Jadelyn Velez
Hilo,USA
Summary
Dynamic Licensed Practical Nurse with extensive experience at the Department of Veterans Affairs, excelling in clinical documentation and interdisciplinary collaboration. Proven ability to streamline referral authorization processes, enhancing patient care delivery. Skilled in EMR software, ensuring accurate health records while fostering strong communication with healthcare teams to achieve optimal treatment outcomes.
Overview
12
12
years of professional experience
Work History
Licensed Practical Nurse (PACT)
Department of Veterans Affairs
Hilo, USA
07.2023 - Current
- Deliver comprehensive patient-centered care in PACT setting, coordinating with healthcare teams to ensure optimal treatment outcomes and veterans' well-being.
- Monitor vital signs, administer medications, and maintain accurate medical records while ensuring precise documentation and regulatory compliance.
- Partner with interdisciplinary teams to develop and execute personalized care plans, ensuring seamless communication between healthcare providers.
- Document medical findings and interventions in EMR systems, ensuring accurate tracking of veteran health progression.
- Inputs consults for specialty services such as laboratory and radiology services, issuance of blood pressure monitor or compression stockings.
- Reviews updated authorization status of consults and referrals and assures the veteran attends the appointments.
- Request medical notes and procedures from various medical offices and hospitals prior to office visit with primary care provider.
- Assigns proper ICD-10 and CPT codes to visits.
- Streamline medication administration processes and vital sign monitoring protocols.
- Utilized computer technology to ensure continuity of care across all medical personnel and teams.
Senior Advocate4Me Representative (DSNP)
United HealthCare
Hilo, USA
05.2020 - 09.2022
- Outreached to 600+ individuals that were participants in the UHC Medicare/Medicaid Health Plans.
- Answered inbound call queue and addressed various needs according to priority.
- Managed complex healthcare inquiries for dual-eligible members, resolving critical insurance matters and coordinating with medical providers to ensure optimal care delivery.
- Verified and updated demographics and insurance information.
- Performed complex insurance eligibility.
- Utilized numerous systems simultaneously to perform and document all tasks in accordance to Medicare and Medicaid guidelines.
- Outreached to physician offices to determine if they were accepting new patients and schedule initial new patient appointment.
- Assisted members with medication refills or issues with medications.
- Ensured members were informed about their benefits under both Medicare and Medicaid health insurance plans.
Summer Break
None At This Time
Hilo, HI
05.2018 - 07.2018
- Prepared for the upcoming nursing program by refreshing course materials.
- Attended medical appointments to satisfy medical requirements prior to entering the nursing program.
- Obtained all course materials and uniforms.
- Participated in the nursing program orientation sessions.
Medical Assistant / Referral Specialist
Island Urology
03.2018 - 04.2018
- Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
- Kept examination rooms clean, stocked with necessary supplies and prepared for incoming patients.
- Incorporated outside records into charts and EHR.
- Performed basic laboratory tests, such as urinalysis, under the direct supervision of a registered nurse.
- Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
- Provided assistance to medical staff in performing minor surgical procedures.
- Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
- Registered new patients into practice management software program accurately entering demographic information.
Stay-At-Home Mother and Caregiver
None At This Time
Hilo, HI
03.2016 - 03.2018
- Assisted elderly with activities of daily living, such as bathing, dressing, and grooming.
- Performed light housekeeping tasks related to the client's care such as laundry and changing linens.
- Monitored vital signs, including blood pressure, temperature and pulse rate.
- Developed plans for respite care when needed based on availability of family members or other caregivers.
- Assured proper nutrition by preparing meals, grocery shopping and monitoring food consumption levels.
- Assisted with ambulation by providing support during transfers from bed to chair or wheelchair.
- Drove clients to shop for groceries, attend doctor appointments and run errands.
Patient Service Representative II
Hawai'i Pacific Health
Honolulu, HI
05.2013 - 02.2016
- Prioritized call nature to assist with appointment and medication needs.
- Maintained accurate patient information using computer technology for continuity of care.
- Updated demographic and insurance details to ensure compliance and accuracy.
- Managed electronic waitlist for efficient patient flow and treatment scheduling.
- Addressed clinical reminders promptly to enhance patient outcomes.
- Executed advanced eligibility checks to streamline patient processing.
- Provided float coverage across multiple specialty clinics as needed.
- Conducted inter-island travel for clinic support and biometric screening projects.
- Trained the new patient service representatives in specialty areas.
Education
Bachelor of Science - Health Management
University of Phoenix
Phoenix, AZ10-2024
Certificate of Completion - Practical Nursing
Hawai'i Community College
Hilo, HI07-2019
High School Diploma -
Hilo High School
Hilo, HI06-2002
Skills
- Referral authorization and denial
- Clinical documentation
- Electronic health records management
- Interdisciplinary collaboration
- Licensed practical nursing in Hawai'i
- Medical record abstraction
- EMR software proficiency
References
References available upon request.
Timeline
Licensed Practical Nurse (PACT)
Department of Veterans Affairs
07.2023 - Current
Senior Advocate4Me Representative (DSNP)
United HealthCare
05.2020 - 09.2022
Summer Break
None At This Time
05.2018 - 07.2018
Medical Assistant / Referral Specialist
Island Urology
03.2018 - 04.2018
Stay-At-Home Mother and Caregiver
None At This Time
03.2016 - 03.2018
Patient Service Representative II
Hawai'i Pacific Health
05.2013 - 02.2016
Bachelor of Science - Health Management
University of Phoenix
Certificate of Completion - Practical Nursing
Hawai'i Community College
High School Diploma -
Hilo High School
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