Crystal Diaz
Summary
Accomplished Licensed Vocational Nurse leverages critical thinking, analysis and medical knowledge to deliver superior care in high-pressure environments. Collaborates with physicians and multidisciplinary team members, restoring patients' health through nursing and health education processes. Maintains positive attitude in urgent, stressful situations.
Overview
5
5
years of professional experience
1
1
Certification
Work History
LVN Charge Nurse
All American Healthcare Services Inc
05.2021 - Current
- Experience with skilled nursing facilities, colostomy care, trach care, bolus feedings, catheter, tubes, iv certification, wound care
- Performed patient assessments, developed individualized care plans, and monitored progress.
- Coordinated with other members of the healthcare team to ensure proper implementation of treatment plans for patients.
Care Manager
Independent Living Systems, ILS
Riverside
12.2024 - 05.2025
- Managed a caseload of health plan members with complex medical, behavioral health, and social service needs.
- Conducted comprehensive health risk assessments and developed individualized care plans to improve health outcomes.
- Coordinated care across primary care providers, specialists, and community resources.
- Performed telephonic outreach and follow-up to ensure members received appropriate preventive and ongoing medical services.
- Monitored member progress toward care plan goals and updated interventions based on clinical needs.
- Reviewed medical records, and treatment plans to identify gaps in care and opportunities for intervention.
- Facilitated transitions of care following hospitalizations, emergency room .
- Educated members and caregivers regarding disease management, medication adherence, and available healthcare resources.
- Collaborated with interdisciplinary teams to address medical, behavioral, and psychosocial barriers to care.
- Documented assessments, care plans, interventions, and outcomes in accordance with regulatory and health plan requirements.
- Assisted with utilization management activities, prior authorizations, and coordination of medically necessary services.
- Maintained compliance with CMS, Medi-Cal, and health plan policies while advocating for member-centered care.
LVN Nurse
ODR LA DHS COUNTY
Los Angeles
06.2024 - 11.2024
- I provide long-acting injections to inmates at the correctional facilities of Los Angeles County jails
- Also provide assistance with submitting prior authorizations for medications submitting documentation and consents force antipsychotic medications Provide well checks2 patients incarcerated any needing an assistance Provide clinical care in incarceration and court setting By administering injections
- Verified insurance authorizations with payers via telephone or web-based systems.
- Processed prior authorization requests in accordance with departmental guidelines.
Lvn
Loma Linda University Health
Loma Linda
03.2023 - 09.2023
- Referrals, medication refills, iv certification, acls, pals, bls, med pass, gtubes, bolus feedings, catheter, injections, supervising staff, evaluation, patient education and teaching
- Provided direct patient care by taking vital signs, administering medications and treatments, and providing wound care.
- Performed routine diagnostic tests such as EKG's, urinalysis and blood draws.
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Coordinated with other departments to obtain additional information needed for prior authorization.
- Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
- Researched clinical criteria and determined eligibility for requested services based on plan provisions.
LVN Nurse
AltaMed
Garden Grove
04.2021 - 08.2022
- Managed critical obligations including blood draws, pap smears, and patient triage.
- Reviewed and approved authorization requests according to established criteria.
- Processed incoming authorization requests and updated customer accounts accordingly.
- Provided guidance and direction on how to complete authorization forms correctly.
- Managed workflow processes for authorization requests, including routing documents and tracking progress.
LVN Charge Nurse
Orange Healthcare & Wellness Centre
Orange
01.2021 - 03.2021
- Charge/admissions nurse, performed blood sugar checks daily, straight catheters daily, passed medications daily, performed head to toe assessments daily, daily charting on change of conditions, weekly, and other charting as needed per pt
- Performed G-tube, colostomy and kangaroo feedings, IV and blood draw if needed
- Other duties as needed
Education
Vocational Nurse Diploma - Nursing
Concorde Career College
Garden Grove, CA02-2020
High school diploma -
Rancho High School
Garden Grove, CASkills
- EMR Systems
- Time management
- Epic
- Medical Office Experience
- Utilization management
- Medical Records
- Patient Care
- Care plans
- Bilingual
- Phone Etiquette
- Customer service
- Documentation review
- Medical terminology
- Medical records
- Teaching
Certification
- Lvn
- Expires: March2025
- State: CA
- IV Certification May2021 to Present
- BLS Certification
- AED Certification
- CPR Certification
- Licensed Psychiatric Technician
- Advanced Cardiovascular Life Support (ACLS) September2022
- PALS September2022
- ACLS Certification
Languages
English - Expert, Spanish - Fluent
Timeline
Care Manager
Independent Living Systems, ILS
12.2024 - 05.2025
LVN Nurse
ODR LA DHS COUNTY
06.2024 - 11.2024
Lvn
Loma Linda University Health
03.2023 - 09.2023
LVN Charge Nurse
All American Healthcare Services Inc
05.2021 - Current
LVN Nurse
AltaMed
04.2021 - 08.2022
LVN Charge Nurse
Orange Healthcare & Wellness Centre
01.2021 - 03.2021
Vocational Nurse Diploma - Nursing
Concorde Career College
High school diploma -
Rancho High School