RONALDO DIAZ CHAVEZ

Case manager coordinator in the ER Department of PIH Hospital in the City of Downey, CA

• Conducted training to update staff on new laws, regulations and procedures to promote more informed delivery of client services.
• Reviewed caseworkers' client cases and made recommendations for additional actions and improvements.
• Implemented new initiatives and procedures to increase knowledge and availability of client services.
• Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
• Helped patients receive appropriate, high-quality care with reasonable results.
• Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
• Consulted with clinicians to devise and manage ongoing care plans for at-risk patients.
• Evaluated treatment plans against individual goals and healthcare standards.
• Reduced care costs without sacrificing quality through service coordination and multidisciplinary collaboration.
• Intervened in urgent and crisis situations and provided services in compliance with California and federal regulations and laws.
• Notified insurances and helped people with their inpatient or outpatient needs (Admission, transfers, ambulance or car transportation, referrals for PCP, specialists, home health, skilled nursing facilities and DME).
• Documented every action and conversation on each patient chart.
• Managed over 30 customer calls per day.

• Educated clients and families on community resources, treatment options and health care services to better manage conditions.
• Participated in team meetings and trainings to stay updated on best practices and new developments in care management.
• Responded to emergency situations and provided support to promote client safety and wellbeing.
• Established and maintained relationships with clients, families and community partners to coordinate services to meet client's needs.
• Communicated with healthcare providers to facilitate continuity of care.
• Evaluated clients progress and adjusted service plans to address areas of concern.
• Maintained detailed records in compliance with agency standards and regulations.
• Consulted with supervisors to assess cases and plan strategies for enhancing care.
• Assisted clients with daily living needs to maintain self-esteem and general wellness.
• Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing, and other enabling services for patients.
• Arranged transportation and documented details of discharge transition plans.
• Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
• Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
• Communicated with patients, ensuring that medical information was kept private.

• Thoroughly examined patients and elicited medical history data to use in assessing health and identifying conditions.
• Diagnosed and treated patients suffering from chronic conditions.
• Interviewed patients concerning physical complaints, discussed symptoms, asked questions and suggested treatment options.
• Teamed with other physicians, specialists and health care providers to provide well-rounded care for complex cases.
• Practiced medicine, providing diagnosis and treatment for patients.
• Identified serious conditions and emergency situations and immediately referred to hospital for prompt care.
• Wrote medical prescriptions, detailing side effects and possible adverse reactions to keep patients informed and alert of potential issues.
• First contact to urgencies and emergencies.

• Developed manual providing information on community resources across county available to families and children.
• Determined needed and relevant interventions based on each client's cognitive abilities and current needs.
• Educated potential participants on available services and processes to engage in program.
• Identified service gaps and located needed housing and work placement resources for individuals.
• Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
• Worked flexible hours; night, weekend, and holiday shifts.
• General consulting to all age groups.
• Treated chronic degenerative disease, birth control, child growth control, acute pulmonary infections, gastrointesntinal disease and first contact to urgencies.

• Reported back to instructor to receive day-to-day tasks and responsibilities.
• Communicated effectively with faculty and staff and accepted critiques and suggestions for areas of improvement.
• Delivered clerical support by handling range of routine and special requirements.
• Completed range of simultaneous job tasks to support professor's academic, research and operational needs.
• Searched at library and in scholarly databases to locate necessary information for research projects.
• Sorted and organized files, spreadsheets and reports.
• Learned and passed thru the basic’s medical specialties such as familiar medicine, pediatrics, gynecologist and obstetrics, emergencies, surgery and internal medicine.