Gloria C. Winne

Recruitment Travel Agency:

• Facilitated timely referrals to alternate levels of care and assisted family or guardian with completion of applications.
• Communicated with referral providers about new referrals and verified receipt of necessary information prior to arrivals.
• Worked with utilization review to establish prior authorization for timely discharges.
• Solved problems related to abrupt changes in discharge, coordinated updates and communicated discharge plans.

• Solved problems related to abrupt changes in discharge, coordinated updates and communicated discharge plans.
• Worked with utilization review to establish prior authorization for timely discharges.
• Communicated with referral providers about new referrals and verified receipt of necessary information prior to arrivals.
• Facilitated timely referrals to alternate levels of care and assisted family or guardian with completion of applications.

• Maintained continuous growth of professional knowledge and competencies through ongoing education opportunities.
• Provided basic educational services to parents and guardians on topics such as child growth and development and special needs.
• Interacted with child welfare personnel and social workers in cases involving concerns about overall well-being.
• Aided in designing healthcare plans for pediatric patients based on individual medical needs and living situations.

• Worked with a multi-disciplinary/Interdisciplinary teams on implementation and evaluation of patient care plans from admission to discharge
• Effectively collaborated with the medical team, family and the patient timely and appropriate patient care/management from admission to discharge
• Responsible for timely regulatory compliance and facilitation of recertification and payor authorization processes, when indicated
• Actively participated in clinical performance improvement activities
• Provided discharge planning and continuity of care for assigned patients in the acute and post- acute setting
• Provided pre-acute and post-acute resources
• Provided coordination of services and acted as key liaison between patient, the family and the interdisciplinary healthcare members.
• Solved problems related to abrupt changes in discharge, coordinated updates and communicated discharge plans.
• Worked with utilization review to establish prior authorization for timely discharges.
• Communicated with referral providers about new referrals and verified receipt of necessary information prior to arrivals.
• Facilitated timely referrals to alternate levels of care and assisted family or guardian with completion of applications.
• Coordinated travel arrangements and contacted family with travel information.
• Worked with medical teams, patients and families to implement effective treatment plans.
• Documented case notes daily and coordinated follow-up for seamless case management.
• Coordinated program referrals for community-based resources.
• Organized clinical documentation, treatment plans, and referrals.
• Coordinated individualized discharge plans to manage safe transition back into community and home environments.
• Provided ongoing counseling to help patients deal with conditions and processes
• Carried out day-day-day duties accurately and efficiently.
• Demonstrated respect, friendliness and willingness to help wherever needed.
• Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.

• Provided support and assisted in the navigation of a managed health plan delivery system
• Delivered multi-layered case management services to all referred members with complex needs
• Provided “whole person care,” including emotional support and understanding of the members’ care need to achieve a dignified and optimum outcome;
• Provided compassionate care while providing heavy nursing education on health condition(s);
• Educated and oriented members on navigation of managed care plan (AAH) by providing guidance on efficient, effective communication with their PCP (Primary Care Provider)
• Gloria Winne
• Educated and expedited referrals to different disciplines and specialty care teams
• Through these efforts, members and their families are knowledgeable and able to manage their health condition(s) and more empowered to do self-care at home discharge
• Specifically educated members on different health plan benefits such as CBAS (Community-
• Based Adult Services), mental health program (Beacon) as well as how to access a state regulated medical necessity transportation and other available community resources.

• Heavy care coordination and communication with multidisciplinary care team and department staff to triage families, help process applications to CCS, specialty referrals/tests, and insurance authorizations of indicated medical studies as well as new medications and refills for patients
• Responsible for communicating to family and schools the care plan provided by Neurologists
• Provided efficient, effective and timely day-to-day management and support to clinicians and clinic staff maintaining a seamless care for patients and families at follow up and urgent clinic visits.
• Educated patients and families on treatment, expected outcomes and discharge instructions, serving as advisory resource to patients and families to facilitate recovery.
• Collaborated with physicians and interdisciplinary teams to devise and manage individualized plans of care.

• Heavy care coordination and communication with multidisciplinary care team and department staff for the patient and family
• Delivered patient and family centered care to post- acute patients from admission to home health to discharge from home health
• Performed management of multidisciplinary and interdisciplinary care coordination according to patient goals and safe self- care capabilities
• Provided education to the patient and family on optimum health, management and maintenance of health as well as safe care in the comfort of their home preventing unnecessary ED visits and readmissions to the hospital.

• A skilled nursing care facility, Final project/Thesis: Quality Process Improvement in Patient Management, Clinical Rotations under a Supervision of a

• Seasonal contractor) o Successfully administered yearly flu vaccines, TST (tuberculin skin test) placements and readings to UCSF employees, volunteers and students.

• QI Program Initiative on Fall prevention (Safety) for hospital admitted patients

• Provided efficient and effective care management and access to local services in the community for the homeless population o, Provided safe care and effective chemotherapy infusion management for veterans battling cancer

• Public Health, , Homeless/Adult Pool