Leanne Fernandez BSN, RN.
Roseville,CA
Summary
Versatile RN and travel nurse with combined acute care and utilization review experience. Looking for a flexible per diem/part-time role; known for adaptability, strong time management, and excellent patient advocacy. Thrives in busy environments, quickly learns new workflows/EMRs, and delivers efficient, patient-centered care with minimal orientation, ready to start immediately.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Per Diem Registered Nurse (RN) – Correctional Faci
Sacramento County Jail / Cross Country
09.2025 - Current
- Provided direct nursing care to incarcerated adults, including assessments, medication administration, and chronic disease management.
- Performed intake screenings, triage, and urgent/emergent care in a secure correctional setting.
- Collaborated with providers, mental health staff, and custody officers to maintain safety and continuity of care.
- Documented thoroughly in the EMR, following facility, state, and regulatory standards for correctional healthcare.
Care Review Clinician, Inpatient Review (RN) ED
Molina Healthcare
01.2024 - Current
- Utilization Review RN performing concurrent, post-stabilization, and inpatient reviews in a managed care setting.
- Uses MCG (Milliman) and InterQual criteria, along with ICD-10 and CPT coding, to assess medical necessity, level of care, and expected length of stay under Medicare, Medicaid, and commercial guidelines.
- Conducts inpatient and prior authorization reviews to determine member benefits, eligibility, and financial liability while meeting all turnaround time requirements.
- Collaborates with providers, case managers, and Medical Directors to support effective care coordination, discharge planning, and reduction of avoidable denials.
Crisis Response / Strike RN – Med-Surg Telemetry
UCI / Aya Healthcare
11.2025 - 11.2025
- Delivered acute care to high-acuity medical-surgical and telemetry patients during crisis/strike staffing.
- Performed comprehensive assessments, cardiac/ECG monitoring, and rapid interventions for changes in condition.
- Safely administered IV/PO meds, managed IV therapy, and followed evidence-based and patient safety protocols.
- Quickly adapted to new EMR systems, unit workflows, and interdisciplinary teams to maintain continuity of care.
Crisis Response / Strike RN – Med-Surg Telemetry
Kaiser Permanente / AMN
10.2025 - 10.2025
- Provided acute care to adult med-surg/telemetry patients during a crisis/strike assignment.
- Managed high-acuity, high-census patient loads while maintaining safe, evidence-based care.
- Administered medications and treatments, monitored cardiac telemetry, and responded to changes in condition.
- Quickly adapted to new workflows and EMR; collaborated with interdisciplinary team to ensure continuity of care.
Travel Registered Nurse Med Surg Telemetry
Allen Hospital Waterloo/ Cynet Health
04.2025 - 06.2025
- Administered physician-ordered medications and therapies, closely monitoring patient response and cardiac telemetry.
- Performed focused cardiac and medical assessments, documenting changes in condition and implementing appropriate nursing interventions.
- Responded promptly to emergencies and acute changes in status (e.g., chest pain, arrhythmias), collaborating with the interdisciplinary team to stabilize patients.
- Facilitated communication and care coordination among physicians, nurses, and ancillary staff to ensure safe, high-quality patient care.
Part Time Registered Nurse Oncology
Mercy San Juan Medical Center
04.2024 - 07.2024
- Provided direct care and education to oncology and chronic illness patients, including pre- and post-procedure/post-op monitoring.
- Administered medications and treatments, assessing for adverse reactions and side effects.
- Performed initial and ongoing patient assessments, answering questions and reinforcing teaching.
- Maintained accurate, confidential documentation in the EMR and adhered to strict infection control and patient safety standards.
Travel Nurse Telemetry
Kaiser Permanente Antioch/ CYNET HEALTH
10.2023 - 12.2023
- Administered IV fluids, medications, and therapies per physician orders; started, maintained, and discontinued IV lines safely.
- Performed continuous ECG monitoring with basic interpretation of cardiac rhythms, promptly reporting abnormalities.
