Benito Rios
Moreno Valley,CA
Summary
Passionate and dedicated individual seeking a Case Management position. Excellent communication, prioritization and multitasking abilities. Supports professional nursing care across practice setting and continuum of care to meet needs of patient and family. Provides a high degree of personal flexibility and well-developed communication skills to accommodate assignment changes.
Overview
7
7
years of professional experience
5
5
years of post-secondary education
Work History
LVN Nursing Supervisor
Optum - Beaver Medical Group
03.2022 - Current
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Ensured clinics under managed care were in compliance and ready for yearly audits
- Assisted with optimizing workflow s for clinical specialties
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Offered immediate assistance in emergency and to evaluate needs and deliver care.
- Managed staffing
LVN Discharge Coordinator
Riverside University Health System Medical Center
09.2021 - Current
- Ensure patients ready for discharge have appropriate DME, HH, SNF, etc.. arranged with necessary authorization from insurances
- Experience working directly with insurances such as IEHP, Blue cross, Medicare, United healthcare, etc.. to receive authorizations
- Effectively communicate with insurances to ensure authorizations requested align with guidelines and policy requirements
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
LVN Team Lead
Epic Management LP
07.2021 - 03.2022
- Assisted medical staff with processing of referrals, documentation, and prior authorizations to patients' insurance group
- Managed various general office duties such as answering multiple telephone lines, completing insurance forms and speaking with insurances regarding medical/pharmacy coverages
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
LVN Nurse Float
Epic Management LP
01.2020 - 07.2021
- Promoted patient and family teaching to enhance patient understanding of needs and potentially accelerate recovery
- Collaborated with other departments and medical staff to support provision of highest standard for total patient care
- Worked with multidisciplinary team regarding discharge plan
- Documented patient information obtained from questioning concerning symptoms, medications and prior treatment.
- Provided basic patient care and treatment, such as administering rapid tests, perform ECG's, obtaining vital signs, and dressing wounds
LVN Charge Nurse
Blue Jay Manor LLC
06.2019 - 02.2020
- Gathered patient data, cleaned wounds and changed catheters as part of comprehensive support
- Documented patient vitals, behaviors and conditions and communicated concerns to primary physician
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions
LVN Charge Nurse
Elite Health Providers
08.2018 - 09.2019
- Documented patient vitals, behaviors and conditions and communicated concerns to primary physician
- Responded to patient requests with appropriate clinical and personal assistance
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions
- Worked with multidisciplinary team regarding discharge plan
LVN Charge Nurse
Heritage Gardens Healthcare Center
06.2018 - 03.2019
- Established and continuously optimized unit schedules and individual works assignments
- Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Assisted with admissions, appointments, transfers and discharges.
Education
Licensed Vocational Nurse
Concorde Career College
San Bernardino, CA 02.2017 - 03.2018
Associate of Applied Science - Network Systems Administration
ITT-Technical Institute
San Bernardino 08.2012 - 06.2016
Skills
Problem Solving
Staff direction and support
Case Management
Discharge Planning
Computer proficiency with Word and Excel
Direct Patient Care
Policy and procedure adherence
5 Years Experience with EPIC Hyperspace
Patient/Family communication
Timeline
LVN Nursing Supervisor
Optum - Beaver Medical Group
03.2022 - Current
LVN Discharge Coordinator
Riverside University Health System Medical Center
09.2021 - Current
LVN Team Lead
Epic Management LP
07.2021 - 03.2022
LVN Nurse Float
Epic Management LP
01.2020 - 07.2021
LVN Charge Nurse
Blue Jay Manor LLC
06.2019 - 02.2020
LVN Charge Nurse
Elite Health Providers
08.2018 - 09.2019
LVN Charge Nurse
Heritage Gardens Healthcare Center
06.2018 - 03.2019
Licensed Vocational Nurse
Concorde Career College
02.2017 - 03.2018
Associate of Applied Science - Network Systems Administration
ITT-Technical Institute
08.2012 - 06.2016
Similar Profiles
Jennifer JohnsonJennifer Johnson
RN / Charge Nurse at Optum / Beaver Medical GroupRN / Charge Nurse at Optum / Beaver Medical Group
PERLA RODRIGUEZPERLA RODRIGUEZ
Radiology Technologist at Optum/Beaver Medical GroupRadiology Technologist at Optum/Beaver Medical Group
Tina CazaresTina Cazares
Associate Clinical Administrative Coordinator at Optum - Beaver Medical GroupAssociate Clinical Administrative Coordinator at Optum - Beaver Medical Group