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Health Manager

Location:
San Jose, CA
Posted:
June 25, 2015

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Resume:

RESUME OF MARIDINA S. DIZON

Mailing Address: ** Ryland Park Way

San Jose, CA 95110

Tel. #785-***-**** (mobile); 408-***-**** (home)

Email address: acqfod@r.postjobfree.com

Education:

Management Course for Community Health Planners/MPH

University of New England, Armidale, Australia

Master in Public Administration

University of the Philippines, Manila

Bachelor of Science in Nursing

Marian College, Manila

Honors Received: Certificate of Academic Excellence

Graduate in Nursing

Marian College, Manila

Honors Received: Bronze and Silver Medalist; Outstanding Coed

Pre-Nursing Course

Far Eastern University, Manila

Work Experience:

9/2014 – Present Gentiva Hospice – Manager of Quality

San Jose, CA

Responsibilities:

Responsible for the overall implementation of current clinical standards and practices through the performance improvement process and development of staff. Assists in direction and coordination of clinical activities of the program to ensure compliance with acceptable standards of practice, applicable state and federal laws and regulations, and company’s policies and procedures. Assists Executive Director and Patient Care Manager to achieve efficient and effective delivery of patient care resulting in positive patient outcomes through implementation of clinical standards and education. Maintains ongoing comprehensive assessment of quality of care and services provided by the hospice program. Maintains confidentiality in all areas in accordance with HIPAA procedures. Member of management team.

8/2011 – 8/2014 Desert Oasis Healthcare – Compliance/Quality Management Director

Palm Springs, CA

Responsibilities:

Integral member of management team. Development, implementation and maintenance of quality compliance program of the clinical services department. Implement, monitor and evaluate performance improvement activities using quality improvement principles and methodologies.

Page 2 – Resume of Maridina S. Dizon

Performs data analysis/chart reviews/audit to identify opportunities for improvement. Assist in all data collection activities and electronic medical record changes and updates to meet compliance. Coordinates preparation for compliance surveys and medical reviews by health plans and HPN. Maintains current knowledge related to CMS, NCQA and health plan regulatory requirements and standards of practice. Coordinates education and in-services related to regulatory compliance, standards of practice and performance improvement activities (special needs program/complex case management changes. Develops departmental policies and procedures in accordance with the requirements of HPN, health plans and regulatory agencies. Presentation of quality improvement plans/data to management team. Supervision/training of staff.

4/2010 – 8/2011 Segovia/Aegis Living – Health Services Director

Palm Desert, CA

Responsibilities:

Integral member of the management team, contributing health care expertise to promote an environment of optimal living to residents in the facility. Establish an overall vision for the residents' healthcare throughout the whole facility. Promotes the resident's independence in self-care. Performs nursing tasks, conduct assessments/reassessments, create service plans and complete administrative paperwork in accordance with state regulations. Coordinates with key building staff, Care Managers, the resident's family, healthcare providers and ancillary services to provide the highest quality of care. Educates staff in a variety of health related topics and oversee the Medication Delivery System. Recruits, hires, orients, supervises and conducts performance reviews for the Care Managers as well as Wellness Nurse/s. Supervision/training of staff.

4/2008 – 4/2010 Michael’s House – UR Manager

Palm Springs, CA

Responsibilities:

Responsible for utilization management, utilization review, or concurrent review. Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with third party payer requirements following evaluation of medical guidelines and benefit determination. Duties include analyzing medical charts, determining whether care provided is within established parameters and determining whether denials of reimbursement should be appealed. Evaluates patient’s situation against policies, insurance company’s standards and the cost of involved treatments. Supervision/training of staff.

11/2006 – 4/2008 Mohave County Dept. of Public Health – RN Case Manager – Public Health

Kingman, AZ

Page 3 – Resume of Maridina S. Dizon

Responsibilities:

1.Case management and health education of clients (Ryan White project).

2.Client advocacy – provide each client with professional care assessment, management and evaluation.

3.Prepares/reviews individualize care plans regularly to ensure that appropriate care is being rendered and make only changes that is necessary.

4.Coordinates/collaborates with other government and non-profit agencies for other services.

5.Provides health education and promotion. Assists in preparing the necessary forms and reviews documents as required by the program.

6.Confers with supervisor when necessary and provide assistance to the care coordinator and eligibility officer when needed.

