Josie Leos
New Braunfels,TX
Summary
Self-motivated professional accustomed to handling sensitive and confidential records while thriving in deadline-driven environments. Polished in developing information systems for medical establishments to provide top-quality care. Valued contributor focused on accurately capturing, storing, securing healthcare data.
Overview
12
12
years of professional experience
Work History
School Nurse
Responsive Education Solutions
08.2020 - 10.2023
- Assessed student health and identified potential health concerns to provide appropriate care.
- Administered medication to students as prescribed by physicians to provide necessary treatment and manage health conditions.
- Served as liaison between families, school personnel, and other healthcare providers on behalf of students.
- Educated students on various health topics to promote overall health and wellbeing.
- Provided support to students with special needs and disabilities to deliver appropriate care and meet educational needs.
- Implemented emergency protocols in medical emergencies to promote safety for students and staff.
- Developed care plans and made referrals as necessary for students with health concerns or injuries.
- Screened for infectious diseases to help prevent spreading within school community.
Lead Intake Coordinator
Advanced Home Health Services
10.2018 - 09.2020
- Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
- Organized paperwork such as charts and reports for office and patient needs.
- Answered phone calls and provided new clients with required paperwork to initiate service.
- Entered referrals into appropriate system based on type of referral obtained.
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
- Managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
Utilization Management Nurse
Centene Corporation
03.2015 - 10.2018
- Performed prior authorization review of services requiring notification.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Analyzed electronic health records to identify areas for care improvement and cost reduction.
- Evaluated patient histories, complaints, and current symptoms.
- Analyzed appropriate medical benefits are applied to services reviewed for medical
necessity.
Clinical Quality Audit Nurse
Advanced Home Health Insurance
01.2013 - 03.2015
- Served as clinical resource to staff, patients and families.
- Evaluated patient histories, complaints, and current symptoms.
- Participated in quality improvement initiatives to improve patient care.
- Developed and maintained collaborative relationships with healthcare providers.
- Developed, implemented and monitored clinical protocols and standards of care.
- Provided clinical oversight and support to health care teams.
Intake Nurse
Advanced Home Health Services
04.2012 - 01.2013
- Assured all information received qualified for home Health upon receipt of referral.
- Assured pre-certifications and authorization were obtain and entered in database prior to
admission. - Reviewed skilled nurse and home health aide notes, communication notes,
physician orders, etc. for quality assurance and compliance. - Managed calls regarding patient labs, meds and various concerns.
- Communicated with field nurses and others involved in the patient care team at weekly staff meetings.
- Worked closely with numerous of insurance companies in providing them with required documents needed for prior authorizations for home health services and provided documentation
Rehabilitation Nurse
New Braunfels Regional Rehabilitation Hospital
01.2012 - 04.2012
- Educated family members and caregivers on patient care instructions.
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
- Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Charge Nurse
Eden Hill Communities
06.2011 - 02.2012
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
- Conducted daily shift briefs to inform staff of changes in patient care assignments.
- Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift.
- Monitored nursing care, patient assessment processes, and treatment implementations.
Education
Licensed Vocation Nursing
Galen College of Nursing
San Antonio, TX05.2011
High School Diploma -
New Braunfels High School
New Braunfels, TX05.1999
Skills
- Operational Standards
- Privacy and Confidentiality
- Procedures Compliance
- Utilization Review
- InterQual Criteria
- Community Healthcare Programming
Timeline
School Nurse
Responsive Education Solutions
08.2020 - 10.2023
Lead Intake Coordinator
Advanced Home Health Services
10.2018 - 09.2020
Utilization Management Nurse
Centene Corporation
03.2015 - 10.2018
Clinical Quality Audit Nurse
Advanced Home Health Insurance
01.2013 - 03.2015
Intake Nurse
Advanced Home Health Services
04.2012 - 01.2013
Rehabilitation Nurse
New Braunfels Regional Rehabilitation Hospital
01.2012 - 04.2012
Charge Nurse
Eden Hill Communities
06.2011 - 02.2012
Licensed Vocation Nursing
Galen College of Nursing
High School Diploma -
New Braunfels High School
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