MARIE CHARMAINE LAZATIN SIOSON
San Antonio,USA
Summary
More than 10 years of Pediatric Case Management Experience. Cross trained with Utilization Management using Interqual currently with world renowned Texas Children’s Hospital in North Austin Core team for care coordination leading PICU, CVICU, NICU and L&D oftentimes Acute Care and Ed with PACU overflow as well covering all inpatient units when in need. Provided available network resources available throughout the state and other states to transition care of complex patients only TCH can offer. Active ACMA yearly course completion.
33 years nursing experience in General Surgery, Infusion Nursing, Hematology/Oncology, with specialty in Pediatric ICU, and was promoted to Nurse Case Manager II in Inpatient Pediatrics in April 2017 to present. Previous role as Complex Case Manager to Childhood Cancer Survivorship Program in University Hospital partnered with UT Health. Previous role as Pediatric ICU Nurse Case Manager for Methodist Children’s Hospital. Extensive Experience includes providing excellent nursing care to diverse population. Broad cross-cultural experience working in the Middle East and central Texas, treating people of many nationalities, cultures and socio-economic strata. Expertise in team communication and leadership, education, staff mentoring, program support, and physician collaboration.
Highly skilled Nurse Care Coordinator with broad experience in patient advocacy, care plan development, and interdisciplinary team collaboration. Strengths include effective communication, leadership abilities, and thorough knowledge of healthcare administration procedures. Proven track record of enhancing patient care quality while streamlining processes for improved efficiency. Demonstrated ability to build strong relationships with patients and families while coordinating optimal care services.
Overview
32
32
years of professional experience
Work History
Nurse Care Coordinator
Texas Children's Hospital
North Austin, TX
10.2023 - Current
- Assigned as a nurse Care Coordinator to NICU, PICU, CVICU and L&D.
- Functioned as both CC and Utilization Manager using interqual collaborating with our Houston campus.
- Part of the core initial team to build the North Austin Campus and made sure alignment of the role and function is effective collaboratively with multiple healthcare disciplines.
- Coordinated for the whole inpatient hospital units multiple times including overflow Emergency and PACU, with Acute floor in addition to current areas.
- Consistently meeting 100% of metrics for our quality and safety measures.
- Resource to outpatient process for complex transitioning of our patients.
- Extending role after discharge to coordinate safe discharge to home and specialties needed.
Nurse Case Manager
Methodist Children’s Hospital
San Antonio, TX
08.2021 - 10.2023
- Assigned as nurse case manager to Pediatric ICU-24 beds.
- Assigned to transition patients to home with complex care needs including but not limited to new trache and home vents with new GT.
- Readmission from NICU with progression of disease needing more support to home.
- Coordinates care to transfer to hospitals with higher level of care or specialized care such as inpatient rehab referral or inpatient psychiatric referral.
- Coordinates with Child Protective Service as needed for patient safety as the department had social work shortage.
- Coordinated discharge needs with collaborative effort with different specialties such as Neurosurgery, Pedi Surgery, Endocrinology, Oncology, BMT to name a few.
- Served as a resource to all pediatric specialties in case management in pediatrics.
- Covered for Cardiac Pediatric ICU while unstaffed for almost a year.
- Currently involved in PICU-MCH wide new tracheostomy PI project with Quality, PICU intensivists, Respiratory Therapy, Infection Control and PICU nursing team.
- Recipient of at least 10 recognition awards within the case management team and PICU team within the year in Methodist Children’s Hospital.
- Completed a mandated StarN training in Houston for Case Management.
RN Complex Case Manager
University Health Systems
San Antonio, TX
06.2013 - 08.2021
- Company Overview: The only Pediatric Trauma Center in South and Central Texas.
- RN Complex Case Manager to Childhood Cancer Survivorship Program (July 2020 to current)
- RN Case Manager II, Pediatric Inpatient (April 2017 to July 2020)
- RN-Pedi ICU June 2013 to April 2017
- The only Pediatric Trauma Center in South and Central Texas.
- Expert care for seriously injured children through our Level 1 Trauma Center.
- Full-service burn center for ages 0-18 years.
- Founded Endoscopic Craniectomy, a less invasive treatment for infants with coronal synostosis.
- Organ transplantation (liver and kidney); one of the top five in the US.
