Vanessa Trujillo
Utilization Management RN
- Role
- Case Management Nurse at Humana
- Location
- Tampa, FL, US
- LinkedIn followers
- 500 followers
About Vanessa Trujillo
I’m a bilingual RN (English/Spanish) with over 10 years of experience across emergency care, pre-op/PACU, home health, and case management. Currently at Humana, I manage complex care transitions, support utilization initiatives, and serve as a Preceptor and SME in post-discharge medication reconciliation.With a strong clinical foundation and experience in healthcare tech implementation, I thrive in roles that blend care coordination, process improvement, and cross-functional collaboration. I’m especially interested in UM, pre-authorization, and operational leadership roles that drive better outcomes and efficiency across healthcare systems.
Experience
Case Management Nurse
Oct 2022 — Present
Coordinate and oversee the full care transition process from post-acute discharge to ongoing care, ensuring member data, services, and care plans are correctly documented and aligned with internal systems. • Serve as a primary liaison between members, providers, pharmacies, home health, behavioral health, and internal departments to streamline care coordination and ensure seamless service implementation. • Analyze complex health data to close care gaps, mitigate risks, and improve health outcomes through targeted outreach, resource allocation, and intervention planning. • Lead onboarding and workflow integration for new team members as a Preceptor, and act as Subject Matter Expert for the Post-Discharge Medication Reconciliation process, contributing to team-wide standardization and efficiency improvements. • Support the Administrative Outreach Workflow (AOW) team, balancing competing priorities while maintaining performance metrics. • Collaborate with interdisciplinary teams and leverage bilingual (English/Spanish) communication to deliver inclusive and effective service support.
Education
Southern New Hampshire University
Bsn, Registered Nursing/Registered Nurse
2023 — 2026
Hillsborough College
Associate of Science (A.S.), Registered Nursing/Registered Nurse
2008 — 2011
Concorde Career Institute-Tampa
Associate of Science (A.S.), Registered Nursing/Registered Nurse
2011 — 2013
Skills
- Event Management
- Public Relations
- Organization
- Social Media
- Marketing
- Public Speaking
- Team Building
- Management
- Event Planning
- Human Resources
- Budgets
- Patient Advocacy
- Bls
- Microsoft Office
- Sales
- Reliable
- Process Scheduler
- Recruiting
- Social Networking
- Social Media Marketing
- Strategic Planning
- Call Centers
- Healthcare
- Account Management
- Critical Thinking
- Organizational Effectiveness
- Cpr Certified
- Microsoft Word
- Powerpoint
- Microsoft Excel
- Team Leadership
- Customer Retention
- Crm
- Customer Service
- Project Planning
- Leadership Development
- Direct Patient Care
- Teaching
- Time Management
- Health Education
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