Donna Allen
Murrieta,California
Summary
I am a Healthcare Professional with a positive track record in conducting comprehensive initial assessments to identify patient needs for discharge planning. Extensive experience in facilitating HLOC transfers, obtaining insurance authorizations, and navigating InterQual criteria. Skilled in collaborating with Kaiser case managers to streamline patient discharge processes and ensure smooth transitions back to Kaiser facilities. Committed to enhancing patient care through effective communication and strategic planning.
Overview
13
13
years of professional experience
Work History
RN Case Manager
Riverside Community Hospital
04.2021 - Current
- Secured insurance authorizations for placement in rehabilitation facilities or long-term care placement.
- Actively participated in family and patient planning processes.
- Assessed and reviewed patients for discharge and planning and integrated services for patients requiring home care, home infusion and durable medical equipment (DME).
- Collaborated with physicians during medical rounds, updated treatment plans and provided plan of care to patients and families.
- Advocated for patients by identifying insurance coverage, communicating care preferences to practitioners and verifying interventions met patients' treatment goals.
RN Case Manager
Hemet Hospital
10.2019 - 06.2025
- Coordinated with Clinical Social Worker and Medical Staff for safe effective patient discharge and placement.
- Determining patient's admission status using the InterQual system
- Utilization Review for Medicare IEHP and various Insurance Companies
- Collaborated with various healthcare providers to facilitate delivery of services.
- Coordinated support services and optimized communication between healthcare workers and patients.
- Coordinated with DC planner to facilitate home care, home infusion, and durable medical equipment.
- Obtained recommendations for inpatient or outpatient level of care by discussing cases with physician advisor.
RN Staff Nurse
Inland Valley Hospital
07.2015 - 10.2019
- Monitored and educated nursing students and externs on proper care procedures and prioritization strategies.
- Promoted healthy lifestyle choices to reduce re-emergence of painful or dangerous symptoms.
- Answered patient questions and provided take-home materials for further information.
- Administered oral, intramuscular and IV medications to patients and monitored responses.
- Reviewed physician orders and administered therapies, treatments and medications.
- Collaborated with interdisciplinary healthcare professionals to create, implement and adapt individualized care plans.
- Reviewed physician orders and participated in medication management to optimize patient safety.
- Prioritized patient care assignments based on patient conditions to achieve optimal outcomes.
- Communicated effectively with physicians and provided support during surgical procedures.
Oncology Staff Registered Nurse
Loma Linda University Medical Center Murrieta
07.2012 - 06.2015
- Wrote detailed notes regarding patient discussions, including information in patient charts.
- Communicated with primary care physicians or emergency care providers to relay patient needs.
- Administered oral, intramuscular and IV medications to patients and monitored responses.
- Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services.
- Answered patient questions and provided take-home materials for further information.
- Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
Education
Associate of Science - Nursing
College Of The Desert
Palm Desert, CASkills
- Proficient in InterQual guidelines
- strong multitasking skills
- Patient health assessment
- Emotional awareness
- Health education support
- Detailed documentation practices
- Team-based decision making
- Client needs evaluation
Education and Training
other
Timeline
RN Case Manager
Riverside Community Hospital
04.2021 - Current
RN Case Manager
Hemet Hospital
10.2019 - 06.2025
RN Staff Nurse
Inland Valley Hospital
07.2015 - 10.2019
Oncology Staff Registered Nurse
Loma Linda University Medical Center Murrieta
07.2012 - 06.2015
Associate of Science - Nursing
College Of The Desert
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