Summary
Overview
Work History
Education
Skills
Accomplishments
Additional Information
Timeline
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Hector Fabio Ballesteros Garcia

Nurse
Eight Mile Plains,QLD

Summary

Nurse with postgraduate degree in Medical Health Law with experience in the health care and administrative field. In the component of health insurance with participation in legal processes via guardianship, audit for the improvement of quality and contracting in health, establishing in each component, data analysis, determination of conditions and implementation of actions and strategies aimed at ensuring access to health services under the regulatory framework of the SGSSS and its borders.

Overview

12
12
years of professional experience
14
14
years of post-secondary education

Work History

Individual Support Worker

Right At Home
Brisbane, QLD
08.2023 - Current
  • Contributed positively to team dynamics by sharing knowledge, collaborating effectively, and demonstrating flexibility in adapting to changing client needs or organizational priorities.
  • Improved client mobility by assisting with transfers, ambulation, and range of motion exercises.
  • Communicated effectively with family members regarding updates on client status, concerns, or achievements.
  • Supported clients in maintaining personal interests or hobbies, fostering a sense of purpose and engagement.

Professional Control Organisms

Entity New EPS
Ibague, Tolima
05.2022 - 02.2023
  • Control Organisms
  • Immediate Chief Wilmar Rodolfo Lozano Parga
  • Phone, transition to Regional Audit and Quality Coordinator (2018) and final transition to Regional Network Management Coordinator
  • Duties Formation of a voluntary agreement with the provider network to guarantee access to health services, verification of compliance with minimum contracting requirements in accordance with current regulations, verification and processing of commercial offers; Surveillance and monitoring of contractual execution, deployment of interventions with the provider network in the face of new developments identified in the Comprehensive Health Care exercise; Attention and orientation to the requirements of control entities and surveillance and inspection visits (audits), follow-up, analysis and intervention in relation to claims and control of medical costs and advances, analysis of the behavior of service authorizations; Articulation with the provider network in the management of requests for diagnostic aids, referral and counter-referral
  • Data management for reporting and presentation of reports.
  • Resolved problems, improved operations and provided exceptional service.
  • Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
  • Demonstrated strong organizational and time management skills while managing multiple projects.

Regional Network Management Coordinator

Medimás EPS
Ibague, Tolima
02.2016 - 03.2022
  • Provide comprehensive and timely management to the requirements presented by the inspection, surveillance and control agencies of the General System of Social Security in Health, ensuring the protection of the interests of the entity and optimal technical, scientific and legal support to the respective requests of the entities
  • Attention to health audits framed in the insurance and social security system of Colombia
  • Name, Immediate Chief Patricia Constanza Bernal Cruz
  • Phone
  • Assisted in recruitment efforts by coordinating interviews and managing onboarding activities for new hires.
  • Monitored performance metrics consistently and implemented corrective actions when needed, contributing to continuous improvement initiatives.
  • Implemented cost-saving measures through resource allocation optimization, leading to significant budget reductions.
  • Developed comprehensive reports for senior management, enabling informed decision-making based on data-driven insights.
  • Improved team productivity with regular communication and progress updates, fostering a collaborative work environment.
  • Delegated tasks to administrative support staff to organize and improve office efficiency.

Regional Network Auditor Coordinator

Entity CafeSalud EPS
02.2016 - 07.2017
  • Immediate Chief Erika Liliana Prada Gutiérrez
  • Phone, Employer substitution to Medimás EPS reorganization plan Resolution 2426 of 2017 for the creation of Medimás EPS)
  • Duties Follow-up, reporting and analysis of regulatory quality indicators (Res 1552, Res 256); execution and reporting of qualification visits to the provider network; Follow-up in the implementation of the concurrent audit; Follow-up and deployment of improvement plans to the provider network in the face of non-compliance in quality components - Identification of adverse events, incidents, failures in the provision of services among others; Attention to inspection and surveillance visits, participation in calls for audits and access to health services, health contracting, supervision and monitoring
  • Labor References

Intensive Care Unit Nurse

Federico Lleras Acosta Hospital
Ibague, Tolima
02.2012 - 08.2014

Direct assistance to the patient in critical condition, management of intravenous infusions, vital signs control, elaboration of nursing care plan, supervision of nursing staff and reporting of health conditions and evolution of the patient.

Education

Some College (No Degree) - English Language And Literature

Greenwich College
Brisbane
06.2023 - 12.2023

Undergraduate - Enfermero

University of Tolima
Ibague
02.2007 - 12.2011

Posgraduate - Health And Law

Universidad Del Rosario
Bogota D.C
02.2014 - 09.2015

Bachelor's Degree - Commercial Technician

Ibague
02.2000 - 11.2006

Skills

Project Management

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Accomplishments

  • Name Carlos Patiño
  • Title Medico
  • Position Intensive Care Unit Physician
  • Company Federico Lleras Acosta Hospital
  • Phone 3164107665
  • Name Carlos Yamilk Ramirez Neva
  • Title Nurse / epidemiologist
  • Current position Professional Secretary of Health of Tolima
  • Company Secretary of Health of Tolima
  • Phone 3112377458
  • Nombre Alfonso Garcia Calderon
  • Title Veterinarian and Zootechnician / Project Management
  • Current position Coordinator Pan American Foundation for Development PADF
  • Company Pan American Development Foundation
  • Phone 3223692959

Additional Information

  • C.C.: , 1110496669 of Ibagué

Timeline

Individual Support Worker

Right At Home
08.2023 - Current

Some College (No Degree) - English Language And Literature

Greenwich College
06.2023 - 12.2023

Professional Control Organisms

Entity New EPS
05.2022 - 02.2023

Regional Network Auditor Coordinator

Entity CafeSalud EPS
02.2016 - 07.2017

Regional Network Management Coordinator

Medimás EPS
02.2016 - 03.2022

Posgraduate - Health And Law

Universidad Del Rosario
02.2014 - 09.2015

Intensive Care Unit Nurse

Federico Lleras Acosta Hospital
02.2012 - 08.2014

Undergraduate - Enfermero

University of Tolima
02.2007 - 12.2011

Bachelor's Degree - Commercial Technician

02.2000 - 11.2006
Hector Fabio Ballesteros GarciaNurse