Rene H. Email & Phone Number

Oviedo, Florida, United States

• Coordinated and managed the assessment phase of each person entering the ER• Reviewed patient charts and interviewed each patient to ensure they would either be admitted or discharged based on criteria including interqual and milliman• Verified and confirmed “Advanced Directives”• Referred patients to “outpatient” facilities and/or resources• Arranged home healthcare process for those requiring medical attention at home

Ocoee, Florida, United States

• Completed initial utilization reviews on all patients admitted to hospital • Created and maintained the concurrent reviews program at “Point of Entry”• Provided reviews to insurance companies• Arranged cases to be sent for acceptance or denial • Coordinated and scheduled meetings for appeals to ensure patients medical status and ability meet criteria for continued stay at the hospital • Met with patients and families to determine discharge plans and discussed any barriers that might have existed

Orlando, Florida, United States

Transitional Care Rounding Nurse 10/2012 –05/2016Family Physicians Group, Orlando, Florida• Assessed patients’ functionality, home situation and financial resources• Ensured safe discharge of managed care patients• Arranged family and patient meetings with clinical team to provide health update, End of Life• questions and recommendations, and discharge plan• Collaborated with nursing staff regarding new orders and outpatient office re patient status• Worked with insurance companies pertaining to patient status and clinical recommendations • Evaluated patient current conditions and arranged for discharge In-Office Care Manager 072012 – 10/2012• Coordinated chronic condition management dealing with 200 patients per month• Handled follow up telephone calls to determine their status on medical issues• Entered all medical information on medicines into records• Triaged all walk-ins to ensure they were treated and seen by physician order of necessity

Greater Orlando

Case Manager 12/2011- 07/2012• Assessed patients’ functionality, home situation and financial resources required for completion of safe discharge• Completed all necessary documentation• Worked with team of 4+ doctors, nurses and ancillaries for recommendations for patient’s safe discharge • Obtained pre-authorizations, arranged durable medical equipment and home healthcare or Skilled Nursing Facility (SNF) and offered patient choice of recommended agenciesRegistered Nurse 08/2010 – 01/2012• Progressive and Critical Care Nursing assignments• Read and interpreted telemetry strips for EKGNurse Technician 01/2010 – 08/2010• Assisted patients with their daily living routines• Read and interpreted telemetry strips for EKGHealth Unit Coordinator 01/2009 – 01/2010• Answered telephones and greeted patients upon arrival• Read and interpreted telemetry strips for EKG

Associate Of Science (A.S.), Registered Nursing/Registered Nurse

Nursing, Registered Nursing/Registered Nurse