Cheryl A. Thompson
Gardena,CA
Summary
I am a diversely experienced Vocational Nurse with management/leadership experience with over 22 years of experience in the healthcare industry. I have a great reputation for resolving problems and improving customer satisfaction. I have been a dedicated Healthcare professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
42
42
years of professional experience
Work History
Manager of Clinical Claims Review
Optum
El Segundo, CA
09.2012 - Current
- Developed and implemented variety of department policies and procedures to ensure compliance to agency regulations.
- Recruited, interviewed and hired staff members/nurses when additional talent / skills were required .
- Created work flows and implemented processes for new initiatives.
- Managed team of 11 employees, overseeing appropriate claims review of clinical indications for services rendered retrospectively,conducting periodic training and in -services, as well as promoting /encouraging professional growth of employees.
- Worked in collaborative fashion with Medical Directors and other departments such as utilization management and care management as well as compliance to ensure policies and initiatives were all being implemented in line with each areas regulatory guidelines.
- Used critical thinking to identify issues, break down problems, evaluate solutions and make decisions.
- Offered friendly and efficient service to customers, handled challenging situations with ease.
Registry Nurse
Heartland Nurse Registry
Manhattan Beach, CA
01.2000 - 01.2022
- Conducted rounds with medical staff to promote improved understanding between patients, nursing staff and medical staff to support continued quality of communication and care.
- Collaborated with other departments and medical staff to support provision of highest standard for total patient care.
- Administered and maintained comfort, treatment, medication, intravenous infusion and health care to support patient needs.
- Evaluated patient during admission, hospital stay and through discharge.
- Evaluated patient histories, complaints and current symptoms.
- Monitored patient reactions after administering medications and IV therapies.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Adhered to strict safety measures by carefully determining proper dosages before administering medications.
- Administered medications to 8-10 patients and monitored response to medications.
In Patient Care Manager
Health Care Partners/Physicians Associates
Pasadena, CA
04.2007 - 09.2012
- Coordinated referrals to specialists upon discharge,tertiary hospitalization transfers,post ER visit follow up, DME arrangements and other post discharge services for patients.
- Provided patient/family education regarding various disease process,and post surgical instructions and specialist follow up instructions related to their care.
- Arranged transportation and documented details of discharge transition plans.
- Scheduled surgeries,dialysis ,and other appointments, managed pre-certifications and verified insurance coverage.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Attended and participated in patient multidisciplinary /MD rounds.
- Maintained appropriate timely patient documentation in EMR.
- Schedule and conduct patient and family conferences to discuss transitions in care/discharge needs/planning.
LVN Staff Nurse
Spectrum Healthcare/VA Primary Care Clinic
Santa Fe Springs, CA
01.2005 - 01.2007
- Gathered patient health data through interviews and observation, documenting data in electronic records.
- Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection.
- Coordinated with physicians to perform bedside procedures such as intravenous injections, vascular line insertions and bronchoscopies.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Established staff schedules and assignments based on facility needs and equipment availability.
- Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
- Administered medications via oral, IV and intramuscular injections and monitored responses.
- Ordered, interpreted and evaluated diagnostic tests to identify and assess patient condition.
- Collected blood, tissue and other laboratory specimens and prepared for lab testing.
LVN Detox Nurse
Little Company Of Mary San Pedro Medical Center
San Pedro, CA
01.2002 - 01.2004
- Managed patient care through closely monitoring respiration, blood pressure and blood glucose levels.
- Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Assessed patients' temperature, pulse and blood pressure and recorded in electronic medical records.
- Took samples to complete diagnostic and routine assessment tests.
- Managed various general office duties such as answering multiple telephone lines, completing insurance forms .
- Cared for over 20 ambulatory detox patients each day with quality-driven support.
- Documented accurate and complete patient information to address patient problems and expected outcomes.
- Administered controlled po narcotics to facilitate medical detox.
Charge Nurse
The Rehab Center Of Beverly Hills
Beverly Hills, CA
01.2000 - 01.2001
- Monitored nursing care, patient assessment processes and treatment implementations.
- Documented information in patients' electronic medical record, relaying information to clinicians and care providers to facilitate continuity of care.
- Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Worked with patients diagnosed with chronic obstructive pulmonary disease (COPD), asthma, congestive heart failure (CHF), cerebrovascular accidents (CVA), diabetes or sepsis to asses needs and determine best options for care.
- Managed various medications and treatments such as peritoneal dialysis, oral, subcutaneous, IV infusion and and intramuscular injections.
- Managed JP drains and chest, nasogastric, G and peg tubes.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Education
Vocational Nursing
American Career College
Los Angeles, CA07.1999
Skills
- Written and verbal communication
- Proficient in IDX,Macess, Health Fortis
- Teamwork and Collaboration
- Certified Case Management
- IV/Phlebotomy Certified
- Teambuilding
- Active Listening
- Analytical and Critical Thinking
Timeline
Manager of Clinical Claims Review
Optum
09.2012 - Current
In Patient Care Manager
Health Care Partners/Physicians Associates
04.2007 - 09.2012
LVN Staff Nurse
Spectrum Healthcare/VA Primary Care Clinic
01.2005 - 01.2007
LVN Detox Nurse
Little Company Of Mary San Pedro Medical Center
01.2002 - 01.2004
Registry Nurse
Heartland Nurse Registry
01.2000 - 01.2022
Charge Nurse
The Rehab Center Of Beverly Hills
01.2000 - 01.2001
Vocational Nursing
American Career College