Sergio Ramirez Tapia
Physician
Chula Vista,CA
Summary
With a degree from Universidad Autónoma de Baja California in Mexicali, I bring over 20 years of experience as a licensed healthcare practitioner in Mexico. Throughout my career, I have excelled as a certified medical physician and administrator, working in both private practice and the public sector, including government roles. Over the past two decades, I have served as a family physician, an emergency room physician, a medical surgical assistant, a medical coordinator, a hospital administrator, and a medical director. This diverse background has equipped me with extensive experience and knowledge to deliver high-quality healthcare to patients.
Overview
24
24
years of professional experience
2
2
Certifications
2
2
Languages
Work History
Medical Service Coordinator
MediProses (Proseso) Health Plan
02.2020 - Current
- Oversee all medical in and outpatient care to patients affiliated MediProses (Proseso).
- Implemented innovative strategies for better resource allocation, reducing overall healthcare costs without compromising patient care quality.
- Advocated on behalf of patients, helping them navigate complex insurance policies and secure necessary coverage for medical services.
- Collaborated with multidisciplinary teams to develop comprehensive care plans tailored to individual patients'' needs.
- Acted as a liaison between patients, families, and healthcare professionals to address concerns and resolve issues promptly.
Primary Care Physician
MediProses (Proseso) Health Plan
02.2020 - Current
- Primary medical care to patients affiliated MediProses (Proseso).
- Implement preventive medical care to patients affiliated with MediProses (Proseso).
- Developed long-lasting relationships with patients and families, fostering trust in the primary care setting.
- Collaborated with multidisciplinary teams for comprehensive patient care, ensuring optimal treatment plans were implemented.
- Promoted preventive screenings in accordance with guidelines, resulting in early detection of various conditions among at-risk populations.
- Completed thorough patient examination for symptoms and physical information.
Primary Care Physician
Health and Benifits, S.A. de C.V. Health Plan
02.2020 - Current
- Primary medical care to patients.
- Developed long-lasting relationships with patients and families, fostering trust in the primary care setting.
- Educated patients on medication management, ensuring proper adherence to prescribed treatments and minimizing potential side effects.
- Conducted physical exams, interpreted lab results, and ordered diagnostic tests to accurately assess patients'' health needs.
Primary Care Physician
Banjercito Health Plan
04.2019 - Current
- Primary medical care to patients.
- Implement preventive medical care to patients.
- Developed long-lasting relationships with patients and families, fostering trust in the primary care setting.
- Conducted physical exams, interpreted lab results, and ordered diagnostic tests to accurately assess patients'' health needs.
- Maintained high patient satisfaction through knowledgeable support and compassionate care.
Primary Care Physician
MCB
02.2018 - Current
- (MY CLUB) Health Plan, Primary medical care to patients.
- Developed long-lasting relationships with patients and families, fostering trust in the primary care setting.
- Improved overall patient health outcomes through preventative care measures and education on healthy lifestyle choices.
- Diagnosed and treated a wide range of acute and chronic conditions, applying evidence-based medical practices to optimize results.
Primary Care Physician
Grupo Consulmed Mexico, Aeroméxico, Health Plan
01.2018 - Current
- Primary medical care to patients.
- Collaborated with multidisciplinary teams for comprehensive patient care, ensuring optimal treatment plans were implemented.
- Provided timely referrals to specialists when necessary, ensuring patients received appropriate care for specific needs.
- Effectively managed time-sensitive emergencies while maintaining high-quality standards of routine patient care.
- Reduced patient wait times by efficiently managing appointments and prioritizing urgent cases.
- Completed thorough patient examination for symptoms and physical information.
- Consulted and coordinated patient care with other physicians, pharmacists and specialists.
Primary Care Physician
Red Médica MASZ Health Plan
10.2017 - Current
- Primary medical care to patients.
- Built lasting rapport with patients and their families, nurturing trust in primary care.
- Performed physical examinations, analyzed lab results, and arranged diagnostic testing for patient health assessment.
- Engaged in initiatives to improve primary care service delivery within the practice.
- Maintained precise and updated electronic health records, enabling effective provider communication.
Medical Coordinator
Salud Interactiva, Medical Home, Medical VRIM Health Plan
03.2017 - Current
- Oversee all medical in and outpatient care to patients affiliated with Salud Interactiva.
- Collaborated with multidisciplinary teams to develop comprehensive care plans tailored to individual patient needs.
- Acted as a liaison between patients, families, and healthcare providers, fostering strong relationships built on trust and open communication.
- Coordinated patient appointments and scheduling to promote optimal clinician productivity and patient satisfaction.
- Connected patients to relevant community resources to enhance patient health and well-being, increasing patient satisfaction [Number]%.
- Improved patient satisfaction by efficiently managing medical appointment schedules and ensuring timely followups.
Primary Care Physician
Salud Interactiva, Medical Home, Medical VRIM Health Plan
02.2017 - Current
- Primary medical care to patients affiliated Salud Interactiva
- Implement preventive medical care to patients affiliated with Salud Interactiva
- Conducted physical exams, interpreted lab results, and ordered diagnostic tests to accurately assess patients'' health needs.
- Actively participated in quality improvement initiatives aimed at enhancing the delivery of primary care services within the practice setting.
- Improved overall patient health outcomes through preventative care measures and education on healthy lifestyle choices.
- Maintained accurate and up-to-date electronic health records, facilitating seamless communication among healthcare providers.
Primary Care Physician
Banco Nacional de Comercio Exterior Health Plan
01.2016 - Current
- Primary medical care to patients affiliated BANCOMEXT
- Implement preventive medical care to patients affiliated with BANCOMEXT.
- Strengthened patient trust by building lasting relationships with families in the primary care context.
