Anthony Gabaldon
Riverside,CA
Summary
Case management professional specializing in care coordination and patient advocacy. Expertise in needs assessment and development of tailored care plans that enhance collaboration among healthcare providers, patients, and families. Committed to improving healthcare delivery and community outreach through effective communication and relationship-building.
Overview
28
28
years of professional experience
Work History
Case Manager Medical Surgical / Home Health / Hospice / DME
Riverside Medical Clinic
Riverside, CA
08.2023 - Current
- Facilitated communication among patients, families, acute care nurses, physicians, multidisciplinary teams, and healthcare benefactors to improve care coordination and outcomes.
- Assessed patient needs and developed comprehensive care plans.
- Coordinated patient care and services across multiple departments.
- Enhanced communication between patients, families, and healthcare providers to ensure effective care.
- Participated in the development, implementation, revision, and reporting of the case management program to offer comprehensive support.
Business Development Representative / Community Liaison/ Case Management / Admissions specialist / Utilization review specialist
Pacific Grove Hospital
Riverside, CA
05.2019 - 07.2023
- Connected and built trust with referral sources within the communities, establishing reliable resources for healthcare referral resources.
- Created referrals across a vast network of facilities and resources through relationships.
- Vetted new programs and referral sources while planning public relations and networking events to enhance community engagement.
- Collaborated with other professionals, within the community public and private.
- Facilitated communication with family members to understand their care needs, to identify and secure suitable care options in local regions.
- Presented to city officials on behavioral health, educating the public on available services and resources.
- Requested to speak at multiple events on the subject and services represented by the hospital.
Utilization Review specialist
Pacific Grove Hospital
Riverside, CA
04.2018 - 05.2019
- Advocated for patients by completing live utilization and clinical reviews to rationalize medical necessity.
- Conducted medical audits ensuring compliance with standards and coordinated with social services for effective discharge planning.
- Updated health management system and completed reports, including chart audits for accuracy and compliance.
- Contributed to patient treatment team planning.
Nurse Manager / Utilization Review Documentation
10 Acre Ranch
Riverside, CA
10.2017 - 03.2018
- Managed nursing staff, overseeing interviewing, hiring, orientation, training, and scheduling across all locations.
- Trained staff on documentation practices and assisted in interviewing clinical and support staff.
- Provided education on Disease process for clients in care, arrange MD/PA/ARNP visits and set schedules.
- Conducted performance reviews for nursing staff to assess skills and contributions, fostering professional development.
- Assist in writing policy and procedure for infection control for Accreditation of Joint commission.
Clinic Charge Nurse / Utilization Review Coordinator
West-coast Treatment Center
Lake Elsinore, CA
01.2016 - 10.2017
- Coordinated care for DTX/RTC clients and trained nursing staff to meet DTX/RTC standards.
- Established medication assistance training program for BHT detox, residential, PHP, and IOP.
- Evaluated clients' needs and conditions to determine appropriate care strategies. and reported to medical doctors and physician assistants.
- Participated in interdisciplinary planning meetings.
Nurse Supervisor
10 Acre Ranch Drug/Alcohol Rehab
Riverside, CA
08.2014 - 01.2016
- Educated clients and staff on signs and symptoms of adverse side effects related to medication changes to promote safety and informed decision-making.
- Assessed client reports and completed bi-weekly assessments, assisted with medication administration, and provided medication education to enhance client understanding.
- Interviewed candidates to evaluate qualifications and managed hiring processes to fill positions efficiently, led orientation sessions to integrate new employees into company culture, and provided training on procedures and standards while coordinating nurse scheduling.
Charge Nurse
Riverside Behavioral Healthcare Center
Riverside, CA
04.2014 - 12.2014
- Supervised nursing staff in providing quality patient care and support.
- Delivered treatment and direct patient care, documenting daily nursing notes to track patient status
- Implemented care plans in collaboration with interdisciplinary healthcare teams.
- Coordinated patient admissions and discharges for effective treatment management.
- Conducted weekly assessments to monitor patient progress and needs, Provided crisis intervention support for individuals in distress, Prepared schedule for CANs, Organized medication for patient administration.
Licensed Vocational Nurse
Sunrise Recovery Ranch
Riverside, CA
08.2013 - 11.2014
- Completed intake assessment and coordinated with utilization review nurse to ensure appropriate patient care.
- Communicated with doctor about patient care and secured medication changes to optimize treatment plans.
- Notified medical doctor and scheduled history and physical for timely patient evaluation.
- Attain medication orders and detox protocols for new admits.
Crisis intervention/ Field Nurse LVN
Chapman Skilled Nursing / Hospice care
Riverside, CA
08.2012 - 11.2013
- Conducted weekly visits, ordered medications, and delivered critical care.
- Assessed patient needs and developed personalized care plans for individuals.
- Collaborated with interdisciplinary teams to coordinate comprehensive treatment strategies.
- Delivered compassionate patient care in skilled nursing and hospice environments.
- Educated patients and families on disease processes during consultations.
Sales Representative / Logistic coordinator/ Special projects / Customer service
Speakercraft Inc.
Riverside, CA
09.1998 - 11.2010
- Cultivated strong client relationships to enhance customer satisfaction and loyalty.
- Delivered product presentations to educate clients on features and benefits.
- Collaborated with marketing team to develop promotional materials for new products.
- Managed inventory control processes, ensuring accurate stock levels to support operational needs., variance management, Warehouse coordinator, Vendor negotiations, customer service representative.
- Coordinated conventions for attendees, managing logistics and schedules to enhance attendee experience., Inside sales representative central US territory.
Education
Business management - focus on Marketing and Administration
Riverside community college
01-2023
Licensed Vocational Nurse - IV certified
Concorde Career College
San Bernardino01-2012
Skills
- Care coordination
- Trust building
- Education and training for staff
- Patient education
- Staff training
- Trust building through problem solving
- Care coordination
Timeline
Case Manager Medical Surgical / Home Health / Hospice / DME
Riverside Medical Clinic
08.2023 - Current
Business Development Representative / Community Liaison/ Case Management / Admissions specialist / Utilization review specialist
Pacific Grove Hospital
05.2019 - 07.2023
Utilization Review specialist
Pacific Grove Hospital
04.2018 - 05.2019
Nurse Manager / Utilization Review Documentation
10 Acre Ranch
10.2017 - 03.2018
Clinic Charge Nurse / Utilization Review Coordinator
West-coast Treatment Center
01.2016 - 10.2017
Nurse Supervisor
10 Acre Ranch Drug/Alcohol Rehab
08.2014 - 01.2016
Charge Nurse
Riverside Behavioral Healthcare Center
04.2014 - 12.2014
Licensed Vocational Nurse
Sunrise Recovery Ranch
08.2013 - 11.2014
Crisis intervention/ Field Nurse LVN
Chapman Skilled Nursing / Hospice care
08.2012 - 11.2013
Sales Representative / Logistic coordinator/ Special projects / Customer service
Speakercraft Inc.
09.1998 - 11.2010
Business management - focus on Marketing and Administration
Riverside community college
Licensed Vocational Nurse - IV certified
Concorde Career College