Carol A Amaya
Ontario,CA
Summary
Dedicated Licensed Vocational Nurse with 20+ years of nursing experience managing all aspects of patient care in hospital, clinical, and home environments. Knowledgeable Case Manager/Discharge Planner experienced in coordinating care for acute and post-acute individuals. Proactive and resourceful with a strong knowledge of community resources. Strong communicator with a passion for helping others.
Overview
11
11
years of professional experience
1
1
Certification
Work History
LVN III CASE MANAGER ASSISTANT-HOME HEALTH
KAISER PERMANENTE
05.2024 - Current
- Manage all incoming home health referrals for LA Metro, able to sort referrals and prioritize and internalize based on skilled need
- Prioritize all AMCAH referrals and Sepsis referrals
- Assist home health schedulers complete nurses' schedules on a daily basis and meet acuity requirements
- Assign resumption, reauthorization and recertification visits to case managers
- Daily communication with inpatient case managers to assist with arranging next day visits
- Assist case managers ordering lab work via IPPG and assist in ordering supplies via Cardinal
- Triage incoming phone calls from members on home health services and assist with any issues or concerns
- Assure home health referrals meet timeliness criteria
LVN CASE MANAGER/DISCHARGE PLANNER
PIH HEALTH WHITTIER
06.2022 - 05.2024
- Provide discharge planning by collaboratively determining the level of care needs beyond acute care, providing decision support to patients and families and physicians
- Managing patient and family expectations and ensuring a smooth transition to the next level of care and services
- Perform utilization review by using criteria that demonstrate medical necessity to achieve reimbursement for services and ensuring appropriate utilization of hospital resources
- Able to prioritize and delegate work appropriately
- Knowledgeable of medical terminology and current third party payor reimbursement
- Demonstrate sound decision-making and prioritization of skills
- Assist with development of discharge plans, interviewing patient/families and gathering data to develop a safe discharge plan
- Assist with case management referrals and obtaining authorizations for medical needs such as DME(durable medical equipment), Home Health services, pharmaceutical needs, transportation services
- Attends daily unit department rounds with RN charge nurse and unit RNs
- Attends daily hospital physician rounds
- Assist with arranging outpatient services such as Hemodialysis, chemotherapy, physical/occupational services
LVN HOME HEALTH FIELD NURSE\INTAKE COORDINATOR
PIH HEALTH
03.2018 - 05.2022
- Field Nurse: Responsible for managing the care of a group of clients within the home health setting
- Involved in providing skilled nursing care based on patients' individualized care plans and within LVN scope of practice
- Involved in providing education to patients/families based on their individualized care plan
- Evaluated effectiveness of teaching from all patients after providing education
- Electronically documented all findings in the system and sent reports to case managers
- Intake Coordinator: Ensures all intake data for admissions requests are collected and operating procedures and in compliance with all regulatory requirements
- Obtain the necessary information on demographic, financial, clinical, and referral sources to initiate the process
- Coordinating with an appropriate discharge planner with an interdisciplinary health care team to coordinate timely discharge
- Performing verification of Medicare eligibility, Medi-Cal eligibility for home health
LVN HOME HEALTH FIELD NURSE
ST JOSEPH HERITAGE HEALTHCARE
03.2015 - 03.2018
- Responsible for managing the care of a group of clients within the home health setting
- Involved in providing education to clients based on their individualized care plan
- Electronically documented all findings in the system and sent reports to case managers
- Ensured all medications were present and assisted in refilling medications
LVN WOUND CARE NURSE/TRANSITIONAL MEDICAL UNIT
SUNNYSIDE NURSING CENTER
07.2014 - 03.2015
- Assessed wounds and initiated wound care treatments and plans of care for pressure ulcers, surgical sites, vascular ulcers, arterial ulcers, diabetic ulcers, and burns
- Documented weekly required wound tracking and treatment evaluations
- Performed weekly rounds with physicians and nurse practitioners as part of the patient care team
- Conducted treatment and dressing changes to include but not limited to wound vacs and compression bandages
Education
Diploma - Vocational Nursing
Casa Loma College School of Nursing
Los Angeles, CA01-1997
High School Diploma -
Manual Arts High School
Los Angeles, CA06.1995
Skills
- Care Coordination
- Clinical Assessment
- Patient Advocacy
- Interpersonal skills
- Self-motivated
- Effective prioritization
- Independent work
- Team collaboration
- Wound care management
- HIPAA knowledge
- Knowledge of Word
- Knowledge of Excel
- Knowledge of Teams
- Electronic Health Records
- Spanish Speaking
Languages
Spanish
Native or Bilingual
Certification
- Licenced Vocational Nurse (LVN)
- Basic Life Support Certification (BLS)
Timeline
LVN III CASE MANAGER ASSISTANT-HOME HEALTH
KAISER PERMANENTE
05.2024 - Current
LVN CASE MANAGER/DISCHARGE PLANNER
PIH HEALTH WHITTIER
06.2022 - 05.2024
LVN HOME HEALTH FIELD NURSE\INTAKE COORDINATOR
PIH HEALTH
03.2018 - 05.2022
LVN HOME HEALTH FIELD NURSE
ST JOSEPH HERITAGE HEALTHCARE
03.2015 - 03.2018
LVN WOUND CARE NURSE/TRANSITIONAL MEDICAL UNIT
SUNNYSIDE NURSING CENTER
07.2014 - 03.2015
- Licenced Vocational Nurse (LVN)
- Basic Life Support Certification (BLS)
Diploma - Vocational Nursing
Casa Loma College School of Nursing
High School Diploma -
Manual Arts High School
Similar Profiles
Johnica M. BennettJohnica M. Bennett
Director of Midwifery Services at Kaiser Permanente- Mid Atlantic Permanente Medical GroupDirector of Midwifery Services at Kaiser Permanente- Mid Atlantic Permanente Medical Group
MICHAEL NAVAMICHAEL NAVA
Area Director at Kaiser Permanente – The Permanente Medical GroupArea Director at Kaiser Permanente – The Permanente Medical Group
JAMES O'BRIENJAMES O'BRIEN
Family Physician at Northwest Permanente (Kaiser Permanente)Family Physician at Northwest Permanente (Kaiser Permanente)