Amanda Pelayo
Health Care Professional
Hemet,CA
Summary
Dedicated and experienced Licensed Vocational Nurse with over 12 years of diverse experience in various healthcare settings including skilled nursing, MDS, wound care, subacute facilities, as well as hospice and home health care. Recently graduated with a Bachelor of Science in Healthcare Administration, I possess a substantial understanding of Medicare/Medicaid guidelines, star ratings, healthcare policies, procedures, and regulatory compliance, and cost containment. My expertise includes navigating the complexities of the healthcare industry, and I am committed to delivering high-quality measures. I am confident in my ability to provide valuable support to any healthcare team and contribute to the overall success of the facility.
Overview
12
12
years of professional experience
1
1
CPR BLS Certification
1
1
IV and Blood Withdrawal
1
1
Annual Blood Borne Pathogens training
1
1
Non Violent physical crisis intervention training
1
1
Ventilator Certification
Work History
MDS Coordinator
Ramona Post Acute and Rehabilitation Center
Hemet , CA
2023.01 - Current
- Determined medical necessity and cost-effectiveness of services through utilization review processes.
- Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
- Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations.
- Remained up-to-date on various benefit plans, medical policies and state-specific clinical guidelines or criteria.
- Collaborated with Interdisciplinary team in group meetings to identify issues and find cost-effective solutions.
- Kept detailed documentation on all utilization reviews by using EHR and EMR software.
LVN Floor Nurse
Devonshire Care Center
Hemet , CA
2022.07 - 2023.01
.
- Assessed patient needs and developed individualized plans of care.
- Monitored vital signs, including temperature, pulse, respiration rate, and blood pressure.
- Observed changes in the condition of patients and reported any significant findings to physicians or other healthcare professionals.
MDS Coordinator
Devonshire Care Center
Hemet , CA
2021.07 - 2022.02
- Helped develop comprehensive resident assessment and care plans for 99-bed facility.
- Created and implemented care plans after reviewing patients' imaging and test results, working closely with other members of interdisciplinary team.
- Collaborated with interdisciplinary healthcare professionals to develop and modify individualized care plans for patients in multiple units.
LVN Manager
Congregate San Jacinto
San Jacinto , CA
2019.08 - 2020.05
- Collaborated with interdisciplinary healthcare team plan and implement effective treatment plans.
- Worked as a nurse supervisor as well as in case management obtaining insurance authorizations, including faxing necessary clinical documentation for review.
- Monitored patients, administered medications, ventilator and tracheostomy care, Foley catheter insertions, and wound care.
LVN School Nurse
Maxim Healthcare
Palm Desert , CA
2019.01 - 2019.07
LVN Superviors/MDS Coordinator
San Jacinto HealthCare
Hemet , CA
2017.04 - 2018.11
LVN Nurse Supervisor
LVN Manor Care Hemet
Hemet , CA
2012.06 - 2017.04
Education
Bachelor of Science - Healthcare Administration
Grand Canyon University
2024-09
Vocational Training - LVN
Beaumont Licensed Vocation Nursing School
2011-10
Skills
- Assisting in the overall management of the skilled nursing home operations, ensuring compliance with applicable laws, regulations, and company policies
- Support the implementation of facility wide strategies and policies to improve quality of care, resident satisfaction, and operational efficiency.
- Oversee various administrative functions, including finance, Human Resources, facilities management, and procurement.
- Collaborate with department heads to monitor performance, address issues promptly, and foster a culture of continuous improvement.
- Assist in preparing and managing the facility's budget, ensuring financial stability and resource optimization.
- Participate in the recruitment, training, and development of staff, emphasizing high standards of care, professionalism, and ethical coduct.
- Serve as a liaison with residents, families, community organizations, and regulatory agencies to maintain positive relationships and compliance with regulations.
- Lean Six Sigma Operation awareness
Certification
- IV and Blood withdrawal certification
- CPR certification
- I Annual Blood Borne Pathogens training
- Non Violent physical Crisis Intervention training
- Ventilator certification
Work Preference
Work Type
Full TimePart TimeInternshipWork Location
On-SiteRemoteHybridImportant To Me
Career advancementCompany CultureWork-life balancePersonal development programsHealthcare benefitsWork from home optionTeam Building / Company RetreatsPaid sick leave401k matchTimeline
MDS Coordinator
Ramona Post Acute and Rehabilitation Center
2023.01 - Current
LVN Floor Nurse
Devonshire Care Center
2022.07 - 2023.01
MDS Coordinator
Devonshire Care Center
2021.07 - 2022.02
LVN Manager
Congregate San Jacinto
2019.08 - 2020.05
LVN School Nurse
Maxim Healthcare
2019.01 - 2019.07
LVN Superviors/MDS Coordinator
San Jacinto HealthCare
2017.04 - 2018.11
LVN Nurse Supervisor
LVN Manor Care Hemet
2012.06 - 2017.04
- IV and Blood withdrawal certification
- CPR certification
- I Annual Blood Borne Pathogens training
- Non Violent physical Crisis Intervention training
- Ventilator certification
Bachelor of Science - Healthcare Administration
Grand Canyon University
Vocational Training - LVN
Beaumont Licensed Vocation Nursing School
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