- Completed comprehensive assessments on newly admitted patients and evaluated effectiveness of nursing interventions based on patient response.
- Maintained accurate, timely clinical documentation in the medical record in accordance with hospital and regulatory standards.
Resource Float Pool RN/Registered Nurse, PCU
HCA Healthcare Inc.
05.2023 - 11.2023
- PCU/step-down RN managing high-acuity, complex med-surg telemetry patients; executes physician orders and administers tests/medications safely and accurately.
- Provides direct, individualized nursing care with continuous monitoring, critical thinking, and evidence-based interventions.
- Maintains timely, accurate documentation and floats to other MS/Telemetry units to support staffing needs.
Travel Nurse, Medical Surgical Telemetry Nurse
Kaiser Permanente Woodland Hills/ AMN Healthcare
01.2023 - 09.2023
- Med-Surg Telemetry RN providing direct care to cardiac and medical patients, administering medications and treatments, and monitoring for adverse reactions.
- Performs thorough assessments, monitors and interprets ECG/cardiac rhythms, recognizes complications, and responds rapidly to emergencies and life-threatening events.
- Inserts and manages catheters, feeding tubes, and IV access sites while maintaining strict safety and infection control standards.
- Educates patients and families on cardiac recovery, discharge instructions, and preventive health care.
Travel Nurse , Medical Surgical Nurse
Adventist Health Mendocino Coast/ MED PRO STAFF
11.2022 - 01.2023
- Critical Access Hospital RN providing rapid emergency response, assessment, stabilization, and life-saving interventions.
- Administered oral, IV, and IM medications, closely monitoring patient status and reporting changes to providers.
- Supported patients and families during stressful situations and adapted to diverse needs across multiple care areas.
Medical Surgical Telemetry Nurse
Texas Health Resources Presbyterian Hospital
08.2022 - 11.2022
- Monitors and interprets telemetry/ECG for cardiac and medical patients, promptly addressing abnormal rhythms and changes in status.
- Calculates and administers IV, PO, and SQ medications, monitoring for adverse reactions and documenting responses in the EMR.
- Performs initial and ongoing patient assessments; coordinates with the interdisciplinary team to assess, plan, implement, and evaluate care.
- Prepares patients for procedures and provides clear education to patients and caregivers on treatments, medications, and discharge instructions.
Nurse Case Manager
Elevance Health / Anthem Inc
05.2021 - 08.2022
- Case Manager RN conducting comprehensive assessments and developing individualized care and discharge plans.
- Coordinates home health, home infusion, and DME services; facilitates safe, timely transitions of care.
- Collaborates with interdisciplinary teams to implement and evaluate care plans and advocate for patient needs.
- Maintains accurate data for quality assurance and strictly adheres to HIPAA and regulatory requirements.
TRAVEL NURSE
Medical City Of Plano / Infojini Consulting Agency
01.2022 - 07.2022
- Provided direct nursing care to adult medical and cardiac patients requiring continuous telemetry monitoring.
- Safely administered IV, IM, SQ, and PO medications per physician orders, monitoring for adverse reactions.
- Updated EMR to reflect assessments, interventions, and changes in care plans in a timely and accurate manner.
Care Review Nurse
Conduent
07.2020 - 03.2021
- Responded promptly to changes in patient condition, prioritizing urgent needs and escalating concerns appropriately.
- Maintained accurate, timely documentation per hospital and regulatory standards.
- Educated patients and families on diagnosis, treatment plans, and self-care to support safe discharge and recovery.
Charge Nurse
Prince of Peace SNF / Benedictine Health
01.2019 - 04.2020
- Charged with managing staff (CNA, LPNs), assigning and monitoringtheir activities to ensure proper patient care and adherence to established policies and procedures
- Assesses residents' health status and needs through physical comprehensive assessments, observation and interviews on acontinuing basis
- Updates and makes appropriate changes in plans of care whenever necessary
- Administers medications and treatments and monitors medicationsand treatments for effectiveness
INPATIENT CASE MANAGER
UnitedHealthcare
07.2016 - 12.2018
- Utilization Review / Case Manager RN performing initial and concurrent inpatient reviews using MCG (Milliman) criteria, escalating cases to Medical Directors for adverse determinations.
