Imelda Samonte

Perform daily pre-admission, admission and concurrent review using guidelines (MCG and Interqual) and other information to determine appropriate level of care and readiness for discharge.

Managed 14 to 18 patients for Utilization reviews, Case Management and discharge plannings.

Participate in disciplinary rounding and gave input to shorten length of stay.

Collaborate with and provide information to patients, families and physicians regarding discharge planning and transition.

Educated patients on available community resources and how to access them effectively to prevent re-admission.

Coordinated meetings between patients, family members and other health care providers involved in treatment process to lower length of stay.

Met directly with patient to assess needs and develop individualized continuing care plan in collaboration with physician.

Collaborated closely with treatment teams to appropriately coordinate client care services.

Facilitated referrals to community resources for support services.

Establish partnership with high volume health plan including weekly calls to decrease denials, enhance communication, and to optimize timely authorization and insure re-imbursement.

Worked with senior physician leaders when physician to physician conversation will require (Escalated cases to senior physician when MD to MD conversation is required).

Evaluate patient care data to ensure that care is provided in accordance with clinical guidelines and organizational standard.

Collaborate with physician and department director to the development and improvement of clinical care pathway that enhance cost effectiveness while providing quality care.

Provide support to Department Director in resolving issues in length of stay and utilization review.

Establish a partnership with the physician to improve clinical documentation, reduce length of stay, and ensuring a safe discharge to the next level of care.

Lead team with goal of care discussion with patients family to lower length of stay.

Worked closely with physician and nursing staff to improve and efficiently discharge patients and bed patients to floor without delay in service.

Worked with community partners to assist patient in safe and appropriate next level of care.

Coordinate with physician and other department to achieve the goals of reducing length of stay without compromising quality of care and services provided to the patients.

Support ED staff and physician in identifying unnecessary admission.

Establish protocol for case management documentation, advised and support physician regarding documentation to support inpatient stay.

Managed day-to-day workflow within department, delegating tasks appropriately when necessary

Coordinated patient care activities between medical teams, providing guidance and support to nursing staff members.

Utilized strong communication skills to collaborate effectively with staff, physicians and other healthcare professionals.

Ensured compliance with all applicable state and federal laws governing health care facilities.

Assisted with recruitment efforts by interviewing potential candidates for open positions in Nursing Department.

Reviewed incident reports submitted by nursing staff members, taking corrective action when necessary.

Initiated process improvements to enhance operational effectiveness while maintaining quality control standards.

Demonstrated expertise in developing and managing nursing staff, ensuring high quality patient care.

Participated in strategic planning initiatives to promote growth within the organization.

Established clinical direction for nursing care delivery, providing clinical supervision and maintaining quality outcomes.

Advocated for patients and families, liaising with multidisciplinary teams.

Cooperated with other healthcare professionals to develop and implement policies and procedures that promote patient safety and quality of care.

Developed comprehensive system for tracking MDS completion deadlines, ensuring timely submissions and minimizing risk of financial penalties.

Led weekly utilization review to go over recent clinical activities.

Collaborated closely with therapy departments to accurately capture rehabilitation needs within MDS documentation, supporting appropriate resource allocation for residents'' needs.

Collaborate with physical therapist on patient level of care and readiness for discharge.

Identifying patients acuity,helping to determine specific care needs, communicating on needs and expectation to patients and their responsible parties.

Assist in development and implementation of policies and procedure for identification and treatment of medical needs of patient.

Participated in team meetings to discuss case management strategies for individual cases.