- Congenital heart surgery with UT Medicine for pediatric population.
- Asthma treatment.
- Neurosurgery care.
- Pediatric Hematology and Oncology treatment recently integrated with the UHS System from a highly acclaimed group from CHOSA.
RN-Shift Lead
Wilford Hall Medical Center Pediatric Clinic
San Antonio, TX
01.2012 - 05.2015
- Coordinating and evaluating all aspects of clinical nursing practice for 16,000 beneficiaries and care of approximately 200 patients daily for the Air Force's largest pediatric clinic.
- Additional duties included Staff Development, Staff training and Nursing Peer Review.
- Shift Lead: Provide oversight for two staff pediatricians, including ancillary staff.
- Prescribed Care: Triage of acutely ill patients.
- Perform daily procedures, including urinary catheterizations, IV placement, EKG, lab draws, medication refills and facilitate transfer and admission of acutely ill pediatric patients to SAMMC for higher level care.
- Case Management: Coordinate all referrals, DME equipment, physical, occupational, and speech therapy.
- Nurse Telephone Triage: Manage and gauge the urgency of patient problems and select the appropriate disposition, EMS, ED referral, immediate or future office visit, or home care, provide home care instructions including prescription and non-prescription medication questions, dosages and recommendation.
RN
The North Central Baptist Hospital
San Antonio, TX
08.2011 - 01.2012
- Company Overview: The Children's Center
- The key scope of service includes: taking care of patients with diagnoses such as: RSV, DKA, severe apnea, seizure disorders, ARDS, status asthmaticus, pneumonia, bronchiolitis, spontaneous pneumothorax, drug overdose, acute GI and genitourinary illnesses with IV therapy and/or surgery, sepsis who are hemodynamically unstable needing advance life support measures.
- Functioned as resource to ED, Pediatric floor and functioned as charge nurse to Pedi ICU.
- The Children's Center
RN-Pediatric Acute Unit
Christus Santa Rosa-Westover Hills
San Antonio, TX
03.2010 - 07.2011
- The scope of services includes taking care of patients with medical diagnoses such as: hyperbilirubinemia, acute GI and genitourinary illness with IV Therapy, and/or surgery, respiratory issues such as pneumonia, asthma, bronchitis, sepsis with stable vital signs.
- Surgical cases include, but are not limited to, appendectomy, placement of PE tubes, tonsillectomy, closed reduction/relocation, herniorrhaphy and cholecystectomy.
- As our census dictates, we are also sent to float on other areas such as ED, Specialty Care Unit, Telemetry and Maternal and Child unit.
- I was one of the core unit staff who opened our unit and helped set the floor up.
- I was honored to be selected as a Service Excellence Committee Member in our hospital and privileged to also be our campus writer for our Nurse Publication.
RN-H1N1 Clinic
Angel Staffing Agency
San Antonio, TX
12.2009 - 02.2010
- Participated in nationwide fight against H1N1 by administering vaccines to grade school, and middle school students in different school districts.
- This seasonal job required us to collaborate with the school nurses, principals, pharmacists, and teachers.
- This gave an opportunity for further teaching for parents and students on safety and follow up on the mentioned vaccine.
RN Pediatric ICU
King Faisal Specialist Hospital and Research Center
Riyadh, KSA
04.2008 - 09.2009
- The PICU provides care to patients from newborn to 14 years.
- PICU patients may be admitted from the Emergency Department, other nursing units, surgery areas, OR, or from outlying hospitals via air and ground transport.
- These patients are critically ill and have at least one of the following requirements: Frequent observation and/or intervention, extensive life support measures and monitoring equipment, high degree sophistication of nursing care and respiratory care.
- The primary conditions and diagnoses treated are: Congenital heart diseases, Hematology/Oncology, Immuno-compromised patients, Metabolic patients, pre and post OP cardiac, all Pediatric surgery, Neurosurgery, Vascular surgery, ENT, Pediatric Orthopedics, Endocrinology, all sick patients requiring intensive care or observation.
RN-IV Therapy Team
King Faisal Specialist Hospital and Research Center
Riyadh, KSA
02.2004 - 04.2008
- The IV Specialty Services provide peripheral IV placement for patient of all ages throughout the hospital, as appropriate as per department policy.
- The team is comprised of a group of experienced infusion nurses working together to meet the needs of the patient.
