Accomplished RN Case Manager at St Francis Medical Center with expertise in utilization review and care coordination .I Enhanced patient outcomes by reducing hospital readmission rates and improving satisfaction scores. Proficient in medical documentation and communication, fostering collaboration among healthcare teams. Recognized for strong clinical judgment and regulatory compliance.
Overview
3
3
years of professional experience
1
1
Certification
Work History
RN Case Manager
St Francis Medical Center
Los Angeles, CA
05.2025 - Current
Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
Educated patients and families on available community resources, facilitating access to necessary support services.
Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.
Advocated for patients' rights and preferences, working diligently to align care with individual values and goals.
Improved patient satisfaction scores by providing timely follow-ups and addressing concerns promptly.
Registered Nurse
Us Renal Care
Los Angeles
06.2023 - 04.2025
Utilized critical thinking skills to prioritize nursing interventions based on patients' acuity levels and individual needs.
Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
Maintained accurate medical records and treatment logs, ensuring compliance with regulatory standards and ensuring seamless patient transitions between care providers.
Registered Nurse Case Manager
Us Renal Care
Los Angeles, CA
06.2023 - 04.2025
Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
Registered Nurse, NICU
Dignity Health
Los Angeles
12.2022 - 06.2023
Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
Education
Bachelor Of Nursing - Nursing
Mount Saint Mary's
Los Angeles, CA
09.2022
Skills
Utilization Review: Expertise in evaluating the medical necessity and appropriateness of treatments and ensuring payer compliance
Dialysis Knowledge: In-depth understanding of dialysis procedures, complications, and treatment plans
Medical Documentation: Proficient in clinical documentation
Insurance Knowledge: Familiar with Medicare, Medicaid, and private payer policies
Communication: Excellent written and verbal communication skills for collaborating with healthcare providers, patients, and insurance companies
Clinical Judgment: Strong critical thinking and problem-solving skills in evaluating treatment plans for optimal patient care
Regulatory Compliance: Knowledgeable in healthcare regulations, including HIPAA
Software Proficiency: Experience with electronic health records (EHR),EPIC and medical management
Precepting & clinical skills coaching for nursing support staff