Norma Martinez
Newport Beach,CA
Summary
Nursing professional with experience in bedside care delivery, shift supervision, appeals review, and community-based care coordination. Applies clinical judgment and regulatory knowledge to support safe, high-quality outcomes. Collaborates effectively across care teams to maintain continuity of care.
Overview
1
1
Language
1
1
Certification
2025
2025
years of professional experience
Work History
Registered Nurse
Independent Options
Corona, CA
02.2020 - 05.2024
- Facilitated support workers, families, and clinicians in implementing individualized care plans.
- Documented clinical observations and care notes in secure health records.
- Promoted client independence through targeted health education and daily living assistance.
- Responded to incidents and followed escalation steps for urgent care needs.
- Collaborated in multidisciplinary meetings to enhance coordination of client services. with QIDP, day programs, and case managers to coordinate care.
- Prepared monthly reports and attended ISP meetings.
- Worked with team members to provide proper care for each client.
Appeals, State Fair Hearing Nurse Specialist
CalOptima Healthcare
Orange, California
09.2018 - 12.2019
- Applied knowledge ofthe State Fair Hearing process and regulatory guidelines.
- Reviewed medical records and ensured compliance with MCG, InterQual care guidelines, and Medi-Cal criteria to support appropriate service delivery.
- Facilitated collaboration among case management, utilization management, and behavioral health departments to enhance interdisciplinary communication and decision-making.
- Managed timeframes while delivering quality work and effectively resolving complex, sensitive member issues to maintain member satisfaction.
- Prepared clinical reviews independently.
Appeals, State Fair Hearing Nurse Specialist
LA Care Healthcare
Los Angeles, California
01.2015 - 08.2016
- Applied knowledge of State Fair Hearing processes and regulatory guidelines.
- Reviewed medical records and verified requested services against MCG, InterQual care guidelines, or Medi-Cal criteria for compliance.
- Conducted clinical reviews independently to assess patient care needs.
- Coordinated timeframes to deliver high-quality work while effectively resolving complex, sensitive member issues.
- Fostered collaborative relationships among CM, UM, and BH departments to enhance interdisciplinary communication.
Appeals, State Fair Hearing Nurse Specialist
Molina Healthcare
Long Beach, California
04.2014 - 12.2014
- Applied knowledge of State Fair Hearing process and regulatory guidelines.
- Reviewed medical records and ensured compliance of requested services with MCG, InterQual care guidelines, or Medi-Cal criteria.
- Fostered collaborative relationships across CM, UM, and BH departments to enhance communication and service delivery.
- Prepared clinical reviews independently.
- Coordinated timeframes to deliver quality work while effectively resolving complex, sensitive member issues.
Floor Registered Nurse /Shift Supervisor
Casa Colina Hospital and Centers for Healthcare
Pomona, California
05.2011 - 01.2014
- Helped coordinate admissions, transfers, and discharges while tracking patient status and completing required documentation.
- Handled administrative duties as registered nurse on shift while supporting patient care and team coordination.
- Supported quality nursing and patient care through staff coordination, problem solving, guidance, supervision, and direction.
- Worked with interdisciplinary rehabilitation team to support progress toward patient-centered goals.
- Communicated with team members, family members, and patients to support accurate legal documentation and reimbursement needs.
- Assisted individuals with disability or chronic illness to improve functional independence and adjust to lifestyle changes.
Licensed Vocational Nurse
New Orange Hills
Chapman, CA
2007 - 2010
- Monitored patient conditions and assessed needs to ensure safe, appropriate care delivery.
- Delivered nursing care with compassion and respect.
- Worked with physicians, nurses, and interdisciplinary team members to develop individualized care plans.
- Performed routine clinical duties, including blood pressure checks and injection administration, to maintain patient health.
- Administered medications and treatments per physician orders.
- Managed gastrostomy tube care and provided feeding support to enhance patient nutrition.
Education
Bachelor of Science - Nursing Science
West Coast University
Ontario, CA11-2013
Vocational License - License Vocational Nurse
Concorde Career College
Garden Grove, CA01-2007
Skills
- Clinical assessment
- Care management
- Care planning
- Utilization management
- Regulatory adherence
- Interdisciplinary teamwork
Languages
Spanish
Native/ Bilingual
Certification
- Registered Nurse License 792492
- Cancelled 2013 License Vocational Nurse 226319
Timeline
Registered Nurse
Independent Options
02.2020 - 05.2024
Appeals, State Fair Hearing Nurse Specialist
CalOptima Healthcare
09.2018 - 12.2019
Appeals, State Fair Hearing Nurse Specialist
LA Care Healthcare
01.2015 - 08.2016
Appeals, State Fair Hearing Nurse Specialist
Molina Healthcare
04.2014 - 12.2014
Floor Registered Nurse /Shift Supervisor
Casa Colina Hospital and Centers for Healthcare
05.2011 - 01.2014
Licensed Vocational Nurse
New Orange Hills
2007 - 2010
Bachelor of Science - Nursing Science
West Coast University
Vocational License - License Vocational Nurse
Concorde Career College