Jovencio Almazan
Winnetka,CA
Summary
Seasoned Utilization Management Nurse at Kaiser Permanente, excelling in patient advocacy and effective communication. Spearheaded utilization review processes, enhancing care efficiency. Demonstrated leadership at Valley Presbyterian Hospital, mentoring nurses and optimizing patient care plans. Proven abilities in critical thinking and care coordination highlight a commitment to healthcare excellence.
Healthcare professional prepared for nursing roles, bringing substantial experience in patient care and medical procedures. Highly focused on team collaboration and achieving positive patient outcomes, adaptable to changing healthcare needs. Expertise in patient assessment, care planning, and medical documentation, coupled with compassionate approach.
Overview
13
13
years of professional experience
Work History
Utilization Management Nurse/Registered Nurse, Telemetry Unit
Kaiser Permanente
10.2021 - Current
- Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries
- Determined medical necessity and cost-effectiveness of services through utilization review processes
- Remained up-to-date on various benefit plans, medical policies and state-specific clinical guidelines or criteria
- Contacted insurance carriers to obtain authorizations for services delivered to patients
- Kept detailed documentation on all utilization reviews by using health connect
- Worked with insurance companies and patients to determine best courses of action
- Conducted complex research, review and analysis of medical records, treatment plans and claim information
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans
- Coordinated with healthcare team to establish, enact and evaluate patient care plans
- Analyzed physical documentation to uncover abnormal findings within patient examinations.
- Developed strong relationships with patients through compassionate communication techniques.
- Promoted a positive work environment by mentoring new nurses and serving as a resource for clinical questions and concerns.
- Reduced hospital readmissions through effective discharge planning and coordination of post-discharge care.
Nurse Clinical Supervisor II
Valley Presbyterian Hospital
09.2021 - 07.2024
- Supported Nurse Manager with employee development and care quality management
- Oversaw nursing operations for Telemetry unit, delivering leadership assistance and management for staff
- Collaborated with physicians and other staff to maintain continuum of care
- Created action plans for staff development and performance improvement
- Kept close eye on department operations to maintain coverage of needs
- Administered disciplinary action for employee performance deficiencies, infractions and conduct issues after consulting with employees and HR staff
- Recruited, hired and evaluated staff to take corrective action and meet departmental goals
- Applied clinical judgment and comprehensive knowledge of facility policies to assist floor nurses with patient care decisions
- Received and investigated complaints from families, patients and clinical staff, devising solutions to multifaceted challenges
- Monitored staff performance and provided coaching and formal counseling to staff
- Imparted medical, operational and patient care knowledge to junior nurses, supporting personal growth and enhancing professional development
- Provided clinical supervision to nursing staff and ensured compliance with standards of care
- Assisted in the development, implementation and evaluation of policies and procedures related to patient care
- Conducted performance evaluations for nursing staff and provided feedback on areas of improvement
- Coordinated training programs for new nurses and mentored existing nurses on best practices
- Collaborated with physicians, other healthcare professionals and administrative staff to ensure quality patient care
- Monitored patient progress, identified potential problems or changes in condition, and took appropriate action as needed
- Ensured adherence to departmental protocols regarding medication administration, infection control measures, safety regulations and other policies
- Conducted daily rounds to assess staffing needs, equipment availability, supply levels
- Participated in interdisciplinary team meetings to discuss patient care plans and review outcomes
- Developed goals for individual patients based on assessment findings; monitored progress towards those goals over time
Interim Manager
Valley Presbyterian Hospital
12.2021 - 07.2022
- Set challenging yet attainable goals to encourage continuous staff development
- Built relationships with internal team members and external partners to enhance effectiveness of team's work and boost
- Maintained team progress against performance targets by motivating staff and proactively resolving department-level issues
- Reviewed applications for open positions and made knowledgeable hiring recommendations
- Developed and implemented strategies to increase efficiency of operations
- Developed policies and procedures related to operational activities
- Identified areas of improvement within the organization and provided solutions
- Reviewed existing processes and proposed changes that improved performance levels
- Analyzed customer feedback data to identify trends and develop solutions accordingly
- Facilitated meetings between senior management, staff, vendors, customers
- Assessed employee performance against established goals and objectives
- Provided training and mentoring for junior members of the team
- Resolved conflicts between teams or departments in a timely manner
