Qualified, pro-active and goal oriented Registered Nurse with strong background in chronic disease and complex case management. Demonstrated ability to coordinate patient care plans and collaborate with healthcare teams to ensure optimal outcomes. Proven skills in patient advocacy and resource management.
Overview
11
11
years of professional experience
1
1
Certification
Work History
RN Case Manager
Hill Physicians Medical Group
12.2018 - Current
Coordinated patient care plans, ensuring alignment with clinical guidelines and patient needs.
Managed interdisciplinary team communications to facilitate timely interventions and patient updates.
Assessed and monitored patient progress, adjusting care strategies as needed for optimal outcomes.
Educated patients and families on disease management and treatment options, enhancing understanding and compliance.
Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
Advocated for patients'' rights and preferences, working diligently to align care with individual values and goals.
Negotiated with healthcare providers to ensure services were provided at best possible cost without compromising on quality.
Developed strong relationships with patients and their families, providing support and education on health management.
Hospice Registered Nurse Case Manager
Kindred Hospice
11.2017 - 11.2018
Coordinated comprehensive care plans for patients, ensuring alignment with interdisciplinary team goals.
Assessed patient needs and developed individualized care strategies to enhance comfort and quality of life.
Educated families on hospice services, fostering understanding and support throughout the care process.
Provided emotional support to patients and their families during the end-of-life process, promoting dignity and comfort.
Promoted an environment conducive to open communication among staff members regarding complex cases or challenging situations.
Developed and implemented individualized care plan for each hospice patient while following physician instructions.
Taught family members and caregivers various ways to manage patients' pain, how to check for vital signs and proper methods for dressing changes.
Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
Home Health RN Case Manager
Healthy Living At Home
11.2016 - 11.2018
Assessed patient needs and developed individualized care strategies for optimal recovery.
Monitored patient reactions after administering medications and IV therapies.
Managed patients recovering from medical or surgical procedures.
Performed triage on incoming patients and determined severity of injuries and illnesses.
Wound care
Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
Utilization Management Nurse
Community Health Center Network
10.2014 - 08.2016
Conducted comprehensive reviews of patient care plans to ensure compliance with utilization management policies.
Collaborated with multidisciplinary teams to optimize patient outcomes and resource allocation.
Analyzed data trends to identify opportunities for improving care efficiency and effectiveness.
Developed and implemented best practices for utilization review processes, enhancing operational workflows.
Expedited claim resolution by effectively communicating clinical rationale for treatment recommendations to insurance reviewers.
Applied critical thinking skills to assess complex medical cases and determine appropriate levels of care in accordance with industry benchmarks.
Streamlined utilization review processes by collaborating with interdisciplinary teams to develop individualized care plans.
Education
Bachelor of Science - Nursing
Dr. Carlos S. Lanting College
Philippines
Skills
Chronic disease management
Home care management
Clinical assessment
Medication management
Care coordination
Case management
Wound care
Microsoft office
Preventive healthcare
Blood draw and sample collection
EMR / EHR
Home care
Routine examinations
Medication and IV administration
Medication administration
Certification
Licensed-California Registered Nurse #692662 Nov 2024-Nov 2026
Certified Gerontological Nurse, American Nurses Credentialing Center - Jan 2022-Jan 2027
Certified Case Manager, The Commission for Case Manager Certification - May 2022-May 2027