Summary
Overview
Work History
Education
Skills
References
Timeline
Hi, I’m

Stephanie M. Castro

Summary

Compassionate and detailed- oriented LVN with a strong background in patient care, case management, and insurance/ authorizations. Seeking a Discharge Planner position to utilize my clinicals knowledge, care coordination skills, and commitment to patient advocacy to ensure smooth transitions from hospital to home or other care settings.

Overview

10
years of professional experience

Work History

Asherah Home Health

Clinical Nurse
05.2023 - Current

Job overview

  • Conducting comprehensive assessments of patients' health conditions, including vital signs, symptoms, and medical history.
  • Administer medications, treatments, and wound care according to established protocols and physicians' orders.
  • Monitor and document patients' progress, symptoms, and changes in condition.
  • Provide education and support to patients and their families, ensuring an understanding of treatment plans and self-care techniques.
  • Assist with activities of daily living, and ensure patients' comfort and safety.
  • Collaborate effectively with interdisciplinary healthcare teams, communicating patient conditions, progress, and concerns.
  • Maintain accurate and up-to-date patient records, including electronic health records, progress notes, and care plans.
  • Adhered to all applicable laws, regulations, and organizational policies, and procedures.

USC Verdugo Hills Hospital

Financial Clearance Specialist IV
07.2021 - Current

Job overview

  • Ensuring insurance eligibility, benefit verification, and the authorization processes are complete.
  • Proficient in the understanding of payer DOFR and authorization submission for all service scopes performed in a hospital setting.
  • Documentation of accurate insurance information, knowledge of insurance plans, and authorization details to optimize reimbursement from the payer.
  • Maintains strong working relationships between case management and admitting staff.
  • Created an Excel spreadsheet to convey data collected from quality-checking ER encounters to show which areas need to be improved, and if there are any disconnects between management and staff members.
  • Assists with questionable eligibility, communicates appropriately with clinical staff, and coordinates with appropriate resources.

Heritage Provider Network

Lead ACO Member Liaison
10.2014 - 02.2020

Job overview

  • Served as a dedicated liaison between ACO members and healthcare providers, ensuring effective communication and coordination of care.
  • Collaborated closely with interdisciplinary teams, including physicians, nurses, social workers, and case managers, to facilitate smooth transitions from hospital to home care.
  • Coordinated and arranged post-discharge services, including home health care, medical equipment, and community resources, to support members' recovery.
  • Educated ACO members and their families about the discharge process, medication management, and available support services.
  • Advocated for members' needs and preferences in care planning, addressing any concerns, or barriers to successful post-discharge recovery.
  • Conducted timely follow-up with members post-discharge to monitor progress, assess any challenges, and make necessary adjustments to the care plan.
  • Participated in interdisciplinary meetings to discuss complex cases, share insights, and contribute to holistic care planning.

Education

C.E.S. College
Burbank, CA

C.E.S. College from LVN
12.2022

University Overview

  • License number: 732494
  • BLS certified
  • AB508 certified
  • Active Fire Card

High school diploma
01.2012

Skills

  • Flexible and adapts well to process change
  • Able to work in a multi-task, high stress environment
  • Able to manage several projects at a time
  • Ability to establish work priorities
  • Prioritize needs to meet required timelines
  • Demonstrated ability to work collaboratively with healthcare professionals
  • Proficient with computers
  • Proficient with faxes
  • Proficient with printers
  • Familiar with medical terminology
  • Knowledgeable in ICD 10 coding and HCPC coding
  • Knowledgeable in Microsoft Office software
  • Knowledgeable in assorted hospital EMR systems
  • Compliant with HIPAA regulations

References

Available upon request.

Timeline

Clinical Nurse

Asherah Home Health
05.2023 - Current

Financial Clearance Specialist IV

USC Verdugo Hills Hospital
07.2021 - Current

Lead ACO Member Liaison

Heritage Provider Network
10.2014 - 02.2020

C.E.S. College

C.E.S. College from LVN

High school diploma
Stephanie M. Castro