- Empowered patients through education on medication management, enhancing adherence and mitigating side effects.
- Performed physical assessments, analyzed laboratory findings, and requested diagnostic examinations for patient evaluations.
- Enhanced patient care through collaboration with multidisciplinary teams, leading to the execution of optimal treatment plans.
Primary Care Physician
MediAccess Seguros Health Plan
12.2014 - Current
- Primary medical care to patients affiliated MediAccess.
- Implement preventive medical care to patients affiliated with MediAccess.
- Developed long-lasting relationships with patients and families, fostering trust in the primary care setting.
- Conducted physical exams, interpreted lab results, and ordered diagnostic tests to accurately assess patients'' health needs.
- Provided timely referrals to specialists when necessary, ensuring patients received appropriate care for specific needs.
- Diagnosed and treated a wide range of acute and chronic conditions, applying evidence-based medical practices to optimize results.
Primary Care Physician
Atención Medica Integral, Private Medical
11.2014 - Current
- Provide comprehensive primary medical care services to patients within a private practice setting
- Preventive medical care for patients as a private practice
- Surgical assistance in the operating room.
- Developed long-lasting relationships with patients and families, fostering trust in the primary care setting.
- Increased accessibility of primary care services by offering extended office hours for working patients or those with limited transportation options.
- Educated patients on medication management, ensuring proper adherence to prescribed treatments and minimizing potential side effects.
- Conducted physical exams, interpreted lab results, and ordered diagnostic tests to accurately assess patients'' health needs.
- Continuously updated clinical knowledge through participation in continuing medical education programs and professional conferences.
- Collaborated with multidisciplinary teams for comprehensive patient care, ensuring optimal treatment plans were implemented.
- Provided timely referrals to specialists when necessary, ensuring patients received appropriate care for specific needs.
Primary Care Physician
General de Salud Health Plan
04.2014 - Current
- Primary medical care to patients
- Implement preventive medical care to patients.
- Developed long-lasting relationships with patients and families, fostering trust in the primary care setting.
- Increased accessibility of primary care services by offering extended office hours for working patients or those with limited transportation options.
- Instructed patients on managing medications to ensure adherence and reduce side effects.
- Enhanced patient health evaluations by conducting exams and analyzing diagnostics to inform clinical decisions.
Medical Coordinator
MediAccess SAPI de C.V. Health Plan
03.2014 - Current
- Oversee all medical in and outpatient care to patients affiliated with MediAccess
- Enhanced operational efficiency by facilitating administrative tasks such as billing and insurance verification.
- Worked with diverse teams to create personalized care plans for each patient.
- Served as an intermediary for patients, families, and healthcare professionals, enhancing communication and trust.
- Scheduled and coordinated patient appointments to enhance clinician productivity and satisfaction.
- Enhanced health outcomes through vigilant monitoring of patient progress and tailored care adjustments.
- Contacted insurance companies to verify coverage, deductibles and payments.
Primary Care Physician
HSBC Jubilados Health Plan
03.2014 - Current
- Primary medical care to patients
- Implement preventive medical care to patients.
- Cultivated enduring relationships with patients and their families, enhancing trust in primary care.
- Enhanced access to primary care services through the implementation of extended office hours.
- Guided patients on proper medication management and adherence to prescribed treatments.
- Conducted physical exams, interpreted lab results, and ordered diagnostic tests to accurately assess patients'' health needs.
- Collaborated with multidisciplinary teams for comprehensive patient care, ensuring optimal treatment plans were implemented.
Primary Care Physician
HSBC Health Plan
02.2014 - Current
- Primary medical care to patients
- Implement preventive medical care to patients.
- Established meaningful connections with patients and families, enhancing trust within primary care environments.
- Facilitated greater accessibility to primary care services through longer office hours.
- Enhanced patient adherence through comprehensive education on medication management and side effect reduction.
- Performed physical examinations, analyzed lab results, and initiated diagnostic tests for patient assessments.
- Engaged with interdisciplinary teams to deliver comprehensive patient management and implement optimal treatment approaches.
Medical-Administrative Director
Grupo AMI, Occupational Health and Safety
01.2014 - Current
- Job position analysis based on engineering reports, ergonomics of work posts, accident records, and analysis of qualified ST7 personnel.
- Creation of situational risk maps based on the analyzed data
- Review of protocols for requesting specific clinical-medical analysis for each job position.
- Analysis report of medical studies required for workers per job position, including required medical examinations, journals, results based on work areas, and ergonomics per job.
- Recommendations for each physical work area, including individual clinical analysis by position, based on the results found, and the correct filling of IMSS forms.
- Recommendations for case analysis and report of areas of opportunity to prevent new events.
- Staff counseling and training for hiring medical and paramedical personnel based on the company’s needs.
- Selection of external providers of medical services for personnel.
- Preparation of preventive safety and health protocols for work.
- Development of internal formats and documents for occupational health.
- Real-time monitoring of the filling of forms before the IMSS by individual case and patients in the process of medical care due to occupational illness or disabilities.
- Organizational orientation for health expos.
- Analysis, calculation, and options of the IMSS premium.
- Medical evaluation of all new and current workers.
- Attain and interpret all clinical exams of all potential and current workers.
- Enhanced workplace safety by implementing comprehensive risk assessments and safety audits.
- Led incident investigation teams, identifying root causes of accidents and implementing corrective actions to prevent recurrence.
- Assisted in the development of company-wide safety goals and objectives to reduce workplace incidents further over time.
- Improved employee awareness of health and safety practices by conducting regular training sessions.
- Ensured compliance with all local, state, and federal occupational health and safety regulations by staying up-to-date on policy changes and industry best practices.