7.Participates in the in service training classes, seminars, and other continuing education program.

8.Participates in the in service training classes, seminars, and other continuing education program.

9.Participates in the in service training classes, seminars, and other continuing education program.

10.Conducts periodic client chart reviews and do surveillance report.

11.Documents/records/maintains pertinent data related to the clients and make an on-going case notes.

12.Implement protocols and program of the facility and perform administrative functions as may be required.

07/2005 – 10/2006 Meadowlark Hills Retirement Foundation - RN Case Manager

Manhattan, KS

Responsibilities:

1.Provide each resident with professional care assessments and evaluation.

2.Evaluate/coach nursing activities performed by LPNs, CNAs, and CMAs within the household in accordance with current Federal, State and local standard guidelines and regulations.

3.Reviews nursing care plans regularly to ensure that appropriate care is being rendered and recommend any changes that need to be made.

4.Make periodic check to ensure that care is being implemented and properly administered by the nurses and nursing assistants.

5.Assist in developing and implementing procedures and programs of the facility and perform administrative functions as may be required.

6.Complete resident assessment instrument (RAI) including MDS, RAPs, Triggers and care plans for assigned residents as dictated by the facility, State and Federal guidelines.

7.Provide needed assistance for life enhancement activities and programs.

8.Collaborate with the nurse council in setting household standards to promote service and/or the quality of programs and policies.

9.Participate in the in-service training classes and other continuing education programs.

12/2004 – 07/2005 KSU Child Development Center – Lead Teacher

Manhattan, KS

Page 3 – Resume of Maridina S. Dizon

Responsibilities:

Acts as Lead Teacher. Helps in providing care to toddlers, preschoolers and school-age children. Provides assistance in classroom by preparing and cleaning up after meal time and snacks. Provides assistance to children during classroom activities and playtime. Helps in ensuring availability of stocks needed in the classroom. Helps maintain cleanliness and orderliness of classroom after school hours. Performs other duties as may be required by the office (assistance in food service, after school and pre-school/toddler breaks). Provides health teachings.

03/2004 – 12/2004 Alberto Natividad, M.D., Inc. – Clinic Nurse/Health Educator

Los Angeles, CA

Responsibilities:

Assists physician with physical examinations and procedures. Administers injections, per oral drugs, and other treatments. Provides medical care to children and adults. Provides various health teachings to clients in the clinic. Do clerical work in the health facility. Records and organizes clinical data of patients. Supervision/training of staff.

1988 – 02/2004 Department of Health – District Office I

Valenzuela, Metro Manila, Philippines

Navotas Public Health Office

Nursing Director/ Senior Public Health RN/Training Officer/Educator

Awarded as “Most Outstanding Employee of 2003”

Responsibilities:

1.Supervises 14 health facilities (26 staff).

2.Organizes health education classes both in the clinic facility and in the field.

3.Supervises prenatal, postnatal care, and attends to medical and pediatric cases for evaluation and management.

4.Participates in the planning, development, and evaluation of health programs/ projects, including environmental health, animal services.

5.Analyzes and interprets statistical data and resources in the planning of health programs and other projects.

6.Coordinates health programs with the other health services.

7.Conducts periodic assessment of programs using various methods and tools of evaluation, including statistics.

8.Accomplish statistical reports / records, and other pertinent data.

9.Provides supervision of program implementation for new and developing programs / projects.

10.Health Education Promotion Officer.

11.Monitors and evaluates program implementation.

12.Provides technical support to training programs / projects.

13.Provides consultancy / advisory services pertaining to programs and projects.

14.Acts as resource speaker on health care and other related subjects.

15.Coordinate with other government and non-government organizations.

1979 – 1987 Department of Health, District Office I – Nursing Supervisor

Valenzuela, Metro Manila, Philippines

Page 4 – Resume of Maridina S. Dizon

Responsibilities:

1.Admits and assesses prenatal and postnatal patients, as well as medical and pediatric cases.

2.Assists physician with the physical examinations and procedures.

3.Administer injections, per oral drugs and other treatments.

4.Records and reports statistical data.

5.Lectures patients regarding various health teachings.

6.Assists patients needing special nursing care.

7.Fetal monitoring and vital signs.

8.Records and organizes clinical data of the patient.

9.Do clerical work in the health facility.

10.Coordinate with other government, non-government agencies.

