Priscilla Bocker
Maitland,USA
Summary
Expert in case management and utilization reviews, specializing in patient care coordination and disease management. Skilled in bilingual communication, patient education, and discharge planning, with a focus on enhancing patient outcomes. Proven track record of collaborating with healthcare teams to implement comprehensive care solutions. Extensive experience in surgical patient care, ensuring adherence to aseptic procedures and safety protocols for optimal health results.
Overview
23
23
years of professional experience
1
1
Certification
Work History
NURSE CASE MANAGER/UTILIZATION MANAGEMENT
UHC Optum Wellmed
11.2019 - Current
- Maintained electronic medical records in compliance with HIPAA regulations and organizational standards.
- Conducted patient assessments to identify high-risk cases and develop management strategies.
- Educated patients and families on treatment options, medication management, and post-discharge care.
- Collaborated with healthcare providers to align treatment plans with payer guidelines.
- Monitored patient progress, adjusting care plans to improve outcomes and reduce readmissions.
- Facilitated access to healthcare services, community resources, and support systems for patients.
- Participated in quality improvement initiatives to enhance case management processes and satisfaction.
- Documented findings and decisions accurately in electronic medical records and case management systems.
CLINIC NURSE
Davita Medical Group
06.2016 - 11.2019
- Executed rapid triage responses while ensuring compliance with documentation standards.
- Evaluated patient needs and administered medications under physician supervision.
- Assisted physicians with examinations, treatments, and wound care procedures.
- Managed foley catheter changes and monitored intravenous infusions and port flushes.
- Instructed patients on health measures and self-care practices effectively.
- Ensured accuracy of clinical documentation in medical records to meet regulations.
- Engaged in health promotion initiatives, supporting care planning for low acuity members.
- Provided follow-up management assistance post-hospitalizations and emergency room visits.
LPN ALLERGY CHARGE NURSE
Anderson Allergy and Asthma
08.2013 - 06.2016
- Perform procedures to include allergy skin prick test, food allergy test, intradermals, patch testing, and medicine challenges.
- Monitor patients with anaphylactic reactions and patients with acute asthma exacerbation episodes.
- Phlebotomy and IV insertions.
- Administer allergy injections and epinephrine when needed.
- Compounded allergy serum for both subcutaneous and sublingual immunotherapy.
- Educated patients on immunotherapy including risks and benefits involved, also on symptoms that included anaphylaxis, and proper use of an epi-pen.
- Educated patients on asthma symptoms and proper use of inhaled corticosteroids and bronchodilators.
- Roomed patients, obtained vitals to include pulmonary function tests, collected history of present illness.
- Scribed all documentation for physicians to include office notes.
- Monitor all laboratory and radiology reports.
- Triage phone calls and addressed concerns to physicians.
- Obtain prior authorizations for medicines and IV immune globulin therapy.
LPN CHARGE NURSE/ ASSISTANT UNIT MANAGER
The Parks Healthcare and Rehabilitation Center
04.2008 - 01.2013
- Assigned to provide patient care for up to 30 patients.
- Assisted with the admission and discharge of patients.
- Performed Unit manager duties to include supervision of nurses and CNAs, attended daily meetings, provided guidance to staff and reviewed charts for proper documentation and to ensure guidelines were being met.
- Performed clinical tasks according to nursing home policies.
- Assisted in the orientation of new employees.
- Observed patient conditions and informed physicians of any changes in status in regards to patients health.
- Monitored and maintained patients charts and labs.
- Documented patient's conditions on daily basis.
- Supervised teams of CNAs on a daily basis.
- Communicated with physicians and administered medications and treatments as prescribed.
- Documented treatment plans and procedures in accordance with regulations.
- Assisted with emergency response to sudden patient illness.
- Managed insertion and removal of IV lines, administered IV fluids and medications.
- Administered tracheostomy care and suction, wound care, foley cath insertions and removals.
- Assisted residents with self care techniques.
- Spent quality time with residents providing compassionate support and understanding.
PRE-ADMISSION TESTING/PRE-OPERATIVE NURSE
Urological Ambulatory Surgical Center
10.2010 - 02.2012
- Planned and prepared for the pre-operative nursing care of the patient.
- Administered medications and monitored patient responses in a surgical setting.
- Assisted physicians during urological procedures, ensuring patient safety and comfort.
- Scheduled surgeries and provided pre-op instructions.
- Educated patients and their families on medical-surgical procedures and disease processes.
- Ensured effective and efficient clinical processes for patients in the Pre-op Center to ensure surgery criteria and qualifications are established and maintained.
- Implemented all physician orders, obtained signatures on consents and provided for continuity and quality of nursing care for patients.
- Pre-op testing to include lab draws, EKG, and obtaining History and Physical to analyzed need of cardiac/pulmonary/medical clearance.
MEDICAL ASSISTANT
Urology Consultants
08.2002 - 12.2006
- Triaged phone calls.
- Obtained vitals, roomed patients, assisted physician with care of patients.
- Foley insertions/removals/irrigations.
- Performed Urodynamic studies, injections, and lab draws.
- Scheduled surgeries, providing pre-op and post-op instructions.
- Prepared and assisted with surgeries to include vasectomies, biopsies, cystectomies, and Microwave and TUNA procedures.
- Prepared and assisted in various surgical procedures including vasectomies and biopsies.
- Assisted surgeons with procedures by providing necessary instruments and supplies.
- Maintained sterile environments in operating rooms to prevent infections.
Education
PRACTICAL NURSING -
Technical Education Of Center Osceola
12.2007
Skills
- Case management and care coordination
- Patient counseling and education
- Disease management strategies
- Utilization review expertise
- Discharge planning
- IV and CPR certification
- Bilingual communication in English and Spanish
- Phlebotomy skills
- Critical thinking
- Infection control procedures
- effective communication
- Surgical preparation
Certification
- LPN
- IV Certified
Timeline
NURSE CASE MANAGER/UTILIZATION MANAGEMENT
UHC Optum Wellmed
11.2019 - Current
CLINIC NURSE
Davita Medical Group
06.2016 - 11.2019
LPN ALLERGY CHARGE NURSE
Anderson Allergy and Asthma
08.2013 - 06.2016
PRE-ADMISSION TESTING/PRE-OPERATIVE NURSE
Urological Ambulatory Surgical Center
10.2010 - 02.2012
LPN CHARGE NURSE/ ASSISTANT UNIT MANAGER
The Parks Healthcare and Rehabilitation Center
04.2008 - 01.2013
MEDICAL ASSISTANT
Urology Consultants
08.2002 - 12.2006
PRACTICAL NURSING -
Technical Education Of Center Osceola