- Coordinated with human resources personnel to manage workers'' compensation claims efficiently and fairly for injured employees.
- Developed emergency response plans for various scenarios, minimizing potential risks during critical situations.
Primary Care Physician
Vitamedica-BUPA Health Plan
01.2014 - Current
- Primary medical care to patients affiliated with Vitamedica-BUPA.
- Implement preventive medical care to patients affiliated with Vitamedica-BUPA.
- Developed long-lasting relationships with patients and families, fostering trust in the primary care setting.
- Educated patients on medication management, ensuring proper adherence to prescribed treatments and minimizing potential side effects.
- Conducted physical exams, interpreted lab results, and ordered diagnostic tests to accurately assess patients'' health needs.
- Provided timely referrals to specialists when necessary, ensuring patients received appropriate care for specific needs.
- Effectively managed time-sensitive emergencies while maintaining high-quality standards of routine patient care.
- Maintained accurate and up-to-date electronic health records, facilitating seamless communication among healthcare providers.
- Promoted preventive screenings in accordance with guidelines, resulting in early detection of various conditions among at-risk populations.
- Diagnosed and treated a wide range of acute and chronic conditions, applying evidence-based medical practices to optimize results.
- Enhanced patient satisfaction by providing thorough examinations and personalized treatment plans.
- Managed complex medical cases involving multiple specialists, coordinating care to achieve best possible outcomes for patients.
- Analyzed test results and examination information for accurate patient diagnosis.
- Maintained high patient satisfaction through knowledgeable support and compassionate care.
- Completed thorough patient examination for symptoms and physical information.
Primary Care Physician
Nacional Monte de Piedad (NMP) Health
01.2014 - 12.2024
- Primary medical care to patients affiliated NMP
- Implement preventive medical care to patients affiliated with NMP
- Developed long-lasting relationships with patients and families, fostering trust in the primary care setting.
- Educated patients on medication management, ensuring proper adherence to prescribed treatments and minimizing potential side effects.
- Conducted physical exams, interpreted lab results, and ordered diagnostic tests to accurately assess patients'' health needs.
- Collaborated with multidisciplinary teams for comprehensive patient care, ensuring optimal treatment plans were implemented.
- Improved overall patient health outcomes through preventative care measures and education on healthy lifestyle choices.
- Provided timely referrals to specialists when necessary, ensuring patients received appropriate care for specific needs.
- Determined medication and dosage schedule given patient's vitals, condition and allergies.
- Administered or prescribed treatments.
Medical Surgical Assistant
Dr. Francisco Amaya Blas
02.2014 - 06.2024
- Preparing the surgical site
- Draping the operative site and making sure it's sterile
- Assisting with the procedure
- Draping the operative site and making sure it's sterile
- Monitoring the patient: Assessing the patient's skin integrity and monitoring for complications
- Applying dressings: Preparing and applying sterile wound dressings
- Collaborating with the surgeon: Discussing the procedure with the surgeon, confirming procedures, and determining equipment needs
- Performing other tasks: Implanting surgical devices or drains, suctioning the surgical site, and placing catheters.
- Managed and established sterile operating fields to protect patients from infections.
- Ensured clear visibility through the retraction, suctioning, and sponging of surgical sites.
- Paid close attention to operating procedures for adherence to established surgical techniques.
- Assisted surgeons with critical decision-making processes during challenging cases.
- Bolstered surgeon performance by anticipating instrument needs and reducing procedural delays.
Medical Coordinator
Seguros Monterrey New York Life Health Insurance
01.2017 - 01.2024
- Manage all medical in and outpatient care to patients affiliated with Seguros Monterrey New York Life.
- Collaborated with interdisciplinary teams to design care plans customized to patient needs.
- Acted as a liaison between patients, families, and healthcare providers, fostering strong relationships built on trust and open communication.
- Monitored patient progress closely, adjusting care plans as needed to optimize health outcomes.
- Contacted insurance companies to verify coverage, deductibles and payments.
- Coordinated with external organizations to secure necessary resources and support services for patients dealing with complex medical conditions.
- Enhanced communication between healthcare providers and patients, streamlining the coordination of care for optimal outcomes.
- Interviewed patients to document case histories, verify insurance eligibility and obtain referrals.
- Facilitated insurance authorizations for medical procedures, reducing delays in treatment and minimizing patient frustration.
- Built strong relationships with patients and families for optimized care satisfaction.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
Medical Coordinator
Nacional Monte de Piedad (NMP) Health Plan
01.2017 - 12.2023
- Manage all medical in and outpatient care to patients affiliated with NMP.
- Collaborated with multidisciplinary teams to develop comprehensive care plans tailored to individual patient needs.
- Acted as a liaison between patients, families, and healthcare providers, fostering strong relationships built on trust and open communication.
- Coordinated patient appointments and scheduling to promote optimal clinician productivity and patient satisfaction.
- Organized educational workshops for patients and families, promoting a better understanding of treatment plans and available resources.
- Monitored patient progress closely, adjusting care plans as needed to optimize health outcomes.
- Improved patient satisfaction by efficiently managing medical appointment schedules and ensuring timely followups.
- Coordinated with external organizations to secure necessary resources and support services for patients dealing with complex medical conditions.
- Assisted in the development of performance improvement initiatives, resulting in higher quality healthcare services for patients.
- Enhanced communication between healthcare providers and patients, streamlining the coordination of care for optimal outcomes.
Primary Care Physician
AXA Assistance Mexico Health Plan
03.2012 - 12.2023
- Primary medical care to patients
- Implement preventive medical care to patients.
- Developed long-lasting relationships with patients and families, fostering trust in the primary care setting.
- Instructed patients on managing medications to ensure adherence and reduce side effects.
