Monique Fuller
Upland,CA
Summary
Emergency Department Registered Nurse with 3 years of high-acuity clinical experience in a certified stroke center. Demonstrated ability to provide safe, efficient, and patient-centered care across the lifespan, from pediatric to geriatric populations. Skilled in coordinating care, prioritizing patient safety, and implementing individualized plans of care in fast-paced, high-acuity environments. Brings strong clinical judgment, interdisciplinary collaboration skills, and technology proficiency to support high-quality patient care.
Overview
10
10
years of professional experience
Work History
Registered Nurse II, Emergency Department
QUEEN OF THE VALLEY HOSPITAL
West Covina, CA
09.2023 - Current
- Delivered comprehensive nursing care to patients across the lifespan with acute, episodic, and chronic needs, ensuring adherence to departmental standards and patient safety goals.
- Functioned as a MediTech Super User during the implementation of an AI-enabled handoff tool, facilitating standardized electronic communication during patient transitions.
- Collaborate with physicians, physician assistants, nurses, and interdisciplinary teams to develop individualized care plans for patients.
- Deliver safe, efficient care across varying acuity levels, including ICU-level patients, stroke alerts, triage, rapid treatment area, pediatric emergencies, and medical-surgical admissions.
Compliance Analyst I
INLAND EMPIRE HEALTH PLAN
Rancho Cucamonga, CA
10.2021 - 04.2022
- Received, researched, and responded to inquiries and updates from CMS, DMHC, and DHCS.
- Collaborated with internal and external stakeholders to facilitate timely transition into 2023 Dual Special Needs Plan (DSNP), enhancing program readiness.
Senior Business Process Analyst
KAISER PERMANENTE
Rancho Cucamonga, CA
08.2018 - 04.2021
- KP Online Affiliate subject matter expert for Souther California region and knowledge in provisioning in remaining KP regions.
- Developed marketing materials to promote Online Affiliate and Electronic Data Interchange (EDI) self-service tools to external providers across all 7 KP regions.
- Assisted with the implementation of various outreach strategies that promote external provider self-service tools ,resulting in cost savings of $2.8 million in 2019 and $4.3 million in 2020.
- Collaborated with Regional Service Liaisons, Outside Referrals Department, Compliance Officers, and System Solutions & Deployment departments to communicate self-service tool updates to external provider groups.
- Created desktop level procedures, Visio's, reference and registration materials for KP staff and external provider groups.
- Led Mid-Atlantic (MAS) Provider Re-Direct project to eliminate claim status calls to Member Service Call Center.
Senior Case Manager
KAISER PERMANENTE
Rancho Cucamonga, CA
07.2016 - 08.2018
- Investigated CA Statewide Medicare Part C grievances, appeals, Organization Determinations, and Pre-Service Organization Determinations to ensure compliance and resolution.
- Processed grievances and appeals according to Medicare regulations and compliance standards.
- Compiled member appeal case summaries for presentation to the Physician Review Committee, ensuring thorough review and informed decision-making.
Education
Masters of Science in Nursing - Nursing Informatics
CALIFORNIA BAPTIST UNIVERSITY
01-2025
Bachelors of Science - Health Science, Public Administration Minor
CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO
01-2015
Associate of Science and Arts -
CHAFFEY COMMUNITY COLLEGE
01-2012
Skills
- Registered Nurse (RN), California
- Basic Life Support (BLS)
- Advanced Cardiovascular Life Support (ACLS)
- Pediatric Advanced Life Support (PALS)
Timeline
Registered Nurse II, Emergency Department
QUEEN OF THE VALLEY HOSPITAL
09.2023 - Current
Compliance Analyst I
INLAND EMPIRE HEALTH PLAN
10.2021 - 04.2022
Senior Business Process Analyst
KAISER PERMANENTE
08.2018 - 04.2021
Senior Case Manager
KAISER PERMANENTE
07.2016 - 08.2018
Masters of Science in Nursing - Nursing Informatics
CALIFORNIA BAPTIST UNIVERSITY
Bachelors of Science - Health Science, Public Administration Minor
CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO
Associate of Science and Arts -
CHAFFEY COMMUNITY COLLEGE