Other Qualifications: Research Nursing Instructor - Lanting College of Nursing, Phils.

Elementary Grades Teacher – Phil. Embassy School, Riyadh, KSA

Maternal and Child Health Coordinator

Adolescent/Adult Health Service Coordinator

Major Training / Seminars Attended:

1)Maternal and Child Health Care

a.Control of diarrheal diseases

b.Expanded Program of Immunization

c.Nutrition: iron deficiency anemia, vitamin A deficiency, iodine deficiency

d.Family planning (Tubal Ligation and Non-Surgical Vasectomy)

e.Care of the under six (6) and the five (5) children

2)National Tuberculosis Control Program

3)National Leprosy Control Program

4)Primary Health Care

5)Health Educator’s Workshop / Seminar

6)Management and Supervisory Skills Seminar

7)Seminar on Drug Abuse, Prevention, and Control

8)Seminar on Generics

9)Seminar on Logistics, Statistics, and Management

10) Workshop on Financial Management

11)Workshop on Personnel Management

12) Training on Basic Health Education

13) Training on Social Marketing

14) Training on Disease Surveillance

15) Training on Cancer Control Program

16) Training on HIV / AIDS Prevention

17) Seminar Workshop on Program Evaluation

18) Training on Breastfeeding Counseling

19) Training on Blood Donor Recruitment

20) Training on Herbal Medicine

21) Seminar on National Voluntary Blood Services

22) Seminar of International Classification of Diseases (ICD-10)

23) Training on Dengue Prevention and Control

24) Training on Prevention and Control of Infections / Diseases

25) Seminar on Prevention of SARS

Page 5 – Resume of Maridina S. Dizon

26) Basic Training Course for Health Education and Promotion Officers

27) Training on Social Mobilization for Health

28) Breast Cancer Training

29) Information Education Multi-Media Development Course

30) Basic Course on Management of Health System for Middle Level Health Professionals

31)Training on Child Abuse & Neglect, Recognition & Reporting

32)Short course on Alzheimer’s Disease

34) Training on First Aid and CPR

35) CDA Training

36) MDS Training

37) Assisted Living Leadership Development - CALA

38) Various Courses (Modules 1 to 8) on Understanding Assisted Living, Becoming Valued Leader,

Enhancing Professionalism, Advancing Effective Communication, Cultivating Quality Customer

Relations, Mentoring and Coaching, Conquering Conflict Resolution, & Mastering Time Mgmt.

39) Training on Sexual Harassment Prevention for Managers

40) Overview of Aging and the Aging Process

41) ADLs and Restorative Nursing

42) AL Back Injury Prevention

43) Preventing Elder Abuse

44) Introduction to Infection Control

45) Residents’ Rights

46) Understanding Alzheimer’s Disease/Dimentia

47) Preventing Adverse Medication Events/Elder Abuse/Falls/Burns and Scalds/Choking and

Aspiration/Foodborne Illness/Infectious Diseases

48) Training on ALZ Depression

Various Training/Conference/Seminars Attended - Mohave County DPH, Kingman, AZ:

1)Fundamentals of HIV Prevention Counseling, AZ Regional Training, 4/3/07

2)2002 CTS Procedural Guidance, MCDPH, AZ, 12/07/06

3)Coping Strategies by Jennifer Curtet, MCDPH, AZ, 12/01/06

4)HIV Basic Fact Information, ARC/MCDPH, AZ, 12/14/06

5)PCRS Procedural Guidance, MCDPH, AZ, 12/19/06

6)Case Conference – HIV, DPH, NV, 1/9/07

7)Web CIM Training, RWTI-CSO, NV, 1/10/07

8)CPR Training, Mohave County, AZ, 2/28/07

9)International Organization Policy on HIV-PCT, Mohave County, AZ, 3/5/07

10)Advancing HIV Prevention Initiative, MCDPH, AZ, 3/20/07

11)Ora-Quick Web-Based Rapid Testing, MCDPH, AZ, 4/9/07

12)Ryan White Eligibility Training, Clark County Social Services, AZ, 7/20/07

13)HIV AIDS Road show Presentation, Northern AZ RW Program, AZ, 8/14/07

14)Cultural Competency and Fluency, Area Health Education Center, NV, 8/30/07

15)Once Daily Protease Inhibitor – Based HAART, University of Cincinnati, 9/25/07

16)