Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Diane G. Mendiola-Goya

Mililani

Summary

Experienced healthcare professional specializing in patient care coordination and health education. Enhanced population health management through data analysis and reporting while building strong relationships with patients and providers. Focused on improving care quality and outcomes across various clinical settings.

Overview

1
1
Certification
40
40
years of professional experience

Work History

Community Health Coordinator

American Heart Association
Honolulu
03.2023 - Current
  • Coordinated health education programs for diverse community groups.
  • Developed partnerships with local organizations to promote heart health initiatives.
  • Organized community outreach events to raise awareness about cardiovascular diseases.
  • Developed blood pressure training program for dental offices, providing ongoing support and resources to enhance patient care.

Clinical Manager for Occupational Health LPN

Medcor Inc.
McHendry
03.2022 - 03.2024
  • Managed clinic operations for Target warehouse employees, ensuring access to necessary healthcare services.
  • Assessed and reported injuries and illnesses, facilitating timely and appropriate treatment decisions.
  • Conducted safe behavior evaluations of potential injuries and trained employees in CPR certification, promoting workplace safety and preparedness.

COVID tester

Monarch Diagnostics
Irvine
01.2022 - 08.2022
  • Administered COVID tests and managed reporting of positive results for students and staff at private and public schools on Oahu, HI, ensuring adherence to health protocols.
  • Documented test results and maintained detailed records of procedures.
  • Conducted thorough testing of diagnostic equipment and software for accuracy.

LPN for asynchronous/synchronous Virtual Telehealth

Tripler Army Medical Center
Honolulu
05.2020 - 03.2022
  • Assisted WESTPAC patients in accessing appropriate providers for continuity of care.
  • Facilitated provider certification training sessions, improving system knowledge among staff.
  • Administered medications and treatments under physician supervision.
  • Monitored patient vital signs and reported changes to healthcare team.
  • Assisted in patient hygiene, mobility, and daily living activities.

Specimen COVID testing and Intake Specialist

National Kidney Foundation
Honolulu
03.2021 - 08.2021
  • Registered and instructed patients while administering COVID test collection for adults, children, and patients with disabilities to facilitate accurate testing.
  • Conducted patient interviews to gather relevant medical history and information.
  • Reviewed patient documentation for completeness and accuracy prior to processing.

LPN/Quality Improvement Specialist

WellCare Ohana Health
Kapolei
03.2014 - 12.2020
  • Conducted comprehensive medical record reviews and data abstraction during yearly HEDIS measurement period to ensure compliance.
  • Executed member outreach and education initiatives to promote care gap closure.

Clinical LPN

Warrior Ohana Medical Home Army Facility
Kapolei
06.2018 - 10.2018
  • Coordinated patient care and triage, managing referrals, reconciling orders and medications, tracking activities, and ensuring patient compliance with physician care plans.
  • Educated patients on health management and wellness strategies.
  • Educated patients on health management and wellness strategies.

Retrospective Review Nurse

University Health Alliance
Honolulu
03.2006 - 08.2013
  • Organized provider, facility, and ER audits for medical necessity based on CPT, ICD-9, and HCPCS code appropriateness, resulting in successful CPC completion.
  • Provided education and consultation to providers and associates, facilitating mobilization for URAC accreditation achievement.
  • Collaborated with healthcare teams to develop patient care plans.

Prior Authorization Review Nurse

Hawaii Medical Service Association
Honolulu
03.2004 - 07.2005
  • Reviewed and authorized services based on member benefits and medical necessity to ensure appropriate care access.
  • Collaborated with multidisciplinary teams to develop care plans.
  • Included computer skill services with telephonic provider and member education, mobilized to achieve NCQI accreditation.

LPN Quality Improvement Coordinator

Mt Pacific Quality Health Foundation
Honolulu
02.2000 - 03.2004
  • Coordinated Medicaid and Medicare managed care, performed medical coding and abstracted data of quality measures, reviewed records for medical appropriateness per InterQual, and collaborated with partners to enhance medical practices and address beneficiary and family care concerns.
  • Assisted healthcare team in developing patient care plans and interventions.
  • Administered medications and monitored patient responses in clinical settings.
  • Assisted healthcare team in developing patient care plans and interventions.
  • Educated patients on health management and wellness practices effectively.

Clinical LPN

Straub Clinic and Hospital
Honolulu
01.1987 - 01.2000
  • Assisted in surgical procedures and administered medications in various specialties, including Internal Medicine, OB-GYN, Urology, Urgent Care, and Occupational Medicine.
  • Administered medications and monitored patient reactions during care procedures.
  • Assisted with patient assessments and collected vital signs for treatment plans.
  • Coordinated with healthcare teams to ensure effective communication and patient care.

Hospital LPN

Kapiolani Medical Center at Pali Momi
Aiea
01.1994 - 01.1996
  • Administered medications and monitored patient vital signs daily.
  • Administered medications and performed wound care, ensuring quality patient care during pre-operative admissions.
  • Collaborated with healthcare team to develop care plans for patients.
  • Assisted in patient hygiene and comfort to ensure well-being.

Home Health LPN

CareResource Hawaii
Honolulu
01.1992 - 01.1994
  • Delivered comprehensive patient care for private duty nursing, managing tracheotomies, NG/GT care and feeding, medication administration, and patient education while ensuring accurate assessment, documentation, and reporting of patient status.
  • Administered medications to patients in accordance with prescribed care plans.
  • Monitored vital signs and documented changes in patient conditions.
  • Assisted patients with daily living activities and personal hygiene tasks.

Education

Associates Degree -

Leeward Community College
Pearl City, HI
Pearl City, HI

Skills

  • Care coordination
  • Community outreach
  • community health initiatives
  • health program evaluation
  • Education strategies
  • Clinical assessment
  • electronic health records

Certification

  • LPN License
  • Associates Degree
  • Certified Professional Coder (CPC)
  • American Red Cross Instructor
  • Basic Life Support (BLS) current

Timeline

Community Health Coordinator

American Heart Association
03.2023 - Current

Clinical Manager for Occupational Health LPN

Medcor Inc.
03.2022 - 03.2024

COVID tester

Monarch Diagnostics
01.2022 - 08.2022

Specimen COVID testing and Intake Specialist

National Kidney Foundation
03.2021 - 08.2021

LPN for asynchronous/synchronous Virtual Telehealth

Tripler Army Medical Center
05.2020 - 03.2022

Clinical LPN

Warrior Ohana Medical Home Army Facility
06.2018 - 10.2018

LPN/Quality Improvement Specialist

WellCare Ohana Health
03.2014 - 12.2020

Retrospective Review Nurse

University Health Alliance
03.2006 - 08.2013

Prior Authorization Review Nurse

Hawaii Medical Service Association
03.2004 - 07.2005

LPN Quality Improvement Coordinator

Mt Pacific Quality Health Foundation
02.2000 - 03.2004

Hospital LPN

Kapiolani Medical Center at Pali Momi
01.1994 - 01.1996

Home Health LPN

CareResource Hawaii
01.1992 - 01.1994

Clinical LPN

Straub Clinic and Hospital
01.1987 - 01.2000

Associates Degree -

Leeward Community College
Diane G. Mendiola-Goya