Angela Mayfield, RN
Menifee,CA
Summary
Accomplished Registered Nurse with 18 years of extensive clinical experience in diverse healthcare settings, specializing in acute care, case management, and psychiatric services. Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
14
14
years of professional experience
1
1
Certification
Work History
RN Case Manager
Kaiser Permanente
06.2023 - 02.2024
- Initiate patient assessment within 24 hours of admission to determine needs and barriers to discharge.
- Reduce hospital readmission rates through effective case management and patient education on self-care techniques.
- Collaborate with interdisciplinary teams on patient treatment plans, progress and concerns.
- Coordinate home care, hospital transfers, home infusions and DME delivery to reduce wait times and delay in hospital discharges.
- Facilitate discharged patients received necessary services, resources and referrals for continued care.
Medical Management RN
Elevance Health
04.2021 - 05.2023
- Verify member insurance and eligibility benefits.
- Conduct comprehensive review of elective, emergent and pre-determination cases to assess medical necessity utilizing clinical guidelines, health plan policies, Medicare and Milliman.
- Submit recommendations for denial to Medical Directors and arrange peer to peer review.
- Generate approval, denial and non-covered benefit letters based on case determination.
- Managed 15-20 cases per day from clinical providers.
Medical Surgical RN
UCI Medical Center
03.2014 - 05.2021
- Perform comprehensive physical assessments on newly admitted patients to establish baseline data for ongoing care planning.
- Manage a team of 10 licensed and unlicensed nursing staff as charge nurse on a rotating, assigned basis.
- Evaluate the effectiveness of implemented nursing interventions by closely monitoring patient progress and adjusting care plans accordingly.
- Recognize early warning signs of deteriorating patient conditions, initiating rapid response measures to prevent further complications or emergencies.
- Educate patients on disease processes, treatment options, self-care techniques, and medications to promote informed decision-making..
Psychiatric Intake RN
UCI Medical Center
08.2010 - 03.2014
- Conduct intake assessment through interviews with patient and their family members to obtain a thorough mental and medical history.
- Consult with psychiatrist and other behavioral health staff to initiate an appropriate plan of care for patients.
- Effectively communicate with a variety of patients and maintain a calm demeanor in situations that require safety and tactfulness.
- Engage in crisis interventions to help stabilize and manage the care of acute psychiatric patients.
- Communicate with managed care organizations to obtain insurance pre-authorization prior to admission.
Education
Associate of Applied Science - Registered Nursing
Riverside City College
Riverside, CASkills
- Attention to Detail
- Accurate Documentation
- Critical Thinking
- Discharge Planning
- Utilization Management
- Patient Advocate
- Problem Solving
Certification
- Registered Nurse License (RN) - CA State Board of Nursing.
- Basic Life Support Certification (BLS)
Timeline
RN Case Manager
Kaiser Permanente
06.2023 - 02.2024
Medical Management RN
Elevance Health
04.2021 - 05.2023
Medical Surgical RN
UCI Medical Center
03.2014 - 05.2021
Psychiatric Intake RN
UCI Medical Center
08.2010 - 03.2014
Associate of Applied Science - Registered Nursing
Riverside City College