Paulena Desio
Chula Vista,CA
Summary
Seasoned nursing professional with 15 years of diverse experience in direct patient and care coordination. Skilled at multitasking and prioritizing patient needs. Team player with quality focused care to provide positive patient outcomes.
Overview
16
16
years of professional experience
Work History
Registered Nurse Outpatient Dialysis
Fresenisus Medical Care Dialysis
09.2023 - Current
- Performed frequent checks on hemodialysis equipment and made necessary adjustments to preserve optimal patient conditions.
- Evaluate treatment plans against individual goals and healthcare standards.
- Evaluate patient progress regularly, adjusting treatment plans as needed to optimize health outcomes while minimizing potential risks.
- Communicate with healthcare team members to plan, implement and enhance treatment strategies.
Registered Nurse Acute Inpatient Dialysis
Fresenius Medical Care Dialysis
07.2021 - 01.2023
- Conducted thorough patient assessments before initiating dialysis treatment, ensuring proper preparation and minimizing risks of complications.
- Closely monitored hemodynamic parameters during dialysis sessions, making necessary adjustments based on individual patient needs.
- Communicated with physicians and hospital staff regarding significant information to notify staff of issues and changes.
RN Complex Case Manager
Blue Shield Of California Promise Health Plan
02.2020 - 06.2021
- Organized, triaged, and managed care of patients undergoing various therapies and procedures for complex case services.
- Coordinated care with members and interdisciplinary health team (PCP, MD specialists, Social Services).
- Assessed high risk members for over utilization of services.
- Provided telephonic education and health education resources to members.
RN ED Case Manager
AMN Healthcare - Kaiser Hospital ER
07.2019 - 01.2020
- Screened and referred ED patients appropriately to acute care rehabilitation, long term acute care, and nursing homes for admission directly from ED.
- Safely identified ED patients who qualified for home treatment and coordinated services for home health, heparin injections, medications, and specialists follow up appointments.
- Communicated to out of network insurance providers with patient's admission, and facilitated transfers of medically stable patients to an in network provider.
RN Outpatient/Inpatient Case Manager
Southern California Physicians Managed Care
02.2018 - 10.2018
- Managed time efficiently in order to complete all tasks within deadlines.
- Maintained accurate documentation of all case management activities, ensuring compliance with regulatory standards.
- Maintained detailed records of patient progress, documentation of services and case notes.
- Maintained individual files such as case notes, intake and discharge summaries and releases of information.
RN Care Manager
Scripps Memorial Hospital La Jolla
05.2017 - 02.2018
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Applied effective time management techniques to meet tight deadlines.
- Facilitated patient needs upon discharge of hospital.
- Communicated and coordinated with family, patient's, doctors, and nurses to provide timely and safe discharges for patients.
RN Staff Nurse - Surgical Acute
Scripps Mercy Hospital San Diego
05.2008 - 05.2017
- Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
- Improved patient outcomes by providing high-quality nursing care and implementing evidence-based practices.
- Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
RN Bed Placement Coordinator
Sharp Healthcare Centralized Patient Placement
08.2016 - 03.2017
- Responsible for patient throughput through the hospital. ED, OR, post procedural areas, direct admissions, or internal transfers of patients between units.
- Worked closely with the administrative liaison and charge nurses to determine bed needs within the hospital. Participate in daily bed meetings.
- Monitored and projected bed availability upon discharges or transfers.
- Assign patients to appropriate units based on level of care, patient diagnosis and patient attributes.
RN Staff Nurse
Sharp Chula Vista Hospital
12.2007 - 04.2008
- Evaluated healthcare needs, goals for treatment, and available resources of each patient
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated healthcare team as needed.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
Education
Bachelor of Science - Nursing
National University
San Diego, CA04.2009
Associate of Science - Nursing
National University
San Diego, CA.11.2007
Associate of Arts - Sociology
Southwestern Community College
Chula Vista08.2005
Skills
- Critical Thinking
- Time Management
- Patient Care Oversight
- Patient Examination
- Accurate Documentation
- Compassionate and Caring
Timeline
Registered Nurse Outpatient Dialysis
Fresenisus Medical Care Dialysis
09.2023 - Current
Registered Nurse Acute Inpatient Dialysis
Fresenius Medical Care Dialysis
07.2021 - 01.2023
RN Complex Case Manager
Blue Shield Of California Promise Health Plan
02.2020 - 06.2021
RN ED Case Manager
AMN Healthcare - Kaiser Hospital ER
07.2019 - 01.2020
RN Outpatient/Inpatient Case Manager
Southern California Physicians Managed Care
02.2018 - 10.2018
RN Care Manager
Scripps Memorial Hospital La Jolla
05.2017 - 02.2018
RN Bed Placement Coordinator
Sharp Healthcare Centralized Patient Placement
08.2016 - 03.2017
RN Staff Nurse - Surgical Acute
Scripps Mercy Hospital San Diego
05.2008 - 05.2017
RN Staff Nurse
Sharp Chula Vista Hospital
12.2007 - 04.2008
Bachelor of Science - Nursing
National University
Associate of Science - Nursing
National University
Associate of Arts - Sociology
Southwestern Community College
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