Summary
Overview
Work History
Education
Skills
Timeline
Generic

Yesenia Espejel

Canyon Country,Ca

Summary

Dedicated and detail-oriented Licensed Vocational Nurse (LVN) with experience in various clinical settings, adept at conducting thorough authorization review to ensure compliance with healthcare regulations and standards. Proven ability to analyze patient care documentation. Strong communication skills complemented by a commitment to fostering collaborative relationships among healthcare teams.

Overview

6
6
years of professional experience

Work History

LVN Care Manager

Optum
El Segundo, CA
03.2023 - Current
  • Review patient referrals within the specified care management policy timeframe
  • Obtain patient eligibility and benefits
  • Select the correct level of hierarchy and apply correctly based on the medical information available
  • Provide relevant clinical information to the request and the criteria used for decision-making
  • Document communications with the requesting provider to validate the presence or absence of clinical information related to the criteria applied
  • Evaluate out-of-network and tertiary authorizations for accessibility within the network
  • Coordinate health care services with appropriate physicians, facilities, and contracted providers
  • Maintain effective communication with health plans, physicians, hospitals, extended care facilities, patients, and families

School Nurse

ProCare Therapy
Valencia
04.2022 - 12.2022
  • Administer feedings via g-tube
  • Medication administration
  • Monitor medication and feeding response
  • Assist with dressing and toileting
  • Communicate with teachers and staff to ensure the safety and well-being of the students
  • Maintain adequate documentation

Immunization Nurse

Maxim Healthcare
Santa Clarita, Ca
01.2022 - 03.2022
  • Register clients
  • Educate clients and caregivers about the importance of immunization, following recommended immunization schedules, possible side effects of immunizations, and aftercare
  • Obtain informed consent
  • Draw vaccines according to manufacturer’s instructions
  • Administer vaccine using safe and proper techniques
  • Dispose of bio-hazardous waste
  • Complete documentation
  • Monitor clients for adverse reactions
  • Report incidents and injuries

Administrative Assistant

UCLA Health
Woodland Hills, CA
01.2019 - 07.2020
  • Provide general and administrative support to the staff, physicians, nurses and patients
  • Schedule new consultations, coordinate and follow up patient appointments/reschedules and cancellations
  • Complete demographics, referral forms, on-line transactions including appointment and procedure scheduling using Electronic Encounter Registration System
  • Explain billing procedures, insurance requirements, and collect patient payments
  • Balance cash and checks
  • Provide backup administrative support, scan and upload records, sort and distribute mail/incoming faxes

Education

Vocational Nursing

American Career College
Los Angeles, CA
10-2021

Bachelor of Science - Public Health

Western Governors University
Salt Lake City, UT

Skills

  • Healthcare regulations
  • Insurance Verification
  • Care Coordination
  • Clinical Documentation
  • Multi-tasking and prioritization
  • Records analysis

Timeline

LVN Care Manager

Optum
03.2023 - Current

School Nurse

ProCare Therapy
04.2022 - 12.2022

Immunization Nurse

Maxim Healthcare
01.2022 - 03.2022

Administrative Assistant

UCLA Health
01.2019 - 07.2020

Vocational Nursing

American Career College

Bachelor of Science - Public Health

Western Governors University

Similar Profiles

CREATE PROFILE
Yesenia Espejel