- Evaluated patients' health needs through physical exams and lab results interpretation.
- Engaged in continuing medical education and professional conferences for updated clinical knowledge.
- Worked alongside diverse teams to ensure effective patient care and treatment strategies.
- Enhanced patient health through education on lifestyle choices and preventative care measures.
- Ensured timely specialist referrals for patients needing specific care.
Primary Care Physician
Instituto Mexicano del Seguro Social
04.2013 - 03.2020
- Primary medical care to patients
- Implement preventive medical care to patients.
- Cultivated lasting relationships with patients and families, enhancing trust within the primary care environment.
- Educated patients on medication management, promoting compliance and minimizing adverse reactions.
- Executed thorough physical evaluations, analyzed laboratory results, and initiated necessary diagnostic assessments.
- Continuously updated clinical knowledge through participation in continuing medical education programs and professional conferences.
- Engaged with multidisciplinary teams to ensure comprehensive, effective patient care strategies were followed.
- Employed research-backed methods to boost immunization rates among the practice’s pediatric population.
- Actively participated in quality improvement initiatives aimed at enhancing the delivery of primary care services within the practice setting.
- Improved overall patient health outcomes through preventative care measures and education on healthy lifestyle choices.
- Provided appropriate specialist referrals as needed, securing patients receive tailored medical attention.
- Streamlined appointment management to minimize patient wait times and address urgent cases promptly.
- Promoted preventive screenings in accordance with guidelines, resulting in early detection of various conditions among at-risk populations.
- Mentored and supervised medical students and residents, providing valuable guidance for their professional growth and development.
- Diagnosed and addressed an array of health issues, implementing best-practice medical approaches for effectiveness.
Hospital Administrator
ISSSTE Hospital General
03.2017 - 09.2018
- Plan, organize, coordinate, supervise and control the human, financial, material and general services of the Regional Hospital, in accordance with the applicable regulations
- Attend and supervise the processes of internal audit, financial planning, budget, accounting, fiscal aspects, treasury as well as, insurance, bank accounts and budget evaluation and inform the Director about the issues and results obtained, as well as the government as appropriate, for the follow-up and integration of the financial statements and the public account report
- Administer the governmental accounting file and supervise that the accounting record systems and catalogs of accounts are operated in accordance with the applicable regulations
- Supervise all income and expenses operations and include those related for health consumption
- Coordinate, together with the Research Coordinator, the administration of the funds allocated to the science and research programs
- Represent the Regional Hospital before the federal, local, and municipal or local authorities to carry out the necessary procedures for the proper operation of the administrative medical unit
- Advise negotiations to conclude agreements and contracts, with prior instruction from the Director, with the institutions of the financial system that are necessary for the banking operation of the Regional Hospital, in accordance with the provisions of the applicable regulations
- Establish a system for the verification of the assistance and permanence of the medical, technical, paramedical, nursing, support and administrative staff of the Regional Hospital and instruct the application of the sanctions and the execution of the corresponding actions, in accordance with the applicable regulations
- Coordinate and verify the updating of the inventory of property and personal acquired and assigned to the Regional Hospital, as well as its accounting reconciliation and physical control
- Supervise the control of supply and storage of supplies in accordance with the applicable regulations
- Organize and identify the needs and manage the acquisition of medical supplies and material and human resources, to ensure the proper functioning of the Regional Hospital based on the annual authorized budget
- Participate in the hiring and coordinate the general, maintenance and information technology services required by the Regional Hospital areas
- Propose to the Director the annual budget draft and, where appropriate, the modifications that are necessary based on a model based on rationality, austerity, budgetary discipline for the efficiency and quality of the substantive services and administrative processes of the Regional Hospital
- Integrate with Planning Coordination the information requested for the incorporation of the preliminary proposal of the annual operational program of the Regional Hospital
- Supervise, within the scope of its competence, the verification and evaluation of the integration, update and care of the files of the coordination under its charge, whether electronic or physical, and guarantee the security of the information contained in them, in accordance with the applicable regulations
- Respond or attend, within the established times, the requests or requirements presented to them in terms of the Federal Law on Transparency and Access to Government Public Information or based on the eighth constitutional article and those required for the attention of the affairs of the National Commission of Human Rights
- Failure to comply with this function is sanctioned according to the applicable law
- Coordinate the integration and present, within the established times, the documentation and information requested by the governing bodies and the Administrative Units of the Institute, the Council, the oversight bodies and their hierarchical superiors
- Failure to comply with this function is sanctioned according to the applicable law
- Coordinate and verify the process of certification of the documents held by the Regional Hospital and issue the required proofs in the matters of its competence
- Fulfill other functions intrinsic to the position indicated by my hierarchical superior or determined by the applicable law.
- Negotiated contracts with vendors to secure competitive pricing on medical supplies and equipment, reducing expenses while maintaining quality standards.
- Reduced operational costs through the implementation of efficient resource allocation strategies.
- Oversaw recruitment, hiring and evaluation of administrative staff, nurses and doctors.
- Evaluated employee performance regularly, offering constructive feedback designed to support improvement where needed.
- Acted as liaison among governing boards, medical staff and department heads.
- Managed budgetary constraints effectively, ensuring financial stability for the hospital without compromising quality of care.
- Mentored junior administrators, providing guidance on effective management techniques and tools for success in their roles within the organization.
- Oversaw regulatory compliance measures across various departments, ensuring adherence to laws governing healthcare organizations at all levels of operation.
- Developed and distributed employee work schedules based on operational needs and employee requests.
- Successfully negotiated client contract renewals to create increased revenue.
Medical Coordinator
MediAccess-PEMEX Health Plan
02.2015 - 12.2017
- Manage all medical in and outpatient care to patients affiliated with PEMEX.
