Manager, Service Coordination at Superior HealthPlan – STAR Health Foster Care (2023-01 – Present)
- Lead a team of approximately 10 RN Service Coordinators supporting medically fragile foster care members throughout Texas.
- Manage Personal Care Services (PCS) operations and coordinate assessment activities among more than 40 registered nurses statewide.
- Oversee staffing, productivity, performance monitoring, and compliance with state and organizational requirements.
- Collaborate with operational and clinical leadership to improve service delivery and member outcomes.
- Provide coaching, mentorship, and performance management to nursing staff.
Senior Case Manager II at Superior HealthPlan – STAR Health Foster Care (2017-04 – 2023-01)
- Coordinated care for medically complex foster care members with significant medical, behavioral, and social needs.
- Conducted assessments and developed individualized service plans.
- Collaborated with DFPS caseworkers, medical consenters, healthcare providers, and community partners.
- Managed care gaps and facilitated access to appropriate healthcare and community resources.
- Maintained compliance with STAR Health care coordination requirements and documentation standards.
Regional Clinical Educator at UnitedHealth Group / WellMed (2013-12 – 2016-04)
- Diabetes Prevention
- Congestive Heart Failure
- Ischemic Heart Disease
- COPD
- Nutrition and Healthy Eating
- Sleep Health
- Preventive Care
Branch Supervisor at Santa Fe Home Health (2009-01 – 2017-12)
- Supervised clinical and administrative personnel across multiple South Texas locations.
- Managed staffing, employee evaluations, scheduling, and operational reporting.
- Ensured compliance with regulatory and organizational requirements.
- Supported branch operations while maintaining direct patient care responsibilities.
Case Manager at Santa Fe Home Health (2009-06 – 2017-02)
- Managed a caseload exceeding 120 patients.
- Supervised six Licensed Vocational Nurses (LVNs).
- Performed chart audits and quality assurance reviews.
- Coordinated authorizations through Medicare, Medicaid, and managed care organizations.
- Provided wound care and chronic disease management education.
- Achieved top organizational performance in reimbursement-related documentation and coding processes.
- Educated patients and families regarding: Diabetes Mellitus, Congestive Heart Failure, Hypertension, Chronic Kidney Disease, End-Stage Renal Disease, Post-surgical care
School Nurse at Santa Fe Home Health / Corpus Christi Independent School District (2011-09 – 2013-04)
- Delivered comprehensive nursing services to school-aged children.
- Administered medications and managed acute and chronic health conditions.
- Responded to medical emergencies and coordinated care with parents and providers.
- Conducted hearing and vision screenings.
- Provided health education to students and staff.
- Presented annual bloodborne pathogen education programs.
Medical-Surgical Registered Nurse at Santa Fe Home Health (2006-06 – 2009-09)
- Provided direct nursing care for acute medical-surgical patients.
- Managed patient assignments of up to six patients per shift.
- Obtained chemotherapy certification.
- Served as a preceptor and trainer for nursing assistants and new staff.
- Consistently achieved strong performance evaluations.
