Gavin L Delgado
Hanover Park,IL
Summary
Experienced healthcare professional specializing in patient navigation and care coordination. Known for improving patient outcomes through clear communication and resource management. Proven track record of collaborating effectively with teams to achieve measurable results and adapt to changing healthcare demands.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Nurse Navigator - Provider Relations
Presence Holy Family Medical Center
05.2020 - Current
- Provide education and guidance to providers, patients, and family members through the continuum of care while transitioning from short term acute care setting to a long term acute care setting.
- Review clinical documentation from a variety of electronic record systems or fax transmitted referral packets.
- Evaluate patients clinical status against established CMS guidelines for placement in the LTACH environment.
- Attend multidisciplinary meetings to assist hospital care teams with discharge planning.
- Provide support and guidance to case management teams when determining patient criteria for LTACH placement.
- Act as an intermediary between insurance providers and acute hospitals with regard to clinical documentation needs and clinical picture clarity.
Utilization Review Registered Nurse
Loyola University Medical Center / Gottlieb Memorial Hospital
10.2017 - 02.2020
- Using clinical knowledge and critical thinking to review documentation of patients stay to evaluate appropriate level of care as it relates to diagnosis and treatments.
- Prepare and communicate review reports to insurance providers for approval for bed days.
- Review and evaluate level of care for surgical procedures prior to admission to the hospital.
- Communicate regularly with all aspects of the admitting team including pre-certification, Coding, and admitting physician clinics.
- Maintain communication with care team to maintain discharge planning communication with insurance providers and case managers.
- Enter and change admission orders on behalf of physicians with recommendations of department Medical Director.
RN Floor Nurse
Loyola University Medical Center
04.2014 - 10.2017
- Utilized Epic to document nursing assessments, treatments, medications and discharge instructions.
- Provided effective patient education, ensuring understanding of medical conditions and treatment protocols for better self management.
- Communicated effectively with patients and family members to convey important instructions and discuss treatments.
- Promoted a safe environment by consistently adhering to infection control policies and procedures.
- Collaborated with healthcare team members to assess, implement and evaluate nursing care plans.
- Delivered treatments and direct nursing care according to physicians' orders within the Hepatology environment.
- Established compassionate environment by providing psychological, emotional and spiritual support to patients and families.
Registered Nurse
Community Nursing and Rehabilitation Center
11.2013 - 04.2014
- Provided patient centered care for 19-60 residents in a busy sub-acute / long term care facility.
- Assist residents with healing and recovery after surgery, cardiac biliary, gastrointestinal, neurological, and other chronic disease processes.
- Provide pain management and medication administration by facility schedule with evaluation of effectiveness and signs of adverse reactions.
- Administer intravenous medications including TPN, antibiotics, and monitoring of PCA pumps.
- Experience with total body assessment, wound treatments, central line assessment, maintenance, and access.
- Provide necessary health education and training for residents and family members.
- Maintain communication with medical staff and supervisors during acute symptom onset and documentation of interactions and orders.
Student Nurse
College of Dupage
05.2010 - 05.2013
- Education via theoretical and practical skills needed for a Registered Nurse through class lecture, labs, patient care simulations, and clinical experiences.
- Working with RN's, both instructors and preceptors in the clinical settings, gained the basic knowledge of patient care, documentation, nursing diagnosis, and medication administration.
Surgical Technologist
Advocate Illinois Masonic Medical Center
04.2009 - 04.2010
- Perform a variety of tasks under general supervision of both nursing and physician.
- Provide patient advocacy during surgeries throughout all services except open heart.
- Served on the Good Will Committee; providing good communication between all departments that exist within the operating room.
Education
Associate of Science - Nursing
College of DuPage
Glen Ellyn, IL05-2013
Skills
- Organizational skills
- Patient education
- Patient confidentiality
- Clinical assessment
- Patient documentation
- CPR certified
- Nursing expertise
- Ethical practice
- Resource utilization
- Multidisciplinary communication
- Diagnosis explanation
- Teamwork and collaboration
Certification
- Current BLS certification
Languages
English
Timeline
Nurse Navigator - Provider Relations
Presence Holy Family Medical Center
05.2020 - Current
Utilization Review Registered Nurse
Loyola University Medical Center / Gottlieb Memorial Hospital
10.2017 - 02.2020
RN Floor Nurse
Loyola University Medical Center
04.2014 - 10.2017
Registered Nurse
Community Nursing and Rehabilitation Center
11.2013 - 04.2014
Student Nurse
College of Dupage
05.2010 - 05.2013
Surgical Technologist
Advocate Illinois Masonic Medical Center
04.2009 - 04.2010
Associate of Science - Nursing
College of DuPage
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