- Managed referral processes effectively, facilitating timely access to specialized care for patients in need of additional services beyond primary care offerings.
- Served as a critical point of contact for patients during emergencies or after-hours situations, providing appropriate guidance and support during challenging moments.
- Enhanced patient care by efficiently coordinating medical services and streamlining communication between healthcare professionals.
Primary Care Physician
Sistemas Médicos Nacionales, S.A. DE C.V. Health Plan
01.2010 - 01.2015
- Primary medical care to patients affiliated with SIMNSA Health Plan HMO
- Implement preventive medical care to patients affiliated with SIMNSA Health Plan HMO.
- Established strong patient and family relationships, thereby fostering trust in the primary care environment.
- Enhanced patient health by educating them on medication management, ensuring adherence and minimizing side effects.
- Enhanced patient health understanding through thorough exams, precise lab analysis, and strategic diagnostic testing.
- Implemented superior treatment plans through collaboration with multidisciplinary teams, enhancing patient care outcomes.
- Promoted better health outcomes via preventive measures and guidance on healthy living.
Medical Coordinator
Medical Tourism Logistics
04.2012 - 11.2013
- Supervise and implement all medical logistics for bariatric and esthetic surgery
- Direct contact representation of the medical team with the patients of the medical tourism program
- Collaborated with interdisciplinary teams to create seamless transitions between various stages of treatment plans, enhancing continuity of care.
- Acted as a knowledgeable resource for patients seeking information about community resources and support services available to them in their healthcare journey.
- Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
ER-Hospital Physician
Hospital Hispano Americano S.A. de C.V
09.2008 - 12.2012
- Provide medical care through outpatient consultation
- Provide critical medical care to patients that arrive to the emergency departments
- Provide direct medical attention to patients that are hospitalized.
Medical Director
Hospital Hispano Americano S.A. de C.V
08.2008 - 12.2012
- Organize, coordinate and supervise the various departments and services that the hospital provides, in accordance to Mexican Federal Law
- Strategically advertise and promote the specific medical services that the hospital provides
- Supervise that the hospital as whole functions in accordance with efficient, productive and quality values
- Analyze and evaluate procedures that improve the quality of the medical care
- Integrate and conform all medical comities in accordance with medical accreditation, as well as endorse and apply all decisions made by the different hospital comities and the medical board
- Intervene and resolve all medical or administrative problems that involve the critical care of all patients, as well as to apply with judgment any corrective measures necessary to resolve such difficulty
- Supervise the biomedical program with its preventive and corrective measures of al medical equipment
- Supervise al medical activities of the medical staff on call
- Routinely verify, document and follow up on mayor hospital incidents
- Supervise the application of all medical emergency codes in the hospital
- Evaluate productivity and efficiency reports
- Create and apply evaluation systems, as well as analyze its results
- Promote the personal goals of the subordinate staff.
- Supervised clinical staff, providing continuous professional development opportunities and training to maintain and strengthen competencies.
- Drove significant improvement in achievement of goals related to health, safety and employee relations.
- Improved patient outcomes and delivery of care through improved clinical quality processes.
- Led diverse team of medical and administrative professionals in day-to-day clinic activities such as patient care, new business development, and patient relations.
- Maintained compliance with local, national and federal requirements for staff education and certifications.
- Represented staff at meetings and on designated committees relative to areas of specialty or service.
- Recruited and managed physicians and nurses for busy multi-disciplinary practice.
- Assessed performance of medical care, equipment, supplies and pharmaceutical drugs.
Primary Care Physician
Petróleos Mexicanos Health Plan
02.2009 - 12.2010
- Primary medical care to patients affiliated with PEMEX
- Implement preventive medical care to patients affiliated with PEMEX.
- Developed long-lasting relationships with patients and families, fostering trust in the primary care setting.
- Conducted physical exams, interpreted lab results, and ordered diagnostic tests to accurately assess patients'' health needs.
- Provided timely referrals to specialists when necessary, ensuring patients received appropriate care for specific needs.
Medical Coordinator
Hospital Centro Médico Nova S.A. de C.V
02.2003 - 08.2008
- Coordinate and supervise the Emergency Department, Hospitalization Ward, Intensive Care Unit and Outpatient facility
- Accredit and apply all decisions made by the different hospital comities and the medical board
- Intervene and resolve all medical or administrative problems that involve the critical care of all patients, as well as to apply with judgment any corrective measures necessary to resolve such tribulations
- Supervise the quality of care provided by all departments under my supervision that give direct medical attention
- On a periodic base, organize joint meetings with the medical directors and it board of trusties to emphasize and resolve current problems that affect the quality of care
- Work in collaboration with various Mexican and foreign insurance companies to provide direct medical attention to all patients that are hospitalized in the different medical departments as well as in the emergency department
- Create and implement medical-administrative procedures for quality medical care
- Attaining and analyzing productivity data of each medical- administrative procedure
- Review and evaluate medical, administrative, legal concurrence of all medical files.
Medical Review Physician
Seguros Monterrey New York Life Health Insurance
04.2003 - 07.2008
- Medical evaluation of all new clients
- Medical evaluation of clients whom renew their insurance policy
- Attain and interpret all clinical exams and EKG of all potential and current clients.
ER-Hospital Physician
Hospital Centro Médico Nova S.A. de C.V
01.2003 - 01.2008
- Provide medical care through outpatient consultation
- Provide critical medical care to patients that arrive to the emergency departments
- Provide direct medical attention to all patients that are hospitalized.
- Conducted thorough physical examinations for accurate diagnosis, leading to effective treatment strategies.
- Coordinated patient referrals with specialists for optimal continuity of care throughout treatment process.
