MARLENA PAUL
Chino,CA
Summary
Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.
Overview
20
20
years of professional experience
1
1
Certification
Work History
RN Case Manager
Providence St Jude's Medical Center
07.2024 - Current
- Conducted comprehensive assessments to identify patient needs and develop tailored interventions.
- Collaborated with multidisciplinary teams to facilitate seamless communication and optimal patient outcomes.
- Monitored patient progress and adjusted care plans based on ongoing evaluations and feedback.
- Educated patients and families about health management strategies, enhancing self-care skills and understanding.
- Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.
RN Discharge Case Manager
UnitedHealth Group
11.2023 - Current
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
- Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
- Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
- Served as a liaison between physicians and patients'' families to facilitate clear communication regarding treatment options and progress updates.
- Mentored new nursing staff, contributing to a supportive work environment and improved retention rates.
RN Case Manager
Molina Healthcare
07.2023 - 11.2023
- Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Educated patients and families on available community resources, facilitating access to necessary support services.
- Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
Case Manager
Optum
08.2020 - 11.2023
- Worked with multidisciplinary team to carry out successful treatment plans for diverse inpatients with acute and chronic conditions
- Responded to inpatient and patients' family requests with appropriate clinical and personal assistance
- Documented accurate and complete patient information to address patient problems and expected outcomes
- Screened medical records and information on all hospital platforms from EPIC to Cerner for necessity and appropriateness and referred for physician review cases not meeting medical criteria.
- Quickly learned new skills with MCG programming and applied them to daily tasks, improving efficiency and productivity for patient charting.
- Used ticketing systems to manage and process support actions and requests for equipment and the latest programming updates to have a better flow for patient care
- Analyzed electronic health records to identify areas for care improvement and cost reduction.
- Integrated decision support, clinical pathways and best practices into health information technology to enhance delivery of care and workflows.
LVN II
Allergy Dept/Ancillary Services
07.2019 - 08.2020
- Duties include managing and scheduling patients for their Allergy Injections, phototherapy, ordering of any new prescriptions/supplies, and various nurse visits while working with Dr remotely
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Blood draws, IV therapy, IM/SQ, and/or administering/monitoring MA patient care to various departments at clinic site
- Cross trained to work in Dermatology, OB/GYN, ENT, MOHS procedures, as well as Supervisor roles when needed
- Documenting, scheduling and billing of patients in TouchWorks and GEIDX
- Competent in the training of new hires
- Used advanced health informatics knowledge and judgment to promote colleague involvement in planning, decision-making and evaluating outcomes.
- Took samples such as blood and urine to complete diagnostic and routine assessment tests
- Influenced care outcomes by implementing improvements and optimizing health information technology by promoting Optum's TeleHealth program and self-use portal.
School Nurse
LVN, Temple City Unified School District
10.2017 - 07.2019
- Conducted mandated health screenings, physicals and special education assessments at Oak Ave Intermediate school with 955 students
- Ensured external follow-up where required
- Provided education to students on health, hygiene, etc
- Ensured HIPAA compliance
- Provide direct health services to students such as first aid to the sick and injured; administer ordered daily and as needed medication to student per Doctor's orders
- Provided services as a community liaison to students and their families on health services out of the school setting such as low cost or no cost health insurance or mental health information
- Maintained good communication between students, parents, teachers, Principal, and counselors to create a consistent positive environment and implement IEP or 504 plans or mental health plans
Triage Nurse
Leisure World
06.2018 - 11.2018
- Perform concurrent and retrospective telephonic clinical/triage reviews
- Documenting medical necessity and appropriate level of care utilizing clinical regulations and Health Plan requirements
- Effectively communicate with members, their families and or designated member rep to assess discharge plan, provide Health Plan benefit information
- Interact daily with treating physicians regarding the OCMG members plan of care and alternative care solutions
- Effectively communicates plan of care to facility staff, health plan partners, and ambulatory case management
- Performs EKG, blood withdrawal, wound care, IM/SQ injects, vitals, etc as directed by Physician
- Provided case management services, counseling, education and life-skills training to diverse, geriatric population
LVN
Covenant Home Health
04.2015 - 03.2018
- Providing direct patient care under the supervision of a registered nurse for Home Health plan of care
- Providing treatments such as IV and IM/SQ administration with education on medication uses
- Working collaboratively with the members of the team to help meet positive patient care outcomes
- Wound care
- Pharmacological and non-pharmacological management and treatment of various disorders and diseases
- Self-directed with astute judgment skills
- High level of personal accountability
- Trained to interview and evaluate patients, including conducting safety and risk assessments during home health care intake evaluations
LVN/Patient Care Assistant
Huntington Hospital
09.2006 - 06.2016
- Worked on a Surgical/Trauma Unit, ER, and Float Pool
- Responded appropriately to the physical, emotional and developmental needs of patients
- Maintained accurate records of vital signs, patient condition, progress and concerns
- Tested and recorded blood glucose levels
- Changed wound and sterile dressings
- Obtained information about clients' medical history, drug history, complaints and allergies
- Provided pre and post-operative care
- Assisted and educated patients with bathing, oral hygiene, grooming, feeding and elimination or catheter care
- Helped patients move in and out of beds, baths, wheel-chairs and automobiles
- Performed clerical duties, such as word processing, data entry, doctors orders, time cards, answering phones and filing
- Analyzed electronic health records to identify areas for care improvement and cost reduction.
- Served as liaison between end-users and health IT team as a SuperUser for transition from MediTech to EPIC.
Education
MBA - Business Administration And Management
California Polytechnic State University of Pomona
Pomona05-2026
Bachelor of Science - Nursing
WESTERN GOVERNORS UNIVERSITY
Santa Ana, CA03-2023
Skills
- Acute/Chronic care expertise
- Disease prevention and intervention specialist
- Wound care specialist
- Multidisciplinary team collaboration
- Palliative care awareness Treatment and discharge plan
- In-depth knowledge of intravenous therapy/blood draws
- Planning and development of patient care
- Healthcare data analytics
Certification
- Certified Case Manager Training - Aug 2024
- Licensed Public Health Nurse - June 2024
Timeline
RN Case Manager
Providence St Jude's Medical Center
07.2024 - Current
RN Discharge Case Manager
UnitedHealth Group
11.2023 - Current
RN Case Manager
Molina Healthcare
07.2023 - 11.2023
Case Manager
Optum
08.2020 - 11.2023
LVN II
Allergy Dept/Ancillary Services
07.2019 - 08.2020
Triage Nurse
Leisure World
06.2018 - 11.2018
School Nurse
LVN, Temple City Unified School District
10.2017 - 07.2019
LVN
Covenant Home Health
04.2015 - 03.2018
LVN/Patient Care Assistant
Huntington Hospital
09.2006 - 06.2016
MBA - Business Administration And Management
California Polytechnic State University of Pomona
Bachelor of Science - Nursing
WESTERN GOVERNORS UNIVERSITY