Lora Mesina
Brentwood,CA
Summary
LVN with over 10 years case management experience assisting aging population navigate their care.
Overview
19
19
years of professional experience
Work History
PinnacleCare Advisor
Sun Life
05.2023 - 10.2024
- Private care management membership of patients
- Managing all parts of the care continuum from hospital to home
- Preparing remote second opinions, facilitated appointments and scheduling executive physicals
- Vetting of providers coordination of care from beginning to end
- Assisting with medication management and scheduling of follow up care when needed
- Advance Care Planning and arranging hospice care
- Developed long-lasting relationships with clients to ensure consistent retention and loyalty.
Care Coordinator /Case Management/BPCI-A/Home Visit Program
John Muir/Optum
Walnut Creek, CA
03.2015 - 05.2023
- Create a holistic approach to the management of patients involving not only the medical management but social economic challenges for long-term success
- Managed PCP panel groups with the main goal to determine the disconnect with patients while incorporating a sustainable goal with patient buy in
- Apply working knowledge of documentation needs for durable medical equipment for Medi-Cal and Medicare along with VA programs like aid and attendant
- Integrate Medi-Cal fee waiver programs like working disabled and spousal impoverishment programs to provide options for homeless and financially challenged individuals who have exhausted all means to continue living independently
- Utilize working knowledge of criteria for Medi-Cal SNF beds and protected benefits of at-risk members
- Include experience working with the Ombudsman, HICAP and APS to help come up with alternative solutions when possible
- Assist families in difficult situations with familiarity in local law enforcement and mental health support programs
- Develop a care plan for patients involving both short term and long-term goals keeping in line with patient centered objectives
- Medication review and coordination of care with PCP and specialists via EMR, along with medical case management of acute and chronic conditions
- Medicare Bundle Program, mitigate readmission, following specified Chronic Conditions for best outcomes
- Epic chart reviews, pend medications and orders, follow up with referrals and labs
- Report irregular labs and studies as needed to providers
- Managed patient caseloads effectively, ensuring timely follow-up and appropriate interventions.
- Educated patients on self-care strategies, promoting independence and empowering them to manage their health conditions.
Care Manager/Case Management
SCIPPA IPA
02.2021 - 08.2021
- Post discharge transition of care for patients being discharged from SNF/Hospital
- Review medications, post discharge instructions and follow up care
- Connecting patients with community services and social services programs
- Assist patients with getting durable medical equipment as needed
- Coordination of care of patients and finding solutions to persistent readmission challenges
- Coordination of care with providers and authorizations as needed
- Educated clients and families on community resources, treatment options and health care services to better manage conditions.
Community Connector/Case Management
Livhome
Walnut Creek, CA
11.2013 - 03.2015
- Operated as a contracted employee for Kaiser Permanente managing Chronic Conditions and most vulnerable patients
- Organized care with existing RN and Medical Social Worker
- Completed home visits with members and referred them to appropriate services within Kaiser and the community
- Established a care plan addressing chronic and acute medical concerns while helping vulnerable at-risk patients
- Connected possible-qualifying members to services that existed to improve quality of life
- Translated for Spanish speaking members and assisted in breaking down difficult concepts to both patients and family members
- Coordinated end of life care transitioning patient into hospice/palliative care as appropriate
Licensed Vocational Nurse
AccentCare Home Health
Pleasant Hill, CA
01.2006 - 11.2013
- Treated GT/Trach vented patients, 100% vent dependent daily with special attention to trach and GT’s assess stoma sight changes
- Changed Trach’s, GT, foley’s
- Changed circuits and humidifiers
- Performed One on one patient care in home settings, called MD’s for orders as needed
- Documented skin flow care, lab parameters, dressing changes, reviewed POC's and deferred to RN for changes
- Recorded patients' medical history, vital statistics, and test results in medical records on an hourly basis
- Provided palliative care in home care settings ranging from assessment to development and implementation of care plans
- Performed all tasks with a patient centered focus while seeking opportunities for improvement of processes and treatments
- Provided necessary health education training for patients
- Responsible for primary care and medication management
- Coordinated with doctors and registered nurses to develop care plans
Education
Pre-nursing - Nursing
Los Medanos College.
Pittsburg CaliforniaLicense Vocational Degree - Nursing
Pittsburg Adult Education
Pittsburg California09.2002
Skills
IV Certified, Bi-lingual in Spanish, well versed in complexities of long-term Medi-Cal along with Medicare plans Over 20 years experience in nursing working in both inpatient and outpatient settings
Timeline
PinnacleCare Advisor
Sun Life
05.2023 - 10.2024
Care Manager/Case Management
SCIPPA IPA
02.2021 - 08.2021
Care Coordinator /Case Management/BPCI-A/Home Visit Program
John Muir/Optum
03.2015 - 05.2023
Community Connector/Case Management
Livhome
11.2013 - 03.2015
Licensed Vocational Nurse
AccentCare Home Health
01.2006 - 11.2013
Pre-nursing - Nursing
Los Medanos College.
License Vocational Degree - Nursing
Pittsburg Adult Education
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