Raisa Pinzon

Healthcare administration professional and Registered Nurse with 10+ years of progressive experience in hospital operations, utilization management, long-term care administration, and corporate higher education. Master's-prepared in Health Administration with expertise in clinical operations, medical necessity review, patient flow, regulatory compliance, data analysis, financial oversight, and process improvement.

Corporate Administration Manager at NORTHBRIDGE UNIVERSITY (2022-01 – Present)

• Manage corporate administrative operations across university locations in Puerto Rico and Miami.
• Analyze tuition revenue, enrollment trends, projections, and institutional growth data for strategic decision-making.
• Optimize CRM and student information systems to improve data accuracy, reporting, and workflow efficiency.
• Develop Excel-based reports, dashboards, and performance analyses for leadership.
• Coordinate cross-functional initiatives involving administration, enrollment, finance, and academic stakeholders.

Administration Manager at SAN ANDRES NURSING HOME (2018-01 – 2022-12)

• Directed daily administrative operations, budgeting, financial planning, cost control, and resource allocation.
• Ensured compliance with state and federal healthcare regulations, policies, and quality standards.
• Supervised nursing and support personnel and coordinated staffing needs.
• Developed operational policies and emergency procedures supporting safe and efficient care delivery.
• Oversaw payroll, vendors, contracts, procurement, and administrative documentation.

Medical Utilization Coordinator at HOSPITAL PAVIA SANTURCE (2015-01 – 2018-12)

• Performed utilization management activities to support appropriate, medically necessary, and cost-effective healthcare services.
• Reviewed clinical documentation, admissions, continued stays, and discharge needs against established utilization criteria.
• Monitored patient length of stay, extensions, utilization patterns, and potential delays; identified opportunities for timely intervention.
• Coordinated with physicians, nursing, case management, clinical departments, and managed care organizations regarding authorization, coverage, documentation, and reimbursement requirements.
• Supported prospective, concurrent, and retrospective utilization reviews and escalated cases requiring additional clinical or medical-director review.
• Prepared utilization reports and maintained accurate case documentation supporting compliance, quality improvement, and reimbursement.

Master of Science in Health Administration – NorthBridge University (2025-01 – 2026-12)

Bachelor of Science in Nursing – NorthBridge University (2014-01 – 2016-12)

B.A. in Communications and Advertising – Universidad de Puerto Rico (2006-01 – 2010-12)