- Clinical areas are divided between four pagers among 3 IV team nurses on days and 2 on nights.
- KFSH/RC is an 800+ bed capacity hospital providing care in different or varying illnesses.
- Frequent procedures/ Services/ Function as follows: Using the Nursing Process: APIE, Phlebotomy (during IV Cannulation or on an Emergency basis), IV Cannulation (adult and pediatric), Venous access assessment for TPN in collaboration with the TPN Pharmacist, Physician Unit Nurses, and Family.
- Care and Maintenance of all types of central venous catheters: Temporary, Tunneled, implanted such as Laboratory draws, Dressing Changes, Repairs, Problem Solving, De-clotting/Unblocking.
- Product Evaluation, Recommendations, Quality Improvement.
- Consultative Role: Algorithm for Type of Patient and the Right Type of Venous Access.
- Education of Staff: Theory based Programs and Clinical Check Off.
- Patient Education: Device/ Insertion Procedures/ Care and Maintenance.
- Chemotherapy Administration.
- Code Team: Medication Administration.
RN-C3, General Surgery
King Faisal Specialist Hospital and Research Center
Riyadh, KSA
07.2000 - 02.2004
- The General Surgery Unit, C-3 (was 31 beds by then- now 38), provides nursing care to adult patients only, who require surgical intervention or investigation to finalize need for surgery through a surgical consult.
- Services provided for by the consultants and residents include diagnosis of cancer/ non-cancer conditions of endocrinology, colo-rectal, upper GI, hepatobiliary, liver transplant and trauma.
- Major surgeries performed include total/subtotal, and partial gastrectomy, whipple procedure, cholecystectomy, hernia repair, esophagectomy, resection of colon, rectum, splenectomy, liver resection, live/cadaveric liver transplant, pancreatectomy, pancreas transplant, adrenalectomy, repair common bile duct injury, gastric bypass, thyroidectomy, modified radical mastectomy, simple mastectomy, lumpectomy, and axillary dissection.
RN-LCB2-5th
University of the Philippines-Philippine General Hospital
Manila, Philippines
09.1993 - 06.2000
- Company Overview: One of the best teaching hospitals in the Philippines.
- Specialized in Medical Surgical Adult cases.
- Collaborated well with pharmacists, CNA's, interns, residents and consultants.
- Bulk of patients were classified according to surgical procedures such as GS1, GS2, and GS3.
- One of the best teaching hospitals in the Philippines.
Education
Bachelor of Science - Nursing
University of Santo Tomas
Manila, España, PhilippinesMSN -
Capella University
Skills
- Care coordination
- Utilization management
- Interqual collaboration
- Patient transition planning
- Patient advocacy
- Quality improvement processes
- Multidisciplinary teamwork
- Effective communication strategies
- Conflict resolution techniques
- Critical thinking skills
- Emotional intelligence
- Leadership development
- Cultural history
- Healthcare systems navigation
- Home care coordination
- Ethical practice
- Quality improvement
- Care planning
- Technology proficiency
- Electronic charting
- Compassionate care
- Basic life support for health care providers
- Codes compliance
- Task prioritization
- Regulatory compliance
- Performance metrics
- Problem-solving
References
Available upon request.
Languages
Tagalog, English
Achievement Highlights
- Participated as team lead/resource in COVID Vaccination for the whole county and served the community when vaccination was initially available to the state (UH)
- Maintained Care Coordination role with Pediatric inpatient AND stepped in to be Case Manager when Pediatric Inpatient Rehab was being built and being designed as part of Pediatric Inpatient service in University Hospital. Collaborated with PM&R re needs for ICD 10, IP rehab criteria in order to qualify for billing/insurance.
- Functioned as Complex Case Manager in Childhood Cancer Survivorship Program only available in the county if not City and captured more than 300 patients during the pandemic. Inactive patients where re enrolled and clinic was reintegrated with the new EMR system: EPIC.
