Roxzann Troncoso BSN, RN, PHN
Rancho Cucamonga,CA
Summary
Registered Nurse with seven years of diverse experience in pharmacy and managed care, now a licensed RN. Completed a one-year residency on a cardiac/neuro telemetry floor at a Level II Trauma hospital. I am eager to apply my comprehensive understanding of the healthcare system and patient-centered care to a new role.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Cardiac Telemetry Registered Nurse
Pomona Valley Hospital Medical Center
09.2024 - Current
- Provided comprehensive care for a diverse patient population on a cardiac/stroke floor, managing patients with complex conditions including post-surgical cases (CABG, cerebral angiogram, cardiac catheterization) and neurological events.
- Specialized in acute cardiac and stroke care, managing cases of myocardial infarction, heart failure, arrhythmias, and stroke, utilizing advanced cardiac monitoring and NIHSS assessments.
- Actively participated in rapid response teams and code blue situations, administering advanced cardiac life support interventions and ensuring prompt, effective crisis management.
- Collaborated with interdisciplinary teams to develop and implement individualized care plans and educate patients and families on disease management and self-care strategies.
- Managed and administered a wide range of medications, including intravenous therapies, ensuring timely and accurate delivery while adhering to strict protocols and HIPAA guidelines.
- Educated patients and families on disease management, self-care strategies, and post-discharge care to promote positive health outcomes.
Utilization Management Pharmacy Technician
Inland Empire Health Plan
05.2018 - 07.2022
- Evaluate and decide Medicare Part B and Medi-cal requests for J codes, S codes, Q codes, B codes, and other medical benefit drugs/supplies.
- Ensure timely and compliant prior authorizations, meeting regulatory standards set by the Department of Health Care Services, Center for Medicare and Medicaid Services, California Department of Managed Health Care, and National Committee for Quality Assurance.
- Assess prior authorization requests for medication adherence and suitability according to formulary guidelines.
- Liaise with healthcare providers and IPA companies to gather necessary information for medication prior authorizations, per diem request, and chemotherapy regimens.
- Apply clinical expertise to suggest alternative therapies or interventions when appropriate, while maintaining thorough documentation and effective communication with relevant stakeholders.
Medi-Cal Pharmacy Call Center Representative
Inland Empire Health Plan
06.2017 - 05.2018
- Proficiently manage inbound calls from Medi-Cal members, addressing inquiries regarding pharmacy benefits, medication coverage, and prior authorization requirements.
- Leverage an extensive understanding of Medi-Cal regulations and procedures to guide callers through the pharmacy claims process and effectively resolve issues or concerns.
- Thoroughly document all customer interactions in the call center system, adhering to HIPAA regulations and internal protocols to maintain accuracy and confidentiality.
- Work collaboratively with pharmacy providers and healthcare professionals to ensure timely medication refills, authorizations, and adherence to formulary guidelines.
Pharmacy Technician
CVS Caremark Specialty Pharmacy
01.2016 - 06.2017
- Accurately and efficiently filled prescriptions, adhering to pharmacy laws and regulations by carefully counting, labeling, and dispensing medications.
- Delivered outstanding customer service by assisting patients with inquiries and educating them on proper medication usage.
- Worked closely with pharmacists to process insurance claims and maintain precise patient records in accordance with privacy laws.
- Performed regular quality assurance inspections on medication storage areas and equipment to ensure adherence to safety and cleanliness standards.
Education
Bachelor of Science - Nursing
West Coast University
Ontario, CA06.2024
Associate of Arts - Liberal Arts and Sciences Emphasis in Kinesiology and Wellness
Mt. San Antonio College
Walnut, CA06.2021
Certification
- Registered Nurse #95383057 at CA Board of Registered Nursing - 01/2026
- Public Health Nurse #570603 at CA Board of Registered Nursing - 01/2026
- NIH Stroke Scale Certification No. IPA248sSfSckxTH2 at American Heart Association - Present
- Basic Life Support at American Heart Association - 05/2026
- Advanced Cardiovascular Life Support (ACLS) at American Heart Association - 01/2026
Timeline
Cardiac Telemetry Registered Nurse
Pomona Valley Hospital Medical Center
09.2024 - Current
Utilization Management Pharmacy Technician
Inland Empire Health Plan
05.2018 - 07.2022
Medi-Cal Pharmacy Call Center Representative
Inland Empire Health Plan
06.2017 - 05.2018
Pharmacy Technician
CVS Caremark Specialty Pharmacy
01.2016 - 06.2017
Bachelor of Science - Nursing
West Coast University
Associate of Arts - Liberal Arts and Sciences Emphasis in Kinesiology and Wellness
Mt. San Antonio College
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