Josie Leos

Educated clients and families on community resources, treatment options and health care services to better manage conditions.

• Conducted thorough assessments to identify patients'' needs, strengths, and barriers to achieving optimal health outcomes.
• Assessed clients and developed plans to meet needs.
• Developed strong rapport with patients and families through empathetic listening and compassionate communication techniques.
• Provided crisis intervention services when necessary by assessing risk levels promptly addressing safety concerns collaboratively with the treatment
• Managed complex caseloads for 200 patients, ensuring timely assessment, intervention, and documentation for optimal care outcomes.

• 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.
• Facilitated early detection of health issues by conducting routine screenings for vision, hearing, scoliosis, among others.

• Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
• Enhanced patient intake process by streamlining communication channels and improving documentation procedures.
• Reduced wait times for patient appointments by efficiently coordinating schedules and resources.
• 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.

• 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.
• Reviewed quality and continuity of care by reviewing acuity level, resource consumption, length of stay, and discharge planning of members
• Worked with Medical Affairs and/or Medical Directors as needed to discuss member care being delivered
• Collected, documented, and maintained concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines
• Worked with healthcare providers to approve medical determinations or provide recommendations based on requested services and concurrent review findings
• Assisted with providing education to providers on utilization processes to ensure high quality appropriate care to members

• 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.

• 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

• 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.
• Managed complex wound care cases, utilizing advanced dressing techniques to promote timely healing while preventing complications such as infection or skin breakdowns.

• 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.