Ellen Jane Ng

• Provided patient care and education to patients with chronic illnesses.
• Assessed, planned, implemented and evaluated nursing care for assigned patients.
• Performed triage assessments of walk-in patients in a clinic setting.
• Administered medications and treatments according to physician orders.
• Monitored vital signs, administered injections, and provided assistance with medical procedures.
• Documented patient progress notes accurately and efficiently in the electronic medical record system.
• Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
• Instructed patients on proper self-care techniques at home following discharge from the hospital.
• Participated in multidisciplinary team meetings to discuss patient care plans.
• Ensured compliance with standards of professional practice as well as state and federal regulations related to health care delivery services.
• Demonstrated knowledge of current trends in nursing practices by attending continuing education classes or seminars.
• Actively participated in quality improvement initiatives within the department.
• Utilized critical thinking skills to assess clinical situations quickly and accurately.
• Maintained a safe environment for all patients by adhering to infection control policies and procedures.
• Provided emotional support and comfort to families during difficult times.
• Counseled patients regarding medication side effects or lifestyle changes necessary for improved health outcomes.
• Assisted physicians during examinations or surgical procedures.
• Developed educational materials for use in teaching sessions with patients or their families.
• Coordinated discharge planning activities including arranging follow up appointments or referrals for additional services.
• Evaluated effectiveness of interventions through ongoing assessment of patient responses.
• Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with non-invasive procedures.
• Administered medications and treatments, monitoring patients for reactions and side effects.
• Adhered to infection control procedures to facilitate safe, clean patient environment.
• Evaluated patients, recognized and addressed complications and coordinated treatment with other members of critical care team.
• Maintained thorough, accurate and confidential documentation in electronic medical records.
• Acted as patient advocate and implemented total patient care through team nursing process.
• Recorded patient condition, vital signs, recovery progress and medication side effects.
• Monitored and managed various treatment and care interventions.
• Advocated for patients by supporting and respecting basic rights, values, and beliefs.

Handles inbound customer service support calls from the customers as well as outbound for follow-ups. Work in a spirit of teamwork and cooperation, convey a sense of competence and commitment, use initiative to learn new skills, enhance personal knowledge and improve communications, demonstrate an ability to work well with team members, communicate a willingness to help other succeed and share workspace and resources as necessary.

Case management, care coordination and/or utilization management and is responsible for reviewing patient medical records to determine medical necessity and when necessarywill communicate directly with patient’s insurance provider.

• Performing Pre-Admission, Admission, Payor Notification, Continued Stay, and/or Retro-Authorization reviews per policy and procedure.

• Responsible for promptly communicating with the team and leaders as requested regarding projects or cases assigned.

• Addressing and rectifying any client complaints as assigned.

• Staying abreast of relevant diagnostics, interventions, and pharmacological advances in medicine. As well as completing assigned education modules and trainings.

Monitors process transactions to ensure client standards are met as well as process improvement opportunities identified.

• Track process transactions and implement sampling methodology

• Audit client clinical claims review functions per process guidelines

• Providing event-based and frequency-based feedback to stakeholders

• Communicate case consults to Quality Management team both internally and client level

• Assisting operations in identifying training needs and process level issues that can help improve performance

• Ensure that rebuttal process is followed. This includes calls with client supervisors and managers both on quality and operations side

• Participate in monthly inter-rater reliability tests to ensure process calibration

• Attend team meetings both internal and client level. This includes reporting quality trends and other client requested data, discussion of workflow, policies, procedures and initiatives

• Brief new agents joining the process and explain how the quality function operates in the process

• Assist with preparation of quarterly/monthly/annual quality reports

• Establish effective rapport with clients and stakeholders

Provides utilization management services and support to health insurance members and health care providers. Evaluates medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of the applicable health benefits plan.

• Consistently demonstrating excellence in quality assurance evaluations of work production.

• Taking initiative to work as a team with other nurses in meeting production goals.

• Collaborating with leadership and management in improvement measures for work processes.

• Review medical records and past medical treatment on medical necessity, level of care, length of stay, and authorization denials for hospitalized patients.

• Determined the medical necessity of requests by performing first level reviews using approved evidence based guidelines/criteria.

Plays a key role as part of multi-disciplinary team. Is responsible to coordinate, leads and supervise patient care delivery in a manner that reflects professional nursing practice and a team approach providing care to patients and families. Assesses the ongoing patient needs, identify areas of concerns and make recommendations to the RN1 and/or Head Nurse. Also performs in a manner consistent with mission and vision of the Institution and the Nursing Department.

edical Department

Responsible for total patient care including medications, orders and treatments. Assist with the physicians in performing special procedures. Under the direction of a Senior Nurse InCharge. Accepts the delegated tasks assigned by the senior nurse.

Emergency Room Department

As an ER Nurse, provides total nursing care to the assigned patients; this involves planning, administering and evaluation of nursing care rendered to assigned patients. Also administers all treatments and medications and maintains complete and accurate records of nursing assessments and nursing care. Functions also as part of the ambulance conduction team providing a comprehensive pre-hospital care and clinical assessment service.