Nyuyfoni Bonghan Barah Yaya
TimeDoc Health
Minneapolis
1
Certification
3
years of professional experience
Dedicated Registered Nurse with a medical degree and extensive experience in care coordination and case management. Expertise in patient outreach, medication reconciliation, chronic condition follow-up, and electronic health record documentation. Knowledgeable in disease processes, pharmacology, and interdisciplinary care, positioned for a remote role in care coordination, case management, telehealth, or patient support.
Work History
Registered Medical Assistant
2 Years 3 Months- Maintained 98% documentation accuracy when updating medications, allergies, symptoms, immunizations, and clinical information in the electronic health record.
- Supported 18–25 patients per shift by obtaining vital signs, reviewing medical histories, reconciling medications, and preparing patients for provider examinations.
- Identified and escalated abnormal vital signs, worsening symptoms, and medication concerns to facilitate timely intervention and enhance patient safety.
- Educated 10–15 patients per shift on medications, chronic disease management, preventive care, and home monitoring, empowering patients to adhere to provider-directed treatment plans.
- Coordinated 25–35 weekly prescription refill requests, referrals, diagnostic results, and follow-up appointments, ensuring continuity of care.
Case Manager/Care Coordinator
2 Years 6 Months- Managed an active caseload of 85–110 patients monthly, coordinating medical, behavioral, and social care needs for individuals with multiple chronic conditions.
- Conducted and documented more than 180 chronic care management interactions per month, supporting continuity of care and timely clinical follow-up.
- Developed, reviewed, and updated individualized care plans for approximately 90 patients monthly, incorporating diagnoses, medications, treatment goals, functional needs, and provider recommendations.
- Monitored patients with diabetes, hypertension, heart disease, COPD, asthma, obesity, depression, and other chronic conditions across a caseload exceeding 100 individuals.
- Reviewed medication lists with more than 70 patients per month, identifying medication discrepancies, refill concerns, side effects, and adherence barriers for clinical escalation.
- Completed an average of 45–55 outbound patient calls each week, achieving an 88% successful contact rate through consistent follow-up and patient engagement.
- Closed over 30 preventive and chronic-care gaps monthly, addressing overdue screenings, laboratory testing, medication refills, and primary care follow-ups to enhance patient outcomes.
- Completed 95% of scheduled monthly assessments and follow-up activities within established productivity and quality deadlines.
- Provided individualized health education to more than 50 patients weekly on medication adherence, symptom monitoring, nutrition, preventive care, and provider-directed treatment plans.
- Coordinated an average of 35–45 specialist referrals, diagnostic tests, follow-up appointments, and community-service connections monthly.
- Helped close more than 30 preventive and chronic-care gaps each month, including overdue screenings, laboratory testing, medication refills, and primary care follow-ups.
- Collaborated with physicians, registered nurses, pharmacists, social workers, and administrative teams on approximately 40 complex patient cases per month.
- Connected more than 25 patients monthly with transportation assistance, medication programs, food resources, behavioral health services, home health, and other community supports.
- Used electronic health record and care management platforms to track more than 100 active patient cases, schedule follow-ups, document interventions, and monitor progress toward care goals.
- Reduced missed follow-up opportunities by approximately 20% through structured outreach, reminder calls, and proactive appointment coordination.
- Maintained a 97% quality-audit score for accurate documentation, patient identification, privacy compliance, and appropriate clinical escalation.
- Achieved 97% quality-audit score for documentation accuracy, patient identification, privacy compliance, and timely clinical escalation, ensuring high-standard care delivery.
- Increased patient engagement by 18% through motivational interviewing, active listening, and personalized follow-up strategies during remote outreach, fostering stronger patient-provider relationships.
Education
Bachelor of Science - Nursing
M.D. - Medicine
Skills
Patient Care Coordination
Telephonic assessment
Clinical Support Knowledge
Clinical Judgment and Critical Thinking
Medication Administration
Chronic Disease Management
Care plan management
Patient education
Preventive care
Record review
Electronic Health Record Documentation
Referral coordination
Patient Needs Assessment
Resource Referral Management
Team collaboration
Motivational Interviewing
Time management
Certification
- RMA - Registered Medical Assistant-ARMA
- Basic Life Support-AHA
- Registered Nurse: MN License, NM License
- Cameroon Physician License
Languages
English
Native or Bilingual
French
Native or Bilingual
Spanish
Elementary
Timeline
Registered Medical Assistant
Fairview Hospital
04.2024 - CurrentRead More
Case Manager/Care Coordinator
TimeDoc Health
01.2024 - CurrentRead More
Kesmonds International University
Bachelor of Science from Nursing
Read More
Catholic University of Cameroon
M.D. from Medicine
Read More