- Finished Legal Nurse Consultant Training Course 04/20 during the pandemic
- Rebuilt adolescent clinic, formulated policies and procedures, integration of women’s clinic to cater to adolescent needs. Complex care including pharmacy access, which required combining providers from both Air Force and Army (JBCC –Lackland AFB)
- Functioned as infection control QI interim for hospital wide projects including CAUTI and CLABSI hand hygiene
- Obtained CPN Certification and California RN license in 2016 to present
- Functioned as Chair of the Quality Committee in Medication Safety. (UHS-JBCC)
- Functioned as a Charge Nurse in Sky Tower Pediatric ICU (UHS-JBCC)
- Volunteered to help formulate guidelines to enhance performance of pediatric nurses within the license scope (per the Texas Board of Nursing) when census dictates floating to non-cohort units. The purpose of this project is to provide clear guidelines and procedures for floating to other units that will ensure competent patient care and prevent liability issues. (NCBH)
- Member of team involved in the planning, development and opening of the New Pediatric Unit in one of San Antonio’s most acclaimed hospitals; developed the initialization plan, designed the unit structure, collaborated in equipment selection and acquisition recommendations, room and front desk set-up, schedule structure, and all aspects of starting a new unit from the ground up. (CSR-WOH)
- Handpicked to be the hospital’s delegate to write our input for the city-wide Nursing Journal. (CSR-WOH)
- Started a unit project called “No Interruption Zone”, providing pro-active support for nurses to avoid medication errors. (CSR-WOH)
- Selected by Department Head, to attend advanced training in Intravenous Therapy, and, Critical Care, preparatory to becoming a founding member of the first, hospital wide, IV Therapy Team, and later to the Pediatric ICU. (Riyadh, Saudi Arabia)
- Record of exceptional performance as evidenced by consistent high marks and comment in all evaluations, and always being selected early to fulfill Charge Nurse and Preceptor duties.
- Regular commendations from patients through Press-Ganey Surveys, and phone Satisfaction follow up calls.
- Top 20 in the Philippine Nursing Board of License (1993)
Associations And Certifications
- American Case Management Membership, 2024
- Legal Nurse Consultant Training Course, 2020
- APHON Pediatric Chemotherapy/Biotherapy, 2020
- Philippine Nursing Association, 2023
- UST Nursing International, current
- Diabetic Education, 12/13
- Pediatric Renal Transplant, 12/13
- Pediatric Liver Transplant, 11/13
- Pediatric Advanced Life Support, Current
- AHA Healthcare Provider CPR Certification, Current
- TOEFL, 07/01
- IELTS (Academic Module), 08/03
- Passed Commission on Graduates of Foreign Nursing Schools, 04/03
- Preceptor Course, 05/03
- Registered Nurse-State of Texas, 06/04 to current
- Chemotherapy Certification, 02/05
- Basic Dysrhythmia Interpretation Course, 03/05
- Critical Care Course for Nurses, 04/08 to 06/08
- Pediatric Differences: Critical Practice Issues, 03/10
- Performance Based Development System: Critical Thinking, 04/10
- Preceptor Workshop, 11/10
- Rhythm: Pediatric, 08/11
- Pain Management, 09/11
- American Association of Critical Care Nurses Unit Courses, 2013-2014
- Clinical Ladder for Staff Nurse II in UHS-JBCC, 2014
- American Nurses Association, current
- Texas Nurses Association, current
- American Association of Critical Care Nurses, current
- ECMO and CRRT training, 2016
Timeline
Nurse Care Coordinator
Texas Children's Hospital
10.2023 - Current
Nurse Case Manager
Methodist Children’s Hospital
08.2021 - 10.2023
RN Complex Case Manager
University Health Systems
06.2013 - 08.2021
RN-Shift Lead
Wilford Hall Medical Center Pediatric Clinic
01.2012 - 05.2015
RN
The North Central Baptist Hospital
08.2011 - 01.2012
RN-Pediatric Acute Unit
Christus Santa Rosa-Westover Hills
03.2010 - 07.2011
RN-H1N1 Clinic
Angel Staffing Agency
12.2009 - 02.2010
RN Pediatric ICU
King Faisal Specialist Hospital and Research Center
04.2008 - 09.2009
RN-IV Therapy Team
King Faisal Specialist Hospital and Research Center
02.2004 - 04.2008
RN-C3, General Surgery
King Faisal Specialist Hospital and Research Center
07.2000 - 02.2004
RN-LCB2-5th
University of the Philippines-Philippine General Hospital
09.1993 - 06.2000
Bachelor of Science - Nursing
University of Santo Tomas
MSN -
Capella University