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Ivette Mulero

Registered Nurse - Partners Homecare At Home

Hyde Park, MA

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To obtain a challenging position in the health care field that will utilize my years of nursing experience.

Work Experience

Registered Nurse

Partners Homecare At Home
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Waltham, MA
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May 2012 to Present

Provided care to patients within their home environment including physical assessment and home safety evaluation. 
• Assisted patients with implementation of interventions and goals to manage both acute care and chronic illness. 
• Knowledgeable regarding health care barriers with inner city clients. 
• Established a plan care and problem list based on assessment. 
• Established a plan care and problem list based on assessment. 
• Worked with the medical doctor, patient, family and other licensed and unlicensed care professionals to establish joint goals and plan of care. 
• Monitored and maintained agency standards of care while evaluating patient/caregiver progress and goal achievement/outcome. 
• Acted as a patient's advocate. 
• Designated appropriate referrals according to patients need, like physical therapy, nutritionist and SW services. 
• Utilized community resources

RN Care Coordinator

Brigham and Women's Hospital
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Boston, MA
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February 2010 to May 2012

Provide case management to approximately 250 high risk Medicare patients within 3 primary care sites 
• Initiated telephone or in person contact with eligible patients to perform initial assessment, healthcare education and develop a realistic care management plan. 
• Provided direct coordination encouraging enrollment in disease and case management programs. 
• Assess each patient and work with primary care physician and practice team to develop appropriate treatment plan. 
• Facilitated communication between primary care physician, specialists, and other providers. 
• Followed patients through the continuum communicating with other health care clinicians including physicians, inpatient care coordinators, and post-acute managers regarding patients care. 
• Facilitated patient's transition between inpatient hospital stay and home. 
• Followed up with patients post hospital admission and or ED visit to ensure patients were discharged with the appropriate services, understood discharge instructions, assisted with coordinating follow up appointments with primary care physicians and specialists 
• Provided health coaching regarding self-management of chronic diseases 
• Established a consistent communication and reporting schedule for periodic contact with providers and patients to review patient status and progress towards goals 
• Collaborated with physicians, medical director and MD advocate regarding challenging patient situations.

Registered Nurse

Boston Visiting Nurse Association
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Braintree, MA
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September 2008 to February 2010

Knowledgeable of HMO, Medicare, Medicaid reimbursement guidelines and Oasis Format. 
• Communicated with HMO case managers regarding clinical updates and prior approvals for skilled nursing visits. 
• Provided care to patients within their home environment including physical assessment and home safety evaluation. 
• Assisted patients with implementation of interventions and goals to manage both acute care and chronic illness. 
• Knowledgeable regarding health care barriers with inner city clients. 
• Established a plan care and problem list based on assessment. 
• Worked with the medical doctor, patient, family and other licensed and unlicensed care professionals to establish joint goals and plan of care. 
• Monitored and maintained agency standards of care while evaluating patient/caregiver progress and goal achievement/outcome. 
• Acted as a patient's advocate. 
• Designated appropriate referrals according to patients need, like physical therapy, nutritionist and SW services. 
• Utilized community resources. 
• Managed a caseload of thirty eight to forty patients and see eight to nine patients a day.

Visiting Nurse Service of New York

Jackson Heights, NY
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March 2007 to June 2008

11370 
 
Nurse Consultant 
• Assess, plan and provide intensive and continues care management across acute, home, and long-term care settings. 
• Assess an enrollee's eligibility for Program services based on his/her health, medical, financial, legal and psychological status, initially and on an ongoing basis. 
• Consult with and educate members and their families on the disease process, self-care techniques and prevention strategies. 
• Coordinate, facilitate and arrange for long-term care services in the home and community-based sites. Provide or arrange for on-going nursing care, service authorization and periodic assessment. 
• Collaborate and negotiate with interdisciplinary teams, other health care providers, family members, and third party payers, across all health settings to ensure optimum delivery and coordination of services to members. 
• Monitor care management activities, services, and members' responses to interventions, to determine the effectiveness of the plan of care and the utilization of services. 
• Manage expenditure to ensure effective use of covered services within a capitated rate. Fiscally responsible in providing services based on members' needs.

Per Diem RN

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November 2003 to March 2007

Assessed the physical, social and psychological and living needs of the patient's through professional knowledge and skills of observation, interviewing, physical examination and development screening. 
• Established a plan of care with input from appropriate multidisciplinary health team members based on goals mutually acceptable to the patients and significant others. 
• Provided nursing care in accordance with agency policies, procedures and standards of nursing practice. 
• Acted as a coordinator of the multidisciplinary team providing care to patients. 
• Consulted with and educates the patient and family regarding the disease process, self-care techniques and prevention strategies. 
• Initiated appropriate preventive and rehabilitation nursing procedures. 
• Planned for the patient's discharge from service. 
• Interpreted the agency reimbursement policy and determines the billing source for patients care. 
• Participated in the orientation of the select staff, including the case managers. 
• Performed other relates duties and projects, as assigned, including parenting classes, community outreach and liaison with hospitals and other providers.

Registered Nurse

Boston Visiting Nurse Association
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Hyde Park, MA
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1991 to 2003

Knowledgeable of HMO, Medicare, Medicaid reimbursement guidelines and Oasis Format. 
• Communicated with HMO case managers regarding clinical updates and prior approvals for skilled nursing visits. 
• Provided care to patients within their home environment including physical assessment and home safety evaluation. 
• Assisted patients with implementation of interventions and goals to manage both acute care and chronic illness. 
• Knowledgeable regarding health care barriers with inner city clients. 
• Established a plan care and problem list based on assessment. 
• Worked with the medical doctor, patient, family and other licensed and unlicensed care professionals to establish joint goals and plan of care. 
• Monitored and maintained agency standards of care while evaluating patient/caregiver progress and goal achievement/outcome. 
• Acted as a patient's advocate. 
• Designated appropriate referrals according to patients need, like physical therapy, nutritionist and SW services. 
• Utilized community resources. 
• Managed a caseload of thirty eight to forty patients and see eight to nine patients a day.

Staff Nurse- SICU

Jamaica Hospital
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Jamaica, NY
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1988 to 1991

Provided patient care to include but not limited to administration of appropriate medication and treatments, phlebotomy and acute illness management teaching. 
• Served in an unprivileged community. 
• Worked in an extremely busy level I trauma center which receives over 90,000 visits per year.

Education

Associates in Nursing

Queensborough Community College -
Queens, NY

Additional Information

Skills: Bilingual Spanish/English