MARIBEL BLANCO
Grayson
Summary
Registered nurse with specialization in telephonic case management, focusing on chronic disease support and care coordination. Expertise in conducting comprehensive assessments and creating customized care plans that address clinical, behavioral, and social needs. Strong commitment to enhancing health equity and incorporating social determinants of health into care strategies.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Telephonic RN Case Manager
UNITED HEALTH CARE (UHC)
Remote
01.2017 - Current
- Conduct comprehensive telephonic assessments for high-risk and complex members, identifying clinical, behavioral, and social needs to support individualized care planning.
- Perform clinical triage, red-flag symptom assessment, and escalation to providers or urgent care pathways to ensure timely intervention.
- Develop and implement evidence-based care plans focused on chronic disease management, medication adherence, and prevention of avoidable ED and inpatient utilization.
- Coordinated care across interdisciplinary teams to close care gaps and enhance quality metrics.
- Utilized motivational interviewing and culturally responsive communication to engage members and promote health literacy.
- Integrate SDOH and health equity considerations into care planning.
- Educated members on early symptom recognition and appropriate site-of-care decision-making, leading to reduced avoidable utilization.
- Navigate benefits, coverage, and prior authorization processes to ensure access to services and DME.
- Document assessments, interventions, and outcomes per UHC standards and regulatory requirements.
Home Hemodialysis RN / Nurse Educator
DAVITA DIALYSIS
Georgia
01.2014 - 01.2017
- Trained home hemodialysis patients and caregivers on equipment operation, infection prevention, and emergency procedures, enhancing patient confidence and safety.
- Educated patients on fluid management, medication adherence, dietary restrictions, and early symptom recognition, promoting proactive health management.
- Conducted in-home and in-clinic assessments to evaluate readiness, adherence, and environmental safety, ensuring optimal conditions for treatment.
- Monitored clinical status, lab trends, and treatment outcomes, escalating concerns promptly.
- Collaborated with nephrologists, dietitians, social workers, and technicians to support individualized care plans.
- Served as a preceptor for new RN hires, supporting onboarding and clinical skill development.
RN Manager
GWINNETT ENDOSCOPY CLINIC
Georgia
01.2012 - 01.2014
- Oversaw daily clinical operations for high-volume endoscopy center, ensuring safe workflow and adherence to regulatory standards.
- Coordinated with gastroenterologists, anesthesia providers, and clinical staff to optimize procedure flow and enhance patient experience.
- Performed pre- and post-procedure assessments, monitored recovery, and provided discharge education.
- Maintained documentation and conducted quality audits to ensure compliance with accreditation standards and improve care quality.
- Acted as a Spanish interpreter to facilitate accurate communication and informed consent.
Aeromedical Nurse
MED AIR
Georgia
01.2010 - 04.2010
- Delivered safe, high-acuity aeromedical transport for stable, unstable, and critical patients.
- Managed in-flight emergencies while adhering to aviation medical protocols to maintain patient safety.
- Conducted rapid assessments and monitored patient status to ensure optimal care during flight.
- Ensured biodynamic flight safety and tailored care delivery to meet aircraft limitations.
- Collaborated with pilots, paramedics, and receiving facilities for seamless handoffs.
Home Health RN
BRIGHTSTAR HOME HEALTH
Georgia
01.2009 - 01.2010
- Delivered skilled nursing care including assessments, wound care, medication management, and chronic disease monitoring.
- Performed wound care, IV therapy, IVIG administration, CVC care, ostomy care, and trach/vent management.
- Developed individualized care plans focused on safety, symptom control, and hospitalization prevention.
- Coordinated care with physicians, therapists, and social workers to ensure comprehensive, patient-centered treatment.
- Educated patients and families on disease processes, equipment use, and early warning signs to enhance understanding and self-management.
- Ensured accurate documentation and regulatory compliance.
- Completed start-of-care procedures to establish continuity of care and uphold quality standards.
Education
Master of Science in Nursing - Nursing Informatics
Capella University
01-2026
Bachelor of Science in Nursing - Nursing Science
Albany State University
Albany, GA01-2022
Associate Degree in Nursing - Nursing Science
Darton College
Albany01-2012
Skills
- Telephonic case management
- Chronic care management
- Care coordination
- Chronic disease management
- Clinical triage
- Care gap closure
- Utilization strategies
- Quality improvement
- Patient education
- Health promotion
- Resource navigation
- Interdisciplinary collaboration
- Patient-centered communication
- Social determinants integration
Certification
- Certified Medical-Surgical Registered Nurse (CMSRN), 2024
- Certified Case Manager (CCM), 2018
- Bilingual Proficiency ALTA Certification in Spanish, 2024
- CPR/BLS, Current
Personal Information
Title: Registered Nurse, Telephonic RN Case Manager. Highly mobile, multi-state Compact ( NLC) licensure alongside active single- state licenses in CA, OR, PA, HI, CT, and CO.
Awards Recognition
- Multiple SAGE and Superhero nominations for clinical excellence and member advocacy
- Sigma Theta Tau International Honor Society of Nursing — MSN Academic Honors (In Progress)
- Dean’s List / Academic Honors — BSN
- Lambda Chi Nu Nursing Honor Society — ADN
- National “Shining Star” Award — 2017
- March of Dimes Nurse of the Year Nominee — 2012
Accomplishments
- Multiple SAGE and Superhero nominations for clinical excellence and member advocacy
Sigma Theta Tau International Honor Society of Nursing — MSN Academic Honors (In Progress)
Dean’s List / Academic Honors — BSN
Lambda Chi Nu Nursing Honor Society — ADN
National “Shining Star” Award — 2017
March of Dimes Nurse of the Year Nominee — 2012
Languages
Spanish
Professional
Timeline
Telephonic RN Case Manager
UNITED HEALTH CARE (UHC)
01.2017 - Current
Home Hemodialysis RN / Nurse Educator
DAVITA DIALYSIS
01.2014 - 01.2017
RN Manager
GWINNETT ENDOSCOPY CLINIC
01.2012 - 01.2014
Aeromedical Nurse
MED AIR
01.2010 - 04.2010
Home Health RN
BRIGHTSTAR HOME HEALTH
01.2009 - 01.2010
Master of Science in Nursing - Nursing Informatics
Capella University
Bachelor of Science in Nursing - Nursing Science
Albany State University
Associate Degree in Nursing - Nursing Science
Darton College