- Developed strong rapport with colleagues and staff members, promoting teamwork within the workplace environment.
- Diagnosed complex cases by ordering appropriate tests and interpreting results accurately, ensuring timely intervention.
- Instructed patients and families on medical diagnoses and treatment options.
- Supervised physicians, mid-level practitioners and other health care providers and coordinated work.
Primary Care Physician
INBURSA Health Plan
03.2004 - 11.2006
- Primary medical care to patients affiliated with INBURSA
- Implement preventive medical care to patients affiliated with INBURSA.
- Cultivated enduring relationships with patients and their families, enhancing trust in primary care.
- Expanded primary care accessibility by extending office hours for working patients.
- Performed physical examinations, analyzed lab findings, and requested diagnostic evaluations for patient health assessment.
- Collaborated with diverse teams to ensure comprehensive care and effective treatment plans.
- Facilitated timely specialist referrals, ensuring patients received tailored care for their needs.
Hospital-ER Physician
ISSSTECALI Hospital
12.2003 - 11.2006
- Provide direct medical attention to all patients that are hospitalized in the different medical departments
- Provide critical medical care to patients that arrive to the emergency department.
- Provided immediate treatment for acute injuries or illnesses in accordance with established standards of care within the ER setting.
- Performed life-saving procedures under high-pressure situations, stabilizing critically ill patients efficiently and effectively.
- Mentored medical students and residents, contributing to their professional development and enhancing their clinical skills.
- Reduced wait times in the ER by optimizing triage processes and staffing levels during peak hours.
- Collaborated with multidisciplinary teams to develop comprehensive care plans for patients with complex medical conditions.
- Evaluated patient needs in a timely manner, ordering and interpreting diagnostic tests to inform treatment decisions and monitor progress.
- Improved patient outcomes by implementing evidence-based treatment protocols and providing timely medical interventions.
- Acted as a liaison between the emergency department and other hospital departments to facilitate seamless transfer of patients requiring specialized care or admission into the facility.
Medical Resident of Orthopedic and Trauma Surgery
Hospital Cruz Roja Polanco
01.2003 - 12.2003
- Provided Medical care to patients in the Orthopedic and Trauma Department.
- Provided Medical care in the areas of hospitalization, ER and OR.
- Performed rounds twice daily to discuss patient care plans, review diagnostic studies, communicate with patients and discuss medication lists.
- Collaborated with care team to develop assessment and treatment plans.
- Integrated findings from history and physical examinations into reasonably ordered differential diagnoses.
ER-Hospital Physician
Hospital del Carmen S.A. de C.V
06.2002 - 07.2003
- Provide medical care through the outpatient care unit.
- Provide critical medical care to patients that arrive to the emergency departments.
- Provide direct medical attention to all inpatients that are hospitalized.
- Conducted thorough physical examinations for accurate diagnosis, leading to effective treatment strategies.
- Coordinated patient referrals with specialists for optimal continuity of care throughout treatment process.
- Improved patient outcomes by developing comprehensive treatment plans tailored to individual needs.
- Collaborated with consulting physicians regarding care of patients.
Community Medical Coordinator
Fronteras Unidas Pro Salud A.C. Health NPO
06.2002 - 12.2002
- Coordinate and supervise all outpatient programs associated with the institute.
- Coordinate community workers of the outpatient and preventive medicine programs in communities of low-income status.
- Implement Sexual and reproductive health programs to different community leaders and families.
- Coordinate programs with various school districts, focusing with grade, secondary, High School, and University levels, in coordination with Fundación Mexicana para la Planeación Familiar and Planned Parenthood of San Diego & Riverside Counties.
- In conjunction with the Department of Health, employ vaccination programs thought out the county.
- Coordinate and provide primary health care to county orphanages.
- Coordinate and provide primary health care to county retirement homes.
- Implement in conjunction with DIF safe sex programs.
Medical Physician
CUMIA
01.2002 - 06.2002
- Social Service.
- Provide outpatient care through the University Public Clinic.
- Coordinate preventive medical care programs though out the county.
- Coordinate and promote better life styles for young children in various schools though out the county, in conjunction with pediatric medical students.
- Completed psychosocial evaluations and needs assessments.
- Organized clinical documentation, treatment plans, and referrals.
- Linked patients with vital community resources, facilitating access to housing, healthcare, and financial aid.
- Educated patients on available treatment options and assisted in informed decision-making regarding their healthcare plan.
- Conducted thorough physical examinations for accurate diagnosis, leading to effective treatment strategies.
- Coordinated patient referrals with specialists for optimal continuity of care throughout treatment process.
Medical Intern
Hospital General de Tijuana
01.2001 - 12.2001
- Bimonthly medical rotations thought out the hospital.
- Provide medical care through inpatient and outpatient services, as well as Emergency care.
- Responded to medical emergencies to help stabilize and treat patients.
- Completed daily rounds to check on patients and identify any reasons for concern.
- Interviewed patients and added key details to medical histories.
- Wrote detailed and professional progress notes for each patient, outlining notable events and examinations findings.
- Built strong foundation in medical practice by contributing to different areas of patient care and administrative practice.
- Enhanced patient care by meticulously gathering medical histories and performing thorough physical examinations.
- Developed strong rapport with patients, ensuring a comfortable environment for open communication about their health concerns.
- Shadowed emergency medical services team in emergency room setting and during field response.
- Performed minor surgical procedures under direct supervision of attending physicians, honing technical skills necessary for future practice success.
- Educated patients on preventative measures and lifestyle modifications to promote long-term health and wellbeing.
