NANCY REYES
Norco,CA
Summary
Highly-motivated nurse with 16+ years of experience, seeking new challenges. Demonstrated strong work ethic, adaptability, and exceptional interpersonal skills. Proven ability to work effectively unsupervised and quickly acquire new skills.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Case Manager
Molina Health Care/BrandNew day
02.2017 - Current
- Complete clinical assessments for members per regulated timelines and use clinical judgment for changes in members' health.
- Complete face-to-face home visit when warranted for high-risk members.
- Act as an educator, resource, and advocate for members and their families.
- Assess, develop treatment planning, intervention, monitoring, evaluation, and documentation on high-risk and/or complex case member.
- Identify and address psychosocial, cultural, ethnic, and religious/spiritual needs for the member.
- Formulate an outcome-based plan of care, based on assessed patient needs, implement, and evaluate the plan as evidenced by documentation.
- Complete patient assessment, care plans, and other pertinent information in a timely manner.
- Apply guidelines and collaborate with multidisciplinary teams, influence and direct delivery and quality patient care.
- Connect members with social and community support systems, along with providing relevant education.
- Communicate with members, Physician, and Specialist to discuss care plan goals.
- Complete HRA and care plans for each member per guideline in a timely manner.
- Follow Molina's model of care, including the nursing process, assessment, planning, and implementing care to meet the members' needs.
- Follow and collaborate with IPAs as needed for referrals and members' needs.
- Assessed clients' needs, developed service plans and monitored progress towards goals.
- Facilitated communication between patients, families, caregivers, social services and other agencies to ensure patients needs were met.
- Conducted home visits to assess the safety of living environments for members
- Coordinated transportation services for members who lacked access to reliable transportation.
Clinic Nurse Manager
Lindora Medical Clinic
Corona , CA
06.2008 - 02.2024
- Conducted regular staff meetings to ensure effective communication.
- Oversaw the daily operation of the clinic, including patient flow, staffing levels, and quality assurance.
- Collaborated with clinic physician to coordinate optimal patient care.
- Provided guidance on regulatory issues such as HIPAA compliance related to patient privacy rights.
- Evaluated new technologies and equipment for implementation into the clinic's operating protocol.
- Identified opportunities for process improvement initiatives within the clinic setting.
- Analyzed data from various sources to improve overall services offered at the clinic.
- Resolved customer complaints in a timely manner while maintaining high quality standards.
- Served as a mentor for newly hired nursing staff members providing them with necessary orientation training.
- Performed administrative tasks such as ordering supplies and equipment needed for smooth functioning of the clinic.
- Initiated collaborations with external organizations and agencies that could benefit patients served by the clinic.
- Prepared patient rooms for visits by cleaning, sanitizing equipment and stocking supplies.
- Administered intramuscular and sub-Q vitamins.
- Oversaw recruitment of new personnel for the clinic, conducting interviews and making hiring decisions.
- Implemented measures to reduce costs while maintaining high levels of quality care provided by the facility.
- Supervised internal and external communications by answering queries and complaints.
- Implemented policy changes and communicated information and procedures through organizational staff meetings.
- Addressed operational issues promptly to minimize impact on clinic services.
- Managed a team of healthcare professionals, including hiring, training, and performance evaluations.
- Led staff meetings to communicate updates, gather feedback, and discuss strategies.
Education
Vocational Nurse -
Everest College
Anaheim, CA05.2008
Associate of Arts - Liberal Studies
Fullerton College
Fullerton, CA06.2007
Skills
- Exceptional communication and interpersonal skills
- Ability to work independently and as part of a team
- Bilingual (Spanish)
- Great customer service
- Microsoft Word, Excel, and Outlook proficiency
- Multitasking
- Self-motivated
- Time management
- Organized
- Case management including with Geriatric, Medicare advantage, Medi-cal/Medicaid
Certification
- LVN License # upon request
- American heart Association Intravenous Therapy and Blood withdrawal
- Basic cardiac life support certified (BCLS)
- American Heart Association Adult CPR/ AED
Languages
Spanish
Professional
Accomplishments
- Recognized for top performance nurse 3/2024 by Molina health care.
References
References available upon request.
Timeline
Case Manager
Molina Health Care/BrandNew day
02.2017 - Current
Clinic Nurse Manager
Lindora Medical Clinic
06.2008 - 02.2024
Vocational Nurse -
Everest College
Associate of Arts - Liberal Studies
Fullerton College
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