Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Sandra J. Coleman

Riverside,California

Summary

Registered Nurse with over twenty years in nursing. Acute care experience that includes telemetry and medical/ surgical units. Outpatient experience includes urgent care, pediatrics and geriatrics. Work well with physicians, nursing staff, patients and families.

Certified Case Manager (CCM) with years of experience with Medicare, MediCal and HMO guidelines.

Dedicated and dependable team member and leader.

Overview

25
25
years of professional experience
1
1
Certification

Work History

Case Manager/Extended Care Coordinator

Kaiser Hospital Fontana
04.2012 - 12.2021

Chronic Population Management

  • Assess insured members telephonically, evaluating needs and requirements to develop individual plan of interventions to achieve and/or maintain optimal wellness state
  • Managed over 60 patient calls per day.
  • Instructed patients and families and was able to facilitate interaction with resources appropriate for care and patient's health.
  • Provide proactive telephonic outreach to eligible Kaiser members, engaging participation in care management programs.
  • Comply with performance and reporting standards as defined by Kaiser Permanente
  • Assess /educate geriatric patients and caregivers and provided resources for dementia care
  • Provided in person care and help with medications and treatment
  • Assist with medication management
  • Assist with long term placement or care at home as needed.

Director of Case Management

Kindred Hospital Brea
08.1996 - 04.2012
  • Provided leadership for team of case managers that consistently managed average length of stay within projected budget according to InterQual guidelines.
  • Clinical Liaison
  • Assess catastrophic trauma and chronically ill patients for placement at Kindred facilities for long term acute care.
  • Educate health care professionals, family members and insurance companies regarding our company programs, services and quality care.
  • Plan and implement policy and procedures for patient care and operation of the hospital.
  • Streamlined, standardized and implemented case management processes and techniques to maximize revenue cycle.
  • Reviewed and developed intake and discharge planning strategies to encourage client engagement and retention.
  • Leveraged case management tools and conflict management techniques to help interdisciplinary teams achieve optimal outcomes.

Education

Bachelor of Science - Nursing

University of Phoenix
San Bernardino, California
10.2004

Associate Degree - Nursing

Riverside Community College
Riverside, California
6.1988

Skills

  • Computer Skills
  • MS Word, Excel, Power Point, Epic Medical System
  • Patient Assessments
  • Patient Care
  • Determine Medical Necessity
  • Patient Care Planning
  • Long-Term Care
  • Patient Education

Certification

Certified Case Manager (CCM)

Timeline

Case Manager/Extended Care Coordinator

Kaiser Hospital Fontana
04.2012 - 12.2021

Director of Case Management

Kindred Hospital Brea
08.1996 - 04.2012

Bachelor of Science - Nursing

University of Phoenix

Associate Degree - Nursing

Riverside Community College
Sandra J. Coleman