Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

TAYLOR CHIMA

El Dorado Hills,CA

Summary

Compassionate and results-driven nursing professional with over 8 years of experience in healthcare, including 3 years as a Licensed Vocational Nurse (LVN). Recently completed an accredited Registered Nursing (RN) program on April 25th, 2025, and currently preparing to take the NCLEX-RN on June 2nd. Well-versed in both bedside care and administrative functions, with specialized experience in case management and utilization review. Demonstrates strong clinical judgment, effective communication, and a commitment to delivering high-quality, patient-centered care. Eager to bring a diverse nursing background into an RN role within a dynamic healthcare team.

Overview

2
2
years of professional experience
1
1
Certification

Work History

Nurse Coordinator I (Utilization Review)- Contract

Partnership Healthplan of CA (Via YOH Connects)
07.2024 - 01.2025
  • Reviewed medical necessity of long-term care and ancillary services using Title 22, Medi-Cal, CMS, and InterQual guidelines.
  • Conducted retrospective and concurrent claims reviews, contributing to high-quality, cost-effective patient care.
  • Collaborated across teams to resolve service authorization issues and ensure timely care coordination.
  • Documented findings accurately in the UM system and supported inter-rater reliability audits.

Nurse Case Manager

Sacramento Post Acute
03.2023 - 08.2024
  • Served as a liaison between patients and various support services such as financial assistance programs, community resources, and mental health counseling to ensure holistic care was provided.
  • Facilitated discharge planning and coordinated post-acute transitions of care.
  • Communicated with payers, providers, and interdisciplinary teams to advocate for patient needs and services.
  • Conducted clinical reviews based on established utilization criteria and reported on care efficiency.

Employee Health LVN- Contract

Kaiser (via YOH Connects)
09.2022 - 03.2023
  • Administered vaccinations, performed screenings, and supported staff wellness programs.
  • Managed employee health records in EPIC and responded to workplace incidents with on-site triage and documentation.
  • Managed time efficiently during busy shifts by multitasking effectively without compromising quality of care.

Education

Associate of Science - Nursing

Nightingale College
Salt Lake City, UT
04.2025

LVN Certificate - Licensed Vocational Nurse

Unitek College
Sacramento, CA
03-2022

Skills

  • Case Management & Utilization Review
  • Utilization Review with InterQual Criteria
  • Interdisciplinary Team Collaboration
  • Clinical Documentation & EMR (EPIC, Point Click Care)
  • CPT, HCPCS, ICD-10 Coding Knowledge
  • HIPAA Compliance & Patient Confidentiality
  • Discharge Planning & Transitional Care
  • Patient Advocacy & Family Education
  • Critical Thinking & Conflict De-escalation
  • Microsoft Office Suite Proficiency

Certification

  • LVN – CA BVNPT | Lic#: 725887 | Expires: 03/2026
  • BLS/CPR – AHA | Expires: 04/2027

Timeline

Nurse Coordinator I (Utilization Review)- Contract

Partnership Healthplan of CA (Via YOH Connects)
07.2024 - 01.2025

Nurse Case Manager

Sacramento Post Acute
03.2023 - 08.2024

Employee Health LVN- Contract

Kaiser (via YOH Connects)
09.2022 - 03.2023

Associate of Science - Nursing

Nightingale College

LVN Certificate - Licensed Vocational Nurse

Unitek College

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