Ma. Linda Macasero
Torrance,California
Summary
Reduced patient length of stays by implementing timely discharge protocols.
Secured nearly complete insurance approval authorizations, optimizing patient care workflows.
Overview
23
23
years of professional experience
Work History
RN Case Manager/UM Case Manager
Providence Little Company of Mary Medical Center Torrance
Torrance, California
10.2023 - Current
- Coordinate comprehensive healthcare plans for patients, often those with complex or chronic conditions to ensure patient receive appropriate and efficient care. Duties include but not limited to assessing patient needs, collaborating with healthcare teams and families, acting as a patient advocate, managing care costs, facilitating access to resources, and developing safe discharge plans.
- Responsibilities:
- Patient Assessment & Care Planning:
- -Evaluate patients' conditions, develop individualized, comprehensive healthcare plans, and monitor their progress.
- Coordination & Collaboration
- -Work with physicians, nurses, other medical professionals, patients, and their families to ensure seamless and effective care delivery.
- Patient Advocacy
- -Champion patients' needs and preferences, ensuring their voices are heard throughout the care process
- Resource Management
- -Help patients access necessary services, financial resources, and support systems, including setting up home care or referring them to other agencies.
- Communication
- -Serve as a liaison between patients, families, healthcare providers, and insurance companies.
- Discharge Planning
- -Develop safe discharge plans to ensure continuity of care in appropriate settings, such as home or long-term facilities.
- Cost Management
- -Manage healthcare costs by ensuring care is efficient and appropriate for the patient's needs.
RN- Case Manager
Kindred Hospital South Bay
Gardena, California
01.2013 - 01.2023
- Performs Admission Reviews
- Review each patient admission to ensure that patient ‘s needs and treatment plan are of medical necessity and appropriate for LTAC setting
- Review patient’s working DRG and expected length of stay using GMLOS
- Performs Concurrent Reviews
- Review patient’s medical records on a continued stay basis to determine that the service, plan of care; and the level of care is appropriate and medically necessary
- Performs Discharge Screen Review and refers to Physician advisor if the case fails screening criteria
- Performs ongoing discharge planning; arrange for discharge needs, including alternate level of care transfers
- Participates in the Interdisciplinary Care Conferences (IDT)
- Participates in weekly Family Conference meetings
- Coordinates with PAYOR mandated programs by supplying the requested information in the required time frame.
American Empire Home Health
01.2016 - 01.2019
- Performs assessment and evaluation of patient’s status, preparing and submitting accurate clinical notes via electronic charting
- Performs admission, re-certification, and discharge via electronic charting
Medical-Surgical / Telemetry RN
Promise Hospital- Suburban Medical Center
Paramount, California
01.2011 - 01.2013
- Responsible for direct and indirect care of patients assigned but not limited to:
- Medication administration
- Wound care mgt
- Call MD for patient’s change of condition; abnormal lab results
- Participated in weekly interdisciplinary conference meetings
- Responsible for the supervision of a team and the members of the team assigned (LVN, CNA)
Director of Nursing Sub-acute
Memorial Hospital of Gardena
Gardena, California
01.2003 - 01.2011
- 24-hr responsibility for the administrative, organizational, professional management of Sub-acute unit. These responsibilities include the following areas:
- Planning, directing, and coordinating services provided on the sub-acute unit
- To maximize efficient and effective resident care
- Maintaining standards to meet criteria of regulatory agencies
- Screening and evaluation of potential Sub-acute admission
- Utilization management
- Maintaining and promoting a safe and therapeutic environment
- Customer relations and maintain effective communication at all levels to ensure responsiveness to patients needs
- Managing fiscal budget:
- Identifying the expected resource needs of the sub-acute unit and planning; organizing; and preparing annual capital budget
- Operating the department in a cost effective manner
- Managing material, equipment, and personnel on a priority basis to meet identified needs.
Assistant Clinical Director- Sub-acute Unit
Memorial Hospital of Gardena
Gardena, California
04.2004 - 10.2006
- Directly responsible to the clinical director
- Coordinate staffing schedules on Sub-acute (daily/ monthly)
- Annual performance reviews including assuring compliance with requirements for physical, PPD; CPR/ license renewal
- Participated in hiring; counseling; termination interviews
- Direction of daily shift activities
Charge Nurse- Sub-acute Unit
Memorial Hospital of Gardena
Gardena, California
11.2003 - 04.2004
- Directly accountable to the clinical director and assistant clinical director
- Assess; plan; implements; evaluates; all nursing functions in the sub-acute unit
- Directs patient care
- Supervises LVN and CNA
Education
Bachelor of Science in Nursing - Nursing
University of Cebu College of Nursing
Cebu City, Philippines01.1993
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Holy Rosary School of Pardo
Pardo City, Cebu, Philippines01.1989
Skills
- Utilized comprehensive clinical knowledge and strong interpersonal abilities to build relationships focused on improving patient care and satisfaction
COMMITTEE PARTICIPATION
- Member of multiple organizational committees:
- Department of Medicine
- Nurse Manager/ Council
- Environmental Care Committee
- Products Evaluation Committee
- Forms Committee
- Bioethics Committee
- Performance Improvement Committee
- Joint Commission Functional Team Committee
- Leadership Committee
- Antimicrobial Stewardship Committee
- Patient Care Team Committee
Timeline
RN Case Manager/UM Case Manager
Providence Little Company of Mary Medical Center Torrance
10.2023 - Current
American Empire Home Health
01.2016 - 01.2019
RN- Case Manager
Kindred Hospital South Bay
01.2013 - 01.2023
Medical-Surgical / Telemetry RN
Promise Hospital- Suburban Medical Center
01.2011 - 01.2013
Assistant Clinical Director- Sub-acute Unit
Memorial Hospital of Gardena
04.2004 - 10.2006
Charge Nurse- Sub-acute Unit
Memorial Hospital of Gardena
11.2003 - 04.2004
Director of Nursing Sub-acute
Memorial Hospital of Gardena
01.2003 - 01.2011
Bachelor of Science in Nursing - Nursing
University of Cebu College of Nursing
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Holy Rosary School of Pardo