Summary
Overview
Work History
Education
Skills
Timeline
Generic

Toni Jasich-Plescia

San Pedro,CA

Summary

Experienced Prior Authorization Nurse with background in patient care, medical documentation, and health insurance policies. Strengths include sound clinical judgment, strong communication skills, and proficiency in electronic health records systems. Made significant impact in previous roles by ensuring timely authorization process for patients and maintaining high standards of compliance with healthcare regulations.

Compassionate registered nurse with experience in various clinical settings. Skills include patient education, health assessments, and administering medications, along with strong interpersonal communication abilities to build relationships with patients and families. Proven ability to handle high-stress situations and maintain composure, always prioritizing patient safety and comfort. In previous role, contributed significantly to improving patient satisfaction scores.

Resourceful COVID-19 Contact Tracer known for high productivity and efficient task completion. Possess specialized skills in epidemiological tracking, data analysis, and communication strategies. Excel at empathy, active listening, and problem-solving to navigate sensitive conversations effectively. Committed to improving public health outcomes through precise case management and community education.

Overview

4
4
years of professional experience

Work History

Covid-19 Contact Tracer/Triage Nurse

One Stop Recruiting Agency-EPSON
Carson, CA
10.2021 - 09.2022
  • Identified close contacts of infected individuals and provided guidance on quarantine procedures.
  • Worked closely with other departments within the organization to coordinate contact tracing initiatives.
  • Provided emotional support to those affected by COVID-19 while maintaining a professional demeanor at all times.
  • Provided health education materials and resources to affected individuals and their families.
  • Developed an understanding of state laws surrounding privacy issues when conducting contact tracing activities.
  • Monitored trends in the spread of COVID-19 by analyzing data from contact tracing efforts.
  • Compiled daily reports summarizing contact tracing activities for review by supervisors.
  • Assessed the needs of those exposed to COVID-19 and connected them with appropriate resources.
  • Created informational flyers and posters that outlined guidelines related to contact tracing protocols.
  • Educated the public on preventative measures such as wearing masks, social distancing, hand washing.
  • Maintained confidential records of contact tracing activities in accordance with HIPAA regulations.
  • Utilized various software programs such as Microsoft Office Suite and Zoom for remote communication purposes.
  • Collaborated with public health officials and healthcare providers to ensure accurate information was shared regarding COVID-19 cases.
  • Remained up-to-date on new developments related to the pandemic, including changes in treatment protocols.
  • Conducted interviews with individuals who tested positive for COVID-19 to determine the scope of exposure and risk factors.

Population Health/Triage Nurse

Prime Medical Group
San Pedro, CA
02.2019 - 07.2021
  • Identified symptoms, gathered medical history, and documented patient information accurately.
  • Collaborated with physicians and other healthcare professionals to ensure quality patient care.
  • Instructed patients on self-care techniques, medications, diet plans, disease processes.
  • Managed triage phone calls by providing appropriate advice or referring callers to their primary care provider or other specialists when necessary.
  • Coordinated referrals to specialty services as needed for further evaluation and treatment options.
  • Participated in interdisciplinary team meetings when needed for optimal patient outcomes.
  • Maintained up-to-date knowledge of current nursing practices and procedures through continuing education courses, workshops, in-services, seminars, conferences.
  • Assessed patients' health condition and determined the level of care needed.
  • Utilized EHR systems effectively for documentation purposes in accordance with HIPAA regulations.
  • Maintained confidentiality in matters related to patient, family and client facility staff.
  • Reviewed medical chart and requested appointments, prescriptions and consultations for urgent needs.
  • Coordinated with healthcare team to establish, enact and evaluate patient care plans.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.

Authorizations/Referral Nurse

Prime Medical Group
San Pedro, CA
07.2018 - 01.2019
  • Communicated effectively with insurance companies regarding authorization for referrals.
  • Advised primary care providers on best practices related to making successful referrals.
  • Analyzed trends in referral patterns over time and identified potential areas of improvement.
  • Collaborated with physicians, nurses, and other healthcare providers to ensure quality care for referred patients.
  • Maintained accurate records of referrals, follow-ups, and outcomes.
  • Responded promptly to inquiries from physicians and other healthcare providers related to referrals.
  • Reviewed medical histories and lab results before referring patients to specialists.
  • Provided support and information to patients regarding their referrals.
  • Coordinated with other departments for the scheduling of appointments related to referrals.
  • Developed strategies for improving the efficiency of the referral process within the organization.
  • Educated patients about procedures prior to referral visits.
  • Ensured that all necessary documents were completed prior to referral visits.
  • Maintained current competency in nursing specialty by attending educational workshops and conferences.
  • Interpreted X-rays, labs and EKGs to notify physician of abnormal results.
  • Recorded care information accurately and completely in electronic data system.

Education

Associate of Science - Nursing

Los Angeles Harbor College
Wilmington, CA
05-1995

Skills

  • Educational background
  • Health Promotion
  • Data Collection
  • Interviewing techniques
  • Cross-Departmental Agency Collaboration
  • Maintaining Updated Records
  • Interpersonal Skills
  • Teamwork and Collaboration
  • Electronic Medical Record Software
  • Adaptability and Flexibility
  • Problem-solving abilities

Timeline

Covid-19 Contact Tracer/Triage Nurse

One Stop Recruiting Agency-EPSON
10.2021 - 09.2022

Population Health/Triage Nurse

Prime Medical Group
02.2019 - 07.2021

Authorizations/Referral Nurse

Prime Medical Group
07.2018 - 01.2019

Associate of Science - Nursing

Los Angeles Harbor College
Toni Jasich-Plescia