Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Maylene A. Andrews BSN, RN, ACM

Brentwood,CA

Summary

Professional with strong background in case management, prepared to make significant impact. Proven ability to collaborate with teams and adapt to changing needs. Skilled in client assessment, resource coordination, and crisis intervention. Reliable and results-focused, with commitment to achieving positive outcomes.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Case Manager

John Muir Health, Concord Medical Center
Concord, CA
06.2020 - Current
  • Assessed patient care needs and orchestrated customized responses to align with physician directives, insurance constraints, and financial factors.
  • Led pilot participation in initial night Emergency Department Case Management during early stages of COVID-19 pandemic.
  • Contributed to strategic initiatives as a member of dialysis committee.
  • Drove initiatives as Anchor CM at B5, leading to recognition as a top-performing unit.
  • Coordinated care plans with multidisciplinary teams to address client needs.
  • Demonstrated expertise in planning, organizing, and executing conflict resolution and negotiation strategies.
  • Reduced care costs without sacrificing quality through service coordination and multidisciplinary collaboration.
  • Assisted in transferring patients to suitable facilities. Provided necessary documentation for patient transfers.
  • Collaborated with MD to coordinate and evaluate admission appropriateness.
  • Facilitated education for healthcare team members on roles and responsibilities within discharge planning processes.
  • Facilitated care coordination with appropriate healthcare teams and external resources.
  • Guided clients in understanding available resources, promoting empowered decision-making.

Inpatient Case Manager

Sutter Delta Medical Center
Antioch, CA
03.2018 - 06.2020
  • Collaborated with medical teams to develop and implement effective treatment plans for patients and families.
  • Conducted comprehensive psychosocial evaluations and needs assessments to identify client requirements.
  • Documented case notes daily and coordinated follow-up for seamless case management
  • Executed utilization management care coordination and discharge planning activities in compliance with regulatory requirements.
  • Managed logistics and execution of patient care conferences, ensuring effective communication and care strategies.
  • Applied effective coordination and planning skills to meet established schedules and deliver results.
  • Coordinated program referrals for community-based resources.

Hospice Case Manager

Sutter Health
5099 Commercial Cr. Ste 210, Concord, CA 94520
11.2015 - 03.2018
  • Identified and addressed unique needs of hospice patients and individuals in home care settings.
  • Executed tasks autonomously while collaborating effectively within an interdisciplinary team.
  • Identified and facilitated implementation of cost-saving initiatives and quality care enhancements.
  • Communicated effectively in writing and verbally to support patient care. Assisted in understanding palliative care for terminally ill patients and evaluated compliance with Medicare guidelines.
  • Identified unsafe or emergency situations and executed appropriate responses.
  • Ensured adherence to care plans while facilitating discussions among multidisciplinary teams.
  • Collaborates with and provides information to patients, families, physicians, and staff regarding provisions of care
  • Facilitated safe discharge planning and continuity of care through comprehensive documentation and collaboration with patient, family, physician, nursing, social services, and healthcare providers.
  • Exercised independent nursing judgment to plan and deliver comprehensive patient care.
  • Developed and managed work assignment plans for team members to enhance project efficiency.
  • Developed and implemented individualized care plans for patients, ensuring comprehensive support and comfort.
  • Facilitated multidisciplinary team meetings to evaluate patient progress and refine care strategies.

