Jacqueline Villacorta

Patient Care: Rooming, Triage Support, Wound Care, Patient & Family Education. Injections & Immunizations: Subcutaneous (SQ) & Intramuscular (IM) Injections, Vaccine Calendars. Diagnostics & Vitals: Blood Pressure, Heart Rate, Respiration, Temp, SpO2, Point-of-Care Testing. Systems & Admin: Electronic Health Records (EHR/EMR), HIPAA Compliance, Care Coordinating.

Interpersonal: Team Collaboration, Conflict Resolution, Empathetic Communication

• Provide nursing care and services for each resident, according to the comprehensive plan of care and under the direction of the primary care physician. Work in cooperation with the team and all departments to ensure the provision of quality care and to ensure the highest degree of resident and family satisfaction. Attend to residents, family and responsible parties in a responsible and pro-active manner, addressing concerns and requests in a timely manner. Receive and transcribe physician's orders on the physician order sheet and the medication administration record (MAR). Ensure each medication order includes diagnosis and is it written. Follow telephone order procedures. Document physician contact as part of progress note. Order new and refill medications. Monitor residents for any change in condition. Provide urgent/first aid care and report to MD for action. Complete License Nurse Observation and Skin Report forms; provide for 72-hour monitoring and documentation. Aware of Advance Directive and End of Life resident instructions and related physician orders. Monitor and provide for resident safety needs, concerns and issues. Support a restraint free environment. Adhere to abuse prevention policy and procedures. Follow State Mandated Reporting requirements. Report concerns to proper department and/or Administration. Comply with infection control and prevention policy and procedures.

• Responsible for billing and collection of MediCal and CCS claims. Respond to denials, RTD’s and resolve problems regarding billing and collection matters. Billing and Collections; Request and get approval on retro TARs. Perform telephone, email, and written inquiries with patients, other departments, CCS Counties, Medi-Cal Field Offices, LTC’s, and EDS, to promote closure of accounts.

• Provide excellent customer service to patients, providers, and clinic staff. Facilitated patient appointment scheduling, ensuring timely access to care and enhancing overall patient satisfaction. Reviewed clinical triage outcomes to inform next steps, contributing to improved patient flow and effective care delivery. Updated patient and insurance information in CHLA systems, improving data accuracy and streamlining administrative processes. Coordinated with clinic staff to deliver exceptional customer service, fostering a welcoming environment for patients. Engaged with patients and providers through effective communication, building trust and enhancing the patient experience. Facilitated patient appointment scheduling, ensuring timely access to care and enhancing overall patient satisfaction.

• Ensure financial clearance of patient accounts. Submit pre-certification documentation to third-party payers. Streamlined the insurance verification process, enhancing financial clearance efficiency and significantly reducing processing delays for patient accounts. Analyzed trends in authorization denials, leading to targeted training for staff and improved submission accuracy, resulting in fewer denials. Fostered strong communication with parents and clinics, ensuring timely updates on insurance status, which strengthened trust and satisfaction. Implemented a proactive follow-up system for denied authorizations, effectively increasing approval rates and minimizing patient care interruptions. Maintained accurate patient records in the STAR system, ensuring compliance with documentation standards and facilitating seamless authorization processes.

• Collections; claims follow-up, denials, RTDs CHDP Billing/Payment posting. Facilitated patient check-in processes, ensuring a welcoming environment and enhancing overall patient experience. Streamlined appointment scheduling to reduce wait times, resulting in improved patient flow and satisfaction. Verified insurance eligibility and benefits efficiently, minimizing claim denials and ensuring timely reimbursements. Coordinated with healthcare providers to manage referrals and authorizations, ensuring seamless patient care transitions. Implemented a digital tracking system for medical records requests, significantly reducing processing time and enhancing accuracy. Enhanced patient intake procedures, ensuring accurate data collection and contributing to improved patient satisfaction.

• Assisted with medication administration and vitals

• Assisted with activities of daily living, including grooming, dressing, and feeding to ensure patient comfort of pediatric patients.

• Take vitals, administered oral medications, wound care and head-to-toe assessments.

• Take vitals, administered oral medications, wound care and head-to-toe assessments.

• Take vitals and administered oral medications.

• Assisted with activities of daily living, including grooming, dressing, and feeding to ensure patient comfort.