Seasoned Nurse Case Manager with a proven track record at Healthcare Partners, adept in staff training (hard skill) and patient advocacy (soft skill). Excelled in case management, enhancing patient care quality and efficiency. Achieved a significant increase in referrals through expert data collection and duty delegation, demonstrating a confident approach to healthcare excellence.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Charge Nurse and MDS
Palm Terrace Rehabilitation Center, Calle Aragon
Laguna Hills, CA
10.2020 - 02.2024
Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders and communicating with ancillary departments.
Assisted with admission and discharge planning for assigned patients.
Provided direct patient care, including assessments and treatments, to a variety of patients.
Monitored nursing care, patient assessment processes and treatment implementations.
Implemented quality patient care techniques to align with safety, health and organizational regulations.
Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift.
Collaborated with various healthcare professionals to determine specific and individualized care plan based on goals and long-term health.
Documented information in patients' electronic medical record, relaying information to clinicians and care providers to facilitate continuity of care.
Clinical Liaison for Business Development
Providence Health & Services- Saint John Hospital
01.2022 - 02.2023
Evaluated patient satisfaction and made suggestions for changes or improvements.
Responded to and investigated complaints and concerns of patients.
Verified insurance coverage for patients and worked with clinic to schedule doctor visits and therapy sessions.
Collected data about patient care problems and prepared reports.
Followed document protocols to safeguard confidentiality of patient records.
Facilitated communication between patients and various departments and staff.
Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
Organized patient records and database to facilitate information storage and retrieval.
Worked with patients to ascertain issues and make referrals to appropriate specialists.
Taught patients and families to use at-home medical equipment.
Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
Carried out day-day-day duties accurately and efficiently.
Nurse Case Manager
Capistrano Beach Care Center
07.2019 - 09.2020
Educated patients and caregivers on healthcare protocols and processes.
Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
Managed support services and fostered communication among social workers, therapists, hospital staff and patients.
Collaborated with healthcare leaders and physicians to support and offer resources in performance of duties to maintain high-quality and efficient patient care.
Nurse Case Manager
Windsor Gardens Fullerton
Fullerton, CA
07.2017 - 07.2019
Educated patients and caregivers on healthcare protocols and processes.
Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
Managed support services and fostered communication among social workers, therapists, hospital staff and patients.
Collaborated with healthcare leaders and physicians to support and offer resources in performance of duties to maintain high-quality and efficient patient care.
NURSE CASE MANAGER
Gardens Regional Medical Center, Hawaiian
06.2016 - 06.2017
Performs comprehensive review of clinical records, and H&P
Evaluates the skill needs and implementshealthcare plans on appropriate levels of care within the stablish guidelines for individual patient
Builds relations with patient and family while identifying and reports quality of care towards outcomestabilization
Conducts all care management activities., including documentation
Responsible insecuring an authorization for the skilled services necessary to provide to each member of health plan.Windsor Gardens of Fullerton
Fullerton, Ca
Performs comprehensive review of clinical records, and H&P
Evaluates the skill needs and implementshealthcare plans on appropriate levels of care within the stablished guidelines for individual patient
Builds relations with patient and family while identifying and reports quality of care towards outcomestabilization
Conducts all care management activities., including documentation
Responsible insecuring an authorization for the skilled services necessary to provide to each member of health plan.
NURSE CASE MANAGER
Healthcare Partners
01.2016 - 05.2016
Managed support services and fostered communication among social workers, therapists, hospital staff and patients.
Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
Collaborated with healthcare leaders and physicians to support and offer resources in performance of duties to maintain high-quality and efficient patient care.
Educated patients and caregivers on healthcare protocols and processes.
Utilized professional network to increase referrals from [Number] to [Number] in [Timeframe].
PATIENT NURSE CASE MANAGER
Lakewood Healthcare Center
10.2014 - 02.2016
Evaluated referrals from physicians, hospitals, clinics and other sources for appropriateness of services requested.
Monitored patient progress and modified treatment plans as needed.
Prepared medical equipment and tools to aid physician during examination and treatment of patients.
Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
Education
Associate of Science - Vocational Nursing
Summit Career College
Anaheim, CA
04.2008
Bachelor of Science - Industrial Engineering
ADAMSON UNIVERSITY
Manila, Philippines, Philippines
04.1986
Skills
Staff Training
Patient Advocacy
Data Collection
Duty Delegation
Case Management
Certification
AHIP Certified2007 to 20081980 to 1985Life and Health Insurance Licensed Agent
Timeline
Clinical Liaison for Business Development
Providence Health & Services- Saint John Hospital
01.2022 - 02.2023
Charge Nurse and MDS
Palm Terrace Rehabilitation Center, Calle Aragon
10.2020 - 02.2024
Nurse Case Manager
Capistrano Beach Care Center
07.2019 - 09.2020
Nurse Case Manager
Windsor Gardens Fullerton
07.2017 - 07.2019
NURSE CASE MANAGER
Gardens Regional Medical Center, Hawaiian
06.2016 - 06.2017
NURSE CASE MANAGER
Healthcare Partners
01.2016 - 05.2016
PATIENT NURSE CASE MANAGER
Lakewood Healthcare Center
10.2014 - 02.2016
AHIP Certified2007 to 20081980 to 1985Life and Health Insurance Licensed Agent
Associate of Science - Vocational Nursing
Summit Career College
Bachelor of Science - Industrial Engineering
ADAMSON UNIVERSITY
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