Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Monica Oliveros

Chula Vista,CA

Summary

Knowledgeable Supervising Registered Nurse II with excellent conflict resolution and problem-solving abilities demonstrated across a 22-year career history. Skilled at improving processes, maximizing team productivity and reducing costs to achieve sustainable operations. Familiar with employee motivation and retention strategies, resident relations and accreditation requirements. To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

26
26
years of professional experience
1
1
Certification

Work History

Case Manager Specialist

La Care
04.2023 - Current
  • Improved client outcomes by developing and implementing comprehensive case plans tailored to individual needs.
  • Prepared comprehensive progress reports detailing client achievements, challenges faced, and recommendations for continued support services moving forward.
  • Managed high caseloads efficiently, prioritizing cases based on urgency and need.
  • Maintained current knowledge of industry best practices and relevant legislation affecting service delivery, ensuring that all client interventions were evidence-based and compliant with applicable guidelines.

Supervisor RN II UM Dept.

Richard J. Donovan Correctional Facility
03.2007 - 04.2023
  • Supervised, directed and motivated high-quality performance from nursing staff in utilization management department & inpatient and acute care setting.
  • Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
  • Evaluated skills of nursing personnel and verified staff certifications for validity.
  • Promoted professional development opportunities to encourage nurses to pursue continuous training.
  • Coordinated and implemented in-service educational programs focusing on safety and adherence to protocols.
  • Established and continuously optimized unit schedules and individual work assignments.
  • Investigated and independently resolved complaints from staff, physicians and patients by leveraging clinical judgment and unit management expertise.
  • Supervised professional and paraprofessional nursing staff and delegated tasks to maintain continuum of care.
  • Managed 30 nurses and nursing activities in outpatient ambulatory care setting by providing comprehensive nursing guidance and maintaining outstanding patient satisfaction and care standards.
  • Fostered improvement in staff development, personnel training and standards of patient care.
  • Reviewed department performance and adjusted coverage to compensate for changing conditions.
  • Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
  • Performed prior authorization review of services requiring notification.
  • Mitigated potential legal issues related to improper admission or discharge decisions by consulting with physicians regarding complex cases that required further clarification.
  • Improved patient care quality by conducting thorough utilization reviews and making recommendations for optimal treatment plans.
  • Submitted cases for criteria failures and helped facilitate resolutions and approvals.
  • Served as a vital liaison between patients, healthcare providers, and insurance companies, fostering effective communication and coordination among all parties involved in the care process.
  • Increased staff efficiency by providing ongoing education on proper documentation techniques necessary for accurate claims processing.
  • Assisted discharge planning efforts through prompt identification of medically stable patients who were ready for transition to alternate levels of care.
  • Supervised and maintained all utilization review documentation through Software.
  • Optimized hospital stays by monitoring admissions for appropriateness based on established clinical guidelines while considering each patient''s unique circumstances.

Registered Nurse

Scripps Mercy Hospital
01.2005 - 02.2007
  • Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
  • Provided direct patient care, stabilized patients and determined next course of action.
  • Collected blood, tissue and other laboratory specimens and prepared for lab testing.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
  • Managed care from admission to discharge.
  • Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

Registered Nurse

Sharp Hospital
05.2003 - 01.2005
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
  • Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
  • Collaborated with interdisciplinary healthcare personnel to meet patients' personal, physical, psychological and cognitive needs.
  • Secured controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities.
  • Implemented medication and IV administration, catheter insertion and airway management.
  • Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.

Registered Nurse

Alvarado Hospital
02.2000 - 05.2003
  • Provided direct patient care, stabilized patients and determined next course of action.
  • Managed care from admission to discharge.
  • Administered medications via oral, IV and intramuscular injections and monitored responses.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Secured controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities.
  • Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.

Registered Nurse

UCSD Medical Center
08.1999 - 02.2000
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
  • Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
  • Collaborated with interdisciplinary healthcare personnel to meet patients' personal, physical, psychological and cognitive needs.
  • Administered medications via oral, IV and intramuscular injections and monitored responses.
  • Managed care from admission to discharge.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

Education

Bachelor of Science - Nursing

Universtiy of Phoenix
San Diego, CA
05.2012

Associate of Science - Nursing

Imperial Valley College
Imperial, CA
05.1999

Skills

  • Verbal and Written Communication
  • Employee Work Scheduling
  • Service Utilization Improvements
  • Employee Recruitment and Hiring
  • Employee Training Program
  • Critical Thinking
  • Time Management
  • Employee Supervision
  • Data Analysis
  • Employee Performance Evaluations
  • Process Implementation
  • In-service Programs
  • Clinical Staff Management
  • Performance Monitoring

Certification

  • RN License 552075 current, no restrictions
  • Public Health Certificate current
  • BLS certificate expires current
  • Trauma Nursing Core Course Certification current
  • Lean Six Sigma White & Yellow Belt obtained 05/2018
  • Lean Six Sigma Green Belt obtained 12/2018

Timeline

Case Manager Specialist

La Care
04.2023 - Current

Supervisor RN II UM Dept.

Richard J. Donovan Correctional Facility
03.2007 - 04.2023

Registered Nurse

Scripps Mercy Hospital
01.2005 - 02.2007

Registered Nurse

Sharp Hospital
05.2003 - 01.2005

Registered Nurse

Alvarado Hospital
02.2000 - 05.2003

Registered Nurse

UCSD Medical Center
08.1999 - 02.2000

Bachelor of Science - Nursing

Universtiy of Phoenix

Associate of Science - Nursing

Imperial Valley College
Monica Oliveros