- Ensured compliance with safety standards throughout the workplace
Registered Nurse
Kaiser Permanente
10.2017 - 09.2021
- Monitored and recorded patient condition, vital signs, recovery progress and medication side effects
- Updated physicians on patient test results and assisted in developing care plans
- Treated patients using pharmacological and non-pharmacological treatment modalities to address various disorders, diseases and injuries
- Advanced nursing competencies through participation in simulation exercises and practice improvement projects
- Improved patient outcomes and quality of care by determining and suggesting changes to processes
Telemetry Charge Nurse( Clinical Supervisor I)
Valley Presbyterian Hospital
06.2017 - 08.2021
- Handled telemetry monitoring of patients cardiac rhythms
- Collaborated with doctors to plan post-treatment home care and prevent return hospitalization
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions
- Maintained infection control logs, streamlined charting process, and improved patient outcomes through training and leadership
- Coordinated with healthcare team to establish, enact and evaluate patient care plans
- Assessed unit patients continuously from admission to discharge
- Coordinated, tasked and supervised nurses and ancillary staff based on staffing requirements
- Organized and delegated tasks during rapid response and high-pressure code situations
- Trained and mentored new RNs on best practices, hospital policies and standards of care
- Implemented interventions and strategies to manage chest tubes, nasogastric tubes and G-tubes
- Assessed and assisted patients with diverse range and comorbid chronic diagnoses, including chronic obstructive pulmonary disease (COPD), asthma, congestive heart failure (CHF), cerebrovascular accidents (CVA), diabetes, and sepsis
- Built and maintained strong working relationships between nursing department and other disciplines
Resource Registered Nurse
Los Robles Hospital & Medical Center
02.2016 - 10.2017
- Monitored post-op vitals, set up PCA, fluids, reviewed post-op orders and assimilated patients to unit
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues
- Stocked clinical workstations and procedure rooms with necessary supplies
RN Care Coordinator
UCLA Health
09.2024 - Current
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
- Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
- Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
- Served as a liaison between physicians and patients'' families to facilitate clear communication regarding treatment options and progress updates.
- Provided emotional support to patients during challenging times, fostering a sense of trust and rapport that contributed to better overall wellbeing.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Educated family members and caregivers on patient care instructions.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
Registered Nurse
Valley Presbyterian Hospital
01.2014 - 08.2017
- Monitored and recorded patient condition, vital signs, recovery progress and medication side effects
- Trained new RN hires and ancillary staff members to meet patient service goals, champion standards of care and improve patient overall satisfaction
- Maintained optimal ventilator settings and operations to meet patient care needs
- Counseled patients and caregivers, providing emotional, psychological and spiritual support
- Treated patients using pharmacological and non-pharmacological treatment modalities to address various disorders, diseases and injuries
- Assisted patients with healing and recovery after surgery by closely monitoring and caring for wounds, answering questions and educating about continued care strategies
- Monitored and managed various treatment and care interventions
Nursing Assistant
Valley Presbyterian Hospital
02.2012 - 10.2014
- Assessed vitals and noted medical information to report changes to nursing staff and physicians
- Promoted patient satisfaction by assisting with daily living needs such as bathing, dressing, toileting and exercising
- Assisted patients with shaving, bathing and oral hygiene to promote healthy habits and overall wellness
- Responded to patient alarms and needs-assessment requests to identify course of treatment
- Documented information in patient charts and communicated status updates to interdisciplinary care team
Education
Bachelor of Science - Nursing
Our Lady of Fatima University
03-2009
Skills
- Patient monitoring
- Unit administration
- Medical screening
- Direct and Indirect Patient Care
- Nursing Plan Development and Modification
- Nursing staff leadership
- Infectious disease control
- Utilization Review
- Patient Care Plans
- Care Coordination
- Effective Communication
- Time Management
- Critical Thinking
- Resource Allocation
- Patient Advocacy
- Compassion and empathy
- Discharge planning
Timeline
RN Care Coordinator
UCLA Health
09.2024 - Current
Interim Manager
Valley Presbyterian Hospital
12.2021 - 07.2022
Utilization Management Nurse/Registered Nurse, Telemetry Unit
Kaiser Permanente
10.2021 - Current
Nurse Clinical Supervisor II
Valley Presbyterian Hospital
09.2021 - 07.2024
Registered Nurse
Kaiser Permanente
10.2017 - 09.2021
Telemetry Charge Nurse( Clinical Supervisor I)
Valley Presbyterian Hospital
06.2017 - 08.2021
Resource Registered Nurse
Los Robles Hospital & Medical Center
02.2016 - 10.2017
Registered Nurse
Valley Presbyterian Hospital
01.2014 - 08.2017
Nursing Assistant
Valley Presbyterian Hospital
02.2012 - 10.2014
Bachelor of Science - Nursing
Our Lady of Fatima University
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