2016.06
- Conduct initial and periodic assessments of frail and elderly population to determine home health needs
- Coordination of 24 hour care delivery and implementation of home care services
- Authorization and coordination of all durable medical equipment orders and requests
- Coordinate and supervise all nursing care for participants in nursing home/ boarding home according to program standards
- Participate as a member of the interdisciplinary team, attending staff meetings and taking part in participant care planning, while communicating any changes in participant condition to team members
Registered Nurse
San Ysidro Health Center, ADHC
2012.04 - 2015.04
- Supervision and training of all nursing staff to include 2 RNs, 2 LVNs, and 10 CNAs
- Coordination, implementation, and supervision of all nursing and personal care services at Adult Day Health Center
- Initial and periodic nursing assessments of all participants; provide ongoing assessments, monitoring health problems and developing and implementing nursing care plans when appropriate
- Multidisciplinary team member, participating in initial assessments, care planning, and continuous re-evaluation of participants' needs
Hospital Corpsman
United States Navy/United States Navy Reserve
2001.10 - 2013.11
- Provided leadership training and mentorship to 400 Navy recruits on a daily basis at Navy Recruit Training Command, Great Lakes, IL.
- Managed clinical services department for in-processingclinic, providing supervision and compliance department of 15 sailors
- Managed immunizations department, responsible for a vaccine budget in excess of $500,000/ year
- Health management education and training to sailors and marines
- Assessment of sailors and marines in support of operational command
- Provide medical support for sailors and marines during Operation Iraq Freedom/ Operation Enduring Freedom
Education
Bachelor of Science - Nursing
University of Phoenix
San Diego, CA2025
Certificate - Geriatric Workforce Enhancement Program Scholar
University of California - San Diego
San Ysidro, CA2016
Associate of Science - Nursing
Kaplan College- San Diego
San Diego, CA2011
Certificate - Operational Emergency Field Medicine
Field Medical Service School
Camp Pendleton, CA2005
Certificate - Hospital Corpsman
Naval Hospital Corps School
Great Lakes, IL2002
Skills
- Chronic Disease Management
- Discharge Planning
- HIPAA Compliance
- Multidisciplinary Approach
- Care Coordination
Affiliations
Awards: National Defense Medal, Global War on Terrorism Medal, Operation Iraq Freedom Medal, Navy and Marine Corps Achievement Medal
Volunteer work: YMCA, San Diego Blood Bank, National Student Nurses Association
Accomplishments
Awards: National Defense Medal, Global War on Terrorism Medal, Operation Iraqi Freedom Medal, Navy and Marine Corps Achievement Medal
Languages
Spanish
Native or Bilingual
Timeline
RN Case Manager
UC San Diego Health
2019.01 - Current
Registered Nurse, Clinical and Operations Manager
Interim Healthcare of San Diego CA
2018.04 - Current
Registered Nurse Case Manager, Emergency Dept.
Providence Tarzana Medical Center
2017.02 - 2017.05
Senior Registered Nurse UM/Case Manager
Clinicas del Camino Real, Inc.
2016.11 - 2017.04
Registered Nurse, Charge
Family Health Centers of San Diego
2016.07 - 2016.11
Registered Nurse, Home Health Coordinator
San Diego PACE
2015.04 - 2016.06
Registered Nurse
San Ysidro Health Center, ADHC
2012.04 - 2015.04
Hospital Corpsman
United States Navy/United States Navy Reserve
2001.10 - 2013.11
Bachelor of Science - Nursing
University of Phoenix
Certificate - Geriatric Workforce Enhancement Program Scholar
University of California - San Diego
Associate of Science - Nursing
Kaplan College- San Diego
Certificate - Operational Emergency Field Medicine
Field Medical Service School
Certificate - Hospital Corpsman
Naval Hospital Corps School
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