Education
MBA -
ITESM - Monterrey Institute of Technology
Tijuana, BC 05.2001 -
M.D. -
Universidad Autonoma De Baja California
Mexicali, BC 05.1995 - 05.2001
High School Diploma -
Vincent Memorial High School
Calexico, CA 05.1990 - 05.1994
Junior High School - undefined
Our Lady of Guadalupe Academy
Calexico, CA 01.1986 - 01.1990
Grade School - undefined
Saint Rose of Lima School
Chula Vista, CA 01.1981 - 01.1986
Skills
Patient care coordination
Organizational growth
Healthcare administration
Medical terminology
Patient education
Case management
Patient evaluation
Patient safety
Diagnostic testing
Medical expertise
Healthcare ethics
Patient examinations
CURP Mexican Unique Identification Number
RATS760721HJCMPR00
RFC Mexican Tax ID
RATS760721R41
Coursesworkshops
- XLIII Congreso Nacional de Medicina Interna, 01/01/20
- Obesity Congress Instituto de Investigación y Educación en Ciencias de la Salud (IIECS), 01/01/20
- ILSO 1er. Congreso Internacional de Medicina de la Obesidad, 01/01/20
- Reunión de Expertos en Enfermedades Metabólicas (REEM), 01/01/20
- Congreso: COVID-19: La Nueva Normalidad, 01/01/20
- Summit de Osteoporosis, 01/01/20
- Gobal Diabetes Summit LATAM, 01/01/20
- Virtual Global Obesity Summit LATAM, 01/01/20
- ONE Amgen Summit, 01/01/20
- ADA's Virtual 80th Scientific Sessions, 01/01/20
- LIX Congreso Internacional de la Sociedad Mexicana de Nutrición y Endocrinología (SMNE), Guadalajara, Jal., 01/01/19
- Programa LEMI Líderes Expertos en Movimientos Intestinales Instituto Nacional de Ciencias Medicas y Nutrición “Salvador Zubirán” Ciudad de México, 01/01/19
- Foro de Innovación para Líderes en Diabetes Guadalajara 2019, 01/01/19
- 1er Congreso Internacional de Pediatría, Cancún, QR, 01/01/19
- 2do Congreso Internacional de Investigación Clínica, 01/01/19
- Summit Biotech 2019 AMGEN, 01/01/19
- Summit Cardio Metabólico Panamá 2019, 01/01/19
- Summit Diabetes 2019 Los Cabos, BCS, 01/01/19
- Hypo Academy Puebla 2018, 01/01/18
- STAND ALONE ISSSTE, Guadalajara, Jal., 01/01/18
- XXVI Congreso Estatal de Cardiología Mexicali, Baja California, 01/01/18
- Obesity Expert Meeting 2018 - Novo Nordisk Mexico, Puerto Vallarta, Jal, 01/01/18
- Cumbre de Medicina General 2018, Cuernavaca, Mor., 01/01/18
- Foro de Líderes en Diabetes Tijuana, 01/01/18
- Obesity Expert Meeting 2017 - Novo Nordisk, Merida,Yuc., 01/01/17
- XX Congreso Médico Vitamédica, Acapulco, Gue., 01/01/16
- 3er Encuentro de Medicos Generales Guadalajara, Jal., 01/01/16
- Summit farmasa Schwabe, Puerto Vallarta, Jal., 01/01/16
- Mega Cumbre Cardiometabólica, Merida, Yuc., 01/01/16
- Curso de ACLS - Advanced Cardiologic Life Support (Acreditado), Mexicali, BC, 01/01/16
- Foro De Actualidades 2015, Cancún, Quintana Roo, 01/01/15
- Evento Diabetologia II, Puerto Vallarta, Jal., 01/01/14
- Consejo Nacional de Certificación en Medicina General A. C., Mexicali, BC, 01/01/14
- Taller de Farmacoeconomia y Farmacovigilancia, Cancún, QR, 01/01/12
- Taller Precauciones estándar y de Aislamiento, Mexicali, BC, 01/01/12
- Taller Higiene de Manos, Mexicali, BC, 01/01/12
- Taller Seguridad del Paciente, Mexicali, BC, 01/01/12
- Taller Manejo y Traslado de RPBI, Mexicali, BC, 01/01/12
- Curso de Reanimación Cardiopulmonar Neonatal (Acreditado), Mexicali, BC, 01/01/11
- Curso de Advanced Trauma Life Support del American College of Surgeons ATLS (Acreditado), Mexicali, BC, 01/01/10
- Auditor Interno ISO 90014:2008 (Certificado), Mexicali, BC, 01/01/10
- Curso Las 5 S’s Pilar de la Mejora Continua, Tijuana, BC, 01/01/08
- Taller Lavado de Manos, Tijuana, BC, 01/01/06
- Curso de Advanced Trauma Life Support del American College of Surgeons (Acreditado), Tijuana, BC, 01/01/06
- Curso Universitario para el Examen Nacional de Aspirantes a Residencias Médicas, Tijuana, B.C., 01/01/04
- Foro de Hombres Lideres Contra La Violencia Domestica, San Diego, CA, 01/01/02
- Curso Básico de Educación Sexual, Atención y Prevención Primaria para Multiplicadores, Tijuana, BC, 01/01/02
- Congreso de Medicina General de Atención Primaria, Tijuana, BC, 01/01/02
- Curso Clínica Virtual de Medicina Adolescente, Tijuana, BC, 01/01/02
- Curso Consejería para Pacientes con VIH Básico II, Tijuana, BC, 01/01/02
- Curso Consejería para Pacientes con VIH Básico I, Tijuana, BC, 01/01/02
- Curso de Advanced Trauma Life Support del American College of Surgeons (Acreditado), Tijuana, BC, 01/01/02
- Curso de Advanced Cardiologic Life Support (Participate), Tijuana, BC, 01/01/01
- Congreso Regional de la Asociación Mexicana de Medicina Interna, Tijuana, BC, 01/01/01
Personal Information
Date of Birth: 07/21/76
Certification
Doctor of Medicine (MD) - Accredited Medical School.
