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Giselle Pelayo

Primary Care Nurse Practitioner

/

Case Manager/Care Coordinator

Phone, Open Hours, Reviews & Information

4175 West 20th Avenue, Hialeah, Florida 33012, United States
Spoken Languages: English, Spanish
Gender: Female

 

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A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Source: NUCC, CMS

Health Insurance Plans Giselle Pelayo accepts

Issuer Network State Plan Year New Patients Last Updated
Superior Health Plan PREFERRED TX 2025 accepting Oct 20 2024
UnitedHealthcare of Florida, Inc. NON-PREFERRED FL 2025 accepting Oct 10 2024
UnitedHealthcare of Florida, Inc. NON-PREFERRED FL 2024 accepting Oct 10 2024
Cigna Health and Life Insurance Company PREFERRED FL 2025 accepting Oct 15 2024
Oscar Insurance Company of Florida PREFERRED FL 2025 accepting Oct 21 2024
Health Options, Inc. PREFERRED FL 2025 accepting Oct 15 2024
Blue Cross and Blue Shield of Florida PREFERRED FL 2025 accepting Oct 15 2024

Source: CMS.gov, HealthPorta API