Vanessa Trujillo

Utilization Management RN

Role
Case Management Nurse at Humana
Location
Tampa, FL, US
LinkedIn followers
500 followers
Healthcare & Human ServicesView LinkedIn profile

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

  1. Case Management Nurse

    Humana

    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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Vanessa Trujillo — Case Management Nurse at Humana in Tampa, FL, US | Unifers