- Ensures appropriate level of care, projected length of stay, and cost-effective treatment; coordinates discharge planning and post-acute services.
- Collaborates with NPs, physicians, and nursing staff during IDT rounds and strictly adheres to HIPAA and regulatory requirements.
Staff Nurse
Chinese General Hospital
03.2014 - 06.2016
- Med-Surg RN caring for diverse, high-acuity patients (post-op, oncology, cardiology, diabetes, COPD, occasional vent/critical care exposure).
- Performs comprehensive assessments; administers oral/IV/IM meds and IV therapy; manages complex wounds, drains, and post-surgical monitoring.
- Monitors vitals and telemetry, responds rapidly to emergencies, and provides ongoing patient/family education and support.
Education
Bachelor of Science - Nursing
Chinese General Hospital Colleges
Manila10.2008
Skills
- IV drug therapy management
- Medication and IV administration
- BLS ACLS certified
- Decision-making
- Conflict resolution
- Critical Thinking
- NIHSS Certification
- Attention to Detail
- Care Coordination
- Clinical documentation
- Time management
- Medical-surgical nursing
- Utilization review
- Care coordination
- EMR systems adaptation
- Crisis intervention
- InterQual criteria
- Patient education
- Cardiac monitoring
Certification
- Licensed California RN, License #95241136 — Expires 04/30/2026
- NIH Stroke Scale (NIHSS) Certified – American Stroke Association, completed 03/10/2025
- ACLS – American Heart Association, issued 03/06/2025; expires 03/2027
- BLS – American Heart Association, issued 03/06/2025; expires 03/2027
Timeline
Crisis Response / Strike RN – Med-Surg Telemetry
UCI / Aya Healthcare
11.2025 - 11.2025
Crisis Response / Strike RN – Med-Surg Telemetry
Kaiser Permanente / AMN
10.2025 - 10.2025
Per Diem Registered Nurse (RN) – Correctional Faci
Sacramento County Jail / Cross Country
09.2025 - Current
Travel Registered Nurse Med Surg Telemetry
Allen Hospital Waterloo/ Cynet Health
04.2025 - 06.2025
Part Time Registered Nurse Oncology
Mercy San Juan Medical Center
04.2024 - 07.2024
Care Review Clinician, Inpatient Review (RN) ED
Molina Healthcare
01.2024 - Current
Travel Nurse Telemetry
Kaiser Permanente Antioch/ CYNET HEALTH
10.2023 - 12.2023
Resource Float Pool RN/Registered Nurse, PCU
HCA Healthcare Inc.
05.2023 - 11.2023
Travel Nurse, Medical Surgical Telemetry Nurse
Kaiser Permanente Woodland Hills/ AMN Healthcare
01.2023 - 09.2023
Travel Nurse , Medical Surgical Nurse
Adventist Health Mendocino Coast/ MED PRO STAFF
11.2022 - 01.2023
Medical Surgical Telemetry Nurse
Texas Health Resources Presbyterian Hospital
08.2022 - 11.2022
TRAVEL NURSE
Medical City Of Plano / Infojini Consulting Agency
01.2022 - 07.2022
Nurse Case Manager
Elevance Health / Anthem Inc
05.2021 - 08.2022
Care Review Nurse
Conduent
07.2020 - 03.2021
Charge Nurse
Prince of Peace SNF / Benedictine Health
01.2019 - 04.2020
INPATIENT CASE MANAGER
UnitedHealthcare
07.2016 - 12.2018
Staff Nurse
Chinese General Hospital
03.2014 - 06.2016
Bachelor of Science - Nursing
Chinese General Hospital Colleges