MARREL DAVID
Lancaster,CA
Summary
Dedicated, highly organized Licensed Vocational Nurse (LVN) and Inpatient Case Manager combining robust hands-on clinical training with an extensive background in managed care, utilization review, and complex discharge planning. Proven expert in managing care transitions from acute inpatient stays to Skilled Nursing Facilities (SNFs), acute rehab, and home health care. Skilled at evaluating medical necessity, collaborating with interdisciplinary teams, and applying medical coding knowledge to prevent insurance denials, reduce lengths of stay, and optimize patient outcomes. Compassionate Case Manager accustomed to treating diverse patient needs while managing dynamic conditions. Collaborative professional possessing excellent clinical knowledge and judgment combined with strong documentation and problem-solving abilities. Well-versed in managing emergent cases with poise.
Overview
1
1
Certification
12
12
years of professional experience
Work History
Inpatient Case Manager
Medpoint Management
08.2024 - Current
- Drive complex discharge planning workflows for acute care patients, executing precise medical evaluations to ensure timely, safe transitions to alternative care settings.
- Coordinate targeted placements into Skilled Nursing Facilities (SNFs), long-term acute care hospitals (LTACHs), acute rehabilitation units, and home health services.
- Perform clinical utilization management (UM) and medical necessity reviews to align patient care with insurance guidelines, successfully minimizing avoidable delays and authorization denials.
- Partner with SNF admissions teams, insurance payers, physicians, and families to manage auth requests, secure bed availability, and guarantee continuity of care.
- Participate in daily interdisciplinary rounds to identify and resolve immediate discharge barriers, optimizing inpatient resource utilization and reducing hospital readmissions.
- Utilize Electronic Medical Records (EMR) to build, track, and maintain highly detailed, compliant care management documentation.
Licensed Vocational Nurse (LVN)
Skyline Hospice
06.2024 - 08.2024
- Provided compassionate end-of-life and palliative care, administering prescribed medications and treatments with 100% chart accuracy.
- Monitored and documented patient vital signs, proactively managing acute physical pain and updating clinical care plans dynamically.
- Delivered essential emotional support, therapeutic communication, and clinical disease education to patients and family members.
Claims Examiner
Medpoint Management
01.2015 - 01.2021
- Audited and processed complex medical claims utilizing in-depth knowledge of standard insurance policies and managed care necessity guidelines.
- Applied advanced medical coding knowledge (ICD-10-CM, CPT, HCPCS) to verify billing accuracy and reduce corporate financial leakage.
Education
Licensed Vocational Nursing Program -
Career Care Institute
Lancaster, CA03-2023
High School Diploma -
Valley Academy of Arts And Sciences
Granada Hills, CA06-2014
Medical Assistant Program -
University of Antelope Valley
Skills
- Discharge Planning
- Skilled Nursing Facility (SNF) Placement
- Care Transitions
- Utilization Review
- Medication Administration
- Wound Care
- Vital Signs
- EKG/ECG
- Patient Assessment
- Interdisciplinary Rounds
- Multidisciplinary Collaboration
- Patient/Family Navigation
- Medical Coding (CPT, ICD-10-CM, HCPCS)
- Auditing
- Regulatory Compliance
- Electronic Medical Records (EMR)
- Data Entry
- Healthcare Documentation
Certification
- Licensed Vocational Nurse (LVN), State of California
- IV Therapy & Venipuncture Certification
- CPR & AED Certified, Basic Life Support (BLS)
- Certified Medical Assistant (CMA)
- LA Command Hospital Fire & Safety Certification
Clinical Rotations Training
- Acute & Urgent Care, Kaiser Permanente Urgent Care (Lancaster), High Desert Regional Health Center
- Specialized Hospital Units, Labor & Delivery / Antelope Valley Medical Center, Kaiser Permanente Medical Offices
- Rehabilitative & Long-Term Care, Wellsprings Post Acute Center, Mayflower Gardens Convalescent Hospital
Timeline
Inpatient Case Manager
Medpoint Management
08.2024 - Current
Licensed Vocational Nurse (LVN)
Skyline Hospice
06.2024 - 08.2024
Claims Examiner
Medpoint Management
01.2015 - 01.2021
Licensed Vocational Nursing Program -
Career Care Institute
High School Diploma -
Valley Academy of Arts And Sciences
Medical Assistant Program -
University of Antelope Valley