Assistant Director of Nursing and Admission nurse

Antioch Convalescent Hospital
1210 A St. Antioch, CA 94509
03.2015 - 08.2015
  • Directed nursing personnel on assigned unit and shift to ensure optimal patient care delivery.
  • Assumed leadership responsibilities of nursing department in absence of director.
  • Attends and provided suggestion during SNF collaborative
  • Monitored treatment regimens to ensure efficacy and optimize patient outcomes.
  • Directed clinical oversight for 99-bed unit, ensuring optimal patient care and safety standards.
  • Oversaw delegation of nursing responsibilities to ensure efficient patient care delivery.
  • Designed and executed comprehensive nursing care plans to enhance patient outcomes.
  • Executed quality improvement activities (QIA's) to analyze and improve key performance areas.
  • Ensured HIPAA compliance
  • Managed care for post-operative patients through discharge
  • Oversaw and managed clinical and support staff in patient care activities while maintaining a high level of staff morale and professionalism
  • Admission of patient from hospitals, board and care, assisted living and home
  • Assessed patient upon admission and follow up with floor nurse regarding their improvement
  • Facilitated collaboration among doctors, rehabilitation services, dietary department, pharmacists, and social services to enhance patient care quality.
  • Facilitated psychiatric meetings alongside medical director, pharmacist, and department leaders. Coordinated with multidisciplinary teams to enhance patient care initiatives. Contributed to the formulation of effective treatment strategies through collaborative dialogue.
  • Executed follow-up procedures to ensure completion of psychiatric recommendations.
  • Led interdisciplinary care conferences involving patient families, nursing teams, social services, and departments including dietary and rehabilitation. Engaged ombudsman to enhance patient advocacy and support.

Nursing Supervisor-PM shift

Kindred Nursing and Healthcare-Bayberry
1800 Adobe St. Concord, CA 94520
08.2015 - 11.2015
  • Managed patient care operations by overseeing clinical and support staff, fostering a professional and motivated work environment.
  • Conducted regular audits and training sessions to ensure ongoing HIPAA compliance across the organization.
  • Formulated and executed comprehensive nursing care plans.
  • Effectively managed clinical oversight for 99-bed unit
  • Collaborated on creating nursing protocols to enhance patient care.
  • Assesses patient needs; participates in providing nursing care; ensures services are carried out and documented appropriately
  • Delegated tasks and responsibilities to certified nursing assistants to ensure efficient patient care delivery.
  • Ensured compliance with company's code of business conduct and corporate compliance agreement by monitoring employee performance and addressing compliance issues.
  • Assisted in training and supervising nursing staff to enhance service delivery. Coordinated nursing services and assigned duties to ensure efficient operations.
  • Designed and executed training programs to enhance skill development among nursing personnel.

Transitional Care Nurse

Antioch Convalescent Hospital
1210 A St. Antioch, CA 94509
11.2012 - 03.2015
  • Evaluated requirements for lab tests and interpreted results to inform clinical decisions.
  • Administered medications and treatments to ensure compliance with medical directives.
  • Conducted thorough monitoring of acute conditions to support patient care and safety.
  • Ensured HIPAA compliance
  • Facilitated patient support in daily activities and personal care tasks.
  • Recorded and evaluated fluid intake and output, focusing on maintaining hydration standards.
  • Coordinated follow-up appointments with specialty doctors to facilitate patient treatment plans.
  • Facilitated patient discharge process, ensuring all necessary documentation was completed.
  • Oversaw certified nursing assistants to ensure high-quality patient care.

Charge Nurse

Elmwood Nursing Care and Rehabilitation
2829 Shattuck Ave, Berkeley, CA 94705
09.2012 - 11.2012
  • Guaranteed adherence to HIPAA regulations and standards.
  • Designed and executed comprehensive nursing care plans to enhance patient outcomes.
  • Responded promptly to on-call care requests, facilitating continuous support for patients at all hours.
  • Tracked and recorded fluid intake and output levels to support effective patient care.
  • Administered medications and treatments to ensure compliance with medical directives.
  • Conducted regular assessments of patient conditions, adjusting care plans as needed for optimal recovery.
  • Managed daily operations of nursing unit, addressing staffing needs and resource allocation effectively.

Caregiver

Elder Care Services
Walnut Creek, CA
06.2012 - 09.2012
  • Offered social support by transporting individuals to events and activities, in addition to medical appointments and shopping trips.
  • Ensured patient comfort and hygiene by managing cleanliness of environments and assisting with personal grooming tasks.
  • Maintained organized personal spaces and crafted healthy meal options to meet client dietary requirements.
  • Oversaw medication administration and scheduled doctor appointments to support clients' health maintenance.
  • Facilitated daily living assistance for clients, focusing on bathing and personal grooming tasks.

Administrator -Residential Care Facilities for Elderly

H.E.A.L Advantage
Concord, CA
10.2008 - 06.2012

Delivered comprehensive reports to licensee on facility operations, ensuring adherence to established care and supervision standards.