Timeline
Medical Service Coordinator
MediProses (Proseso) Health Plan
02.2020 - Current
Primary Care Physician
MediProses (Proseso) Health Plan
02.2020 - Current
Primary Care Physician
Health and Benifits, S.A. de C.V. Health Plan
02.2020 - Current
Primary Care Physician
Banjercito Health Plan
04.2019 - Current
Primary Care Physician
MCB
02.2018 - Current
Primary Care Physician
Grupo Consulmed Mexico, Aeroméxico, Health Plan
01.2018 - Current
Primary Care Physician
Red Médica MASZ Health Plan
10.2017 - Current
Medical Coordinator
Salud Interactiva, Medical Home, Medical VRIM Health Plan
03.2017 - Current
Hospital Administrator
ISSSTE Hospital General
03.2017 - 09.2018
Primary Care Physician
Salud Interactiva, Medical Home, Medical VRIM Health Plan
02.2017 - Current
Medical Coordinator
Seguros Monterrey New York Life Health Insurance
01.2017 - 01.2024
Medical Coordinator
Nacional Monte de Piedad (NMP) Health Plan
01.2017 - 12.2023
Primary Care Physician
Banco Nacional de Comercio Exterior Health Plan
01.2016 - Current
Medical Coordinator
MediAccess-PEMEX Health Plan
02.2015 - 12.2017
Primary Care Physician
MediAccess Seguros Health Plan
12.2014 - Current
Primary Care Physician
Atención Medica Integral, Private Medical
11.2014 - Current
Primary Care Physician
General de Salud Health Plan
04.2014 - Current
Medical Coordinator
MediAccess SAPI de C.V. Health Plan
03.2014 - Current
Primary Care Physician
HSBC Jubilados Health Plan
03.2014 - Current
Primary Care Physician
HSBC Health Plan
02.2014 - Current
Medical Surgical Assistant
Dr. Francisco Amaya Blas
02.2014 - 06.2024
Medical-Administrative Director
Grupo AMI, Occupational Health and Safety
01.2014 - Current
Primary Care Physician
Vitamedica-BUPA Health Plan
01.2014 - Current
Primary Care Physician
Nacional Monte de Piedad (NMP) Health
01.2014 - 12.2024
Primary Care Physician
Instituto Mexicano del Seguro Social
04.2013 - 03.2020
Medical Coordinator
Medical Tourism Logistics
04.2012 - 11.2013
Primary Care Physician
AXA Assistance Mexico Health Plan
03.2012 - 12.2023
Primary Care Physician
Sistemas Médicos Nacionales, S.A. DE C.V. Health Plan
01.2010 - 01.2015
Primary Care Physician
Petróleos Mexicanos Health Plan
02.2009 - 12.2010
ER-Hospital Physician
Hospital Hispano Americano S.A. de C.V
09.2008 - 12.2012
Medical Director
Hospital Hispano Americano S.A. de C.V
08.2008 - 12.2012
Primary Care Physician
INBURSA Health Plan
03.2004 - 11.2006
Hospital-ER Physician
ISSSTECALI Hospital
12.2003 - 11.2006
Medical Review Physician
Seguros Monterrey New York Life Health Insurance
04.2003 - 07.2008
Medical Coordinator
Hospital Centro Médico Nova S.A. de C.V
02.2003 - 08.2008
Medical Resident of Orthopedic and Trauma Surgery
Hospital Cruz Roja Polanco
01.2003 - 12.2003
ER-Hospital Physician
Hospital Centro Médico Nova S.A. de C.V
01.2003 - 01.2008
ER-Hospital Physician
Hospital del Carmen S.A. de C.V
06.2002 - 07.2003
Community Medical Coordinator
Fronteras Unidas Pro Salud A.C. Health NPO
06.2002 - 12.2002
Medical Physician
CUMIA
01.2002 - 06.2002
MBA -
ITESM - Monterrey Institute of Technology
05.2001 -
Medical Intern
Hospital General de Tijuana
01.2001 - 12.2001
M.D. -
Universidad Autonoma De Baja California
05.1995 - 05.2001
High School Diploma -
Vincent Memorial High School
05.1990 - 05.1994
Junior High School - undefined
Our Lady of Guadalupe Academy
01.1986 - 01.1990
Grade School - undefined
Saint Rose of Lima School
01.1981 - 01.1986
Similar Profiles
LaTonya Clarke, LPNLaTonya Clarke, LPN
Clinical Operations Analyst/Authorization Coordinator at Sentara Health Plan/Virginia Premier Health PlanClinical Operations Analyst/Authorization Coordinator at Sentara Health Plan/Virginia Premier Health Plan
Rebecca RossRebecca Ross
Transition Care Coordinator at Virginia Premier Health Plan/Sentara Health PlanTransition Care Coordinator at Virginia Premier Health Plan/Sentara Health Plan
Ashley RizoAshley Rizo
Talent Acquisition | Recruiter at Health Plan of San Joaquin - Mountain Valley Health PlanTalent Acquisition | Recruiter at Health Plan of San Joaquin - Mountain Valley Health Plan
GABRIELA A. CASAGRANDEGABRIELA A. CASAGRANDE
School Counseling Practicum Student at Rancho Bernardo High SchoolSchool Counseling Practicum Student at Rancho Bernardo High School
Kersten RiveraKersten Rivera
Medical Surgical Registered Nurse at Paradise Valley HospitalMedical Surgical Registered Nurse at Paradise Valley Hospital