Lola Rubio
Conroe,TX
Summary
Nursing Professional with several years experience in chronic care management within the hospice and home health environment. Experienced in driving positive patient outcomes through ICD-10 focused and comprehensive assessment, intervention and evaluation of care.
Overview
5
5
years of professional experience
1
1
Certification
Work History
RN Care Manager/ Triage (on-Call)
Good Shepherd Hospice
Houston, TX
03.2023 - Current
- Provide exceptional transitional care for terminal patients across the lifespan utilizing hospice and palliative care criteria guidelines to assess for end of life care readiness.
- Coordinate post-discharge risk stratification measures to increase admission and enhance the continuum of care.
- Collaborate with the interdisciplinary team to guide advanced care planning objectives. Recommend prior authorization review referrals based on clinical presentation and diagnostic ICD-10 medical history.
- Counsel patients, families, and caregivers from admission to end of life to ensure optimal outcomes. Precept newly oriented nurses to achieve organizational standards of care and maintain regulatory compliance.
RN Care Manager
Monogram Health
Brentwood, TN
03.2023 - Current
- Provide exceptional transitional care for Cigna contracted nephrology patients. Conduct focused assessments to guide continued treatment and medication compliance. Educated patients and caregivers on ESRD and hemodialysis management.
- Monitor biometric data and clinical presentation to mitigate hospitalization risk. Manage comorbidities through ongoing comprehensive assessments at home and clinic sites.
- Recommend prior authorization review referrals based on clinical presentation and diagnostic ICD-10 medical history.
Care Manager/Telephonic Triage Nurse
Allumine Hospice
Conroe, TX
06.2021 - 04.2023
- Manage hospice caseload from post-discharge to end of life. Support patients and caregivers through ongoing assessment and symptom management. Guide appropriate pain management measures .
- Counsel patients, families, and caregivers from admission to end-of-life to ensure optimal outcomes. Precept newly oriented nurses to achieve organizational standards of care and maintain regulatory compliance.
- Provide on-call triage and episodic assessments telephonically, notify provider on-call when clinically appropriate and initiate therapeutic standard care orders.
Registered Nurse, Triage
Devotion Hospice
Conroe, TX
08.2019 - 12.2021
- Triaged telephonically patients within caseload based on diagnostic criteria and clinical presentation. Ensure implementation of treatment regimen and evaluate rendered care.
- Initiate and recommend treatment plan amendments via prior authorization referrals to drive comfort care initiatives.
- Communicated on-call interventions to the Case Manager, including the assessment, plan of care changes, and ongoing needs.
Education
Bachelor of Science -
Northern Arizona University
Flagstaff, AZ08.2017
Associate of Science - Nursing
Glendale Community College
Glendale, AZ08-2015
Master of Arts - Business Administration
Benedictine University
Lisle, IL12.2012
Bachelor of Science -
Arizona State University West
Glendale, AZ12.2006
Skills
- Chronic Care Management
- Medication Reconciliation & & Medicare (CMS) Guidelines
- Hospice & Palliative Care
- Triage
- Prior Authorization Referrals
- Milliman Care Guidelines
- Advanced Care Planning
- Care Coordination
- HEDIS
- Health Risk Assessments
- ICD-10 & CPT coding
- EMR
- HEDIS
- Core Measures
- Patient Education
- Post-Discharge Planning
Certification
The state of Texas. Active & Unencumbered (NCL). Board of Registered Nursing. Endorsement (In Progress) New York & California.
WCEI, Wound Care Management (In Progress)
References
References available upon request.
Timeline
RN Care Manager/ Triage (on-Call)
Good Shepherd Hospice
03.2023 - Current
RN Care Manager
Monogram Health
03.2023 - Current
Care Manager/Telephonic Triage Nurse
Allumine Hospice
06.2021 - 04.2023
Registered Nurse, Triage
Devotion Hospice
08.2019 - 12.2021
The state of Texas. Active & Unencumbered (NCL). Board of Registered Nursing. Endorsement (In Progress) New York & California.
WCEI, Wound Care Management (In Progress)
Bachelor of Science -
Northern Arizona University
Associate of Science - Nursing
Glendale Community College
Master of Arts - Business Administration
Benedictine University
Bachelor of Science -
Arizona State University West
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