Healthcare professional with extensive expertise in patient management and coordination. Recognized for effectively navigating complex healthcare systems and driving patient-centered care initiatives. Collaborates with diverse teams and adapts seamlessly to changing healthcare environments while maintaining focus on achieving optimal patient outcomes.
Overview
20
20
years of professional experience
Work History
Nurse Case Manager
Partnership Healthplan of CA
12.2024 - Current
Provides case management services independently for a caseload ranging in complexity from basic to complex; acuity levels 1-4; performs field-based case management (acuity level 5) with supervision.
Initiates and coordinates individualized care plan for assigned members, addressing both clinical and non-clinical components, and ensuring the care plan is available to both the member and primary care provider.
Resolves member needs by utilizing multidisciplinary team strategies, including Health Services Integrated Rounds Meetings.
Ensures a smooth implementation and continuum of care via effective and frequent communication with providers, members, and identified health care designee.
Wound Care Nurse
Mercy Medical Center
10.2023 - 12.2024
Evaluated patients'' wounds and recommended appropriate treatments, expediting the healing process.
Treated and carefully tended to vascular and diabetic ulcers.
Collaborated with healthcare team to implement interventions for wound healing and skin breakdown prevention.
Collaborated with interdisciplinary teams for comprehensive treatment plans, resulting in improved patient outcomes.
Clinical Nursing Instructor
Shasta College
08.2021 - 12.2024
Oriented and provided instruction to students during clinical rotations.
Monitored progress of each student and provided formal evaluation upon completion of clinical placements.
Developed and created clinical assignments to assess student skills.
Coached underperforming students to help meet clinical objectives
Delivered information and valuable instructions to students during clinical rotations.
Maintained open lines of communication with students, offering support and guidance throughout their educational journey.
Patient Care Manager
Assured Home Care
10.2022 - 10.2023
Maintained accurate documentation of patient interactions, treatments administered, and progress notes in electronic medical records systems.
Managed budgets and resources effectively to reduce departmental costs while maintaining high standards of care.
Developed strong interdisciplinary team collaboration, resulting in better patient outcomes.
Oversaw day-to-day operations of the department, ensuring seamless coordination between all members of the care team.
Registered Nurse Case Manager
Assured Home Care
09.2017 - 10.2022
Effectively communicated with physicians regarding patient needs, performance, medications and changes.
Completed initial assessments of patients and family to determine and address individual home care needs. ·
Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
Responded promptly and professionally to patient questions and concerns.
Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
Registered Nurse, Float Pool
Mercy Medical Center
06.2005 - 09.2017
Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
Managed care from admission to discharge.
Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use and disease management.
Provided direct patient care, stabilized patients and determined next course of action.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Nurse Coordinator I (Utilization Review)- Contract at Partnership Healthplan of CA (Via YOH Connects)Nurse Coordinator I (Utilization Review)- Contract at Partnership Healthplan of CA (Via YOH Connects)