Formulated an administrative plan and procedures to establish clear lines of responsibility and equitable workloads.

Ensured provision of comprehensive services to residents, focusing on their physical and mental health requirements as outlined in assessments.

  • Designed and implemented training materials to streamline onboarding processes.
  • Directed inventory processes to maintain sufficient supplies, supporting operational efficiency and minimizing unnecessary expenditures.

Dialysis Nurse

Asia Renal Care
Alabang, Philippines
07.2008 - 09.2008

Achieved effective patient assessments through diligent collection of vital signs and pertinent data. Intervened appropriately based on data evaluation, improving patient outcomes.

Administered dialysis treatments, ensuring proper initiation and termination protocols for patients with established vascular access.

Assisted in implementing patient care plans. Administered medications and intravenous solutions. Maintained accurate records and reports. Educated patients and families on compliance with physicians' orders. Participated in emergency care activities.

Ensured accurate documentation and verification processes for timely completion of physician orders.

Facilitated physician rounding to ensure comprehensive patient assessments and improve clinical outcomes.

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ICU Staff Nurse

Our Lady Of Pillar Medical Center
Imus,Cavite, Philippines
02.2008 - 05.2008
  • Maintained comprehensive patient charts by recording medical status and treatment details to support quality care.
  • Designed and implemented comprehensive patient care strategies to enhance treatment outcomes based on physician guidance and nursing best practices.
  • Facilitated coordination among healthcare professionals to enhance patient health outcomes and recovery processes.
  • Conducted patient assessments, recorded vitals and analyzed records and charts to define care requirements.
  • Administered complex medications and treatments in accordance with established protocols.
  • Monitored patient vital signs and reported changes to the healthcare team promptly.

Education

Bachelor of Science - Nursing

University of Perpetual Help Rizal
Alabang - Zapote Rd, Las Pinas, 1740 Metro Manila, Philippines
2007

Skills

  • Strong clinical judgment
  • Problem-solving
  • Case management
  • Knowledge of common diagnosis and procedures
  • General knowledge of Medicare, Medi-cal and commercial insurance
  • Successfully directs patient and family meetings
  • High level of autonomy
  • Fluent in English and Tagalog
  • Hospice and Palliative care experience
  • Professional bedside manner
  • Patient and family advocacy
  • Epic Care, Midas, All Scripts /Care Port, American Health Tech (EMAR/ETAR), COMS, Point Click Care, Microsoft Office proficient
  • Patient/ Caregiver education
  • Safety and compliance
  • Time Management

Certification

  • Registered Nurse in California, License number 819559
  • Phillipine Registered Nurse , License number 0459548
  • Accredited Case Manager-RN, ACM number 74060
  • Basic Life Support
  • Basic EGC Arrhythmia Recognition
  • RCEF Adminitrator Certificate
  • Disaster Nursing- Philippine National Red Cross, Las Pinas Chapter
  • Hemodialysis Training- Asia Renal Care Philippines Inc. Alabang Branch
  • Dissemination on International Humanitarian Law and the Red Cross Movement

Timeline

Case Manager

John Muir Health, Concord Medical Center
06.2020 - Current

Inpatient Case Manager

Sutter Delta Medical Center
03.2018 - 06.2020

Hospice Case Manager

Sutter Health
11.2015 - 03.2018

Nursing Supervisor-PM shift

Kindred Nursing and Healthcare-Bayberry
08.2015 - 11.2015

Assistant Director of Nursing and Admission nurse

Antioch Convalescent Hospital
03.2015 - 08.2015

Transitional Care Nurse

Antioch Convalescent Hospital
11.2012 - 03.2015

Charge Nurse

Elmwood Nursing Care and Rehabilitation
09.2012 - 11.2012

Caregiver

Elder Care Services
06.2012 - 09.2012

Administrator -Residential Care Facilities for Elderly

H.E.A.L Advantage
10.2008 - 06.2012

Dialysis Nurse

Asia Renal Care
07.2008 - 09.2008

ICU Staff Nurse

Our Lady Of Pillar Medical Center
02.2008 - 05.2008

Bachelor of Science - Nursing

University of Perpetual Help Rizal
Maylene A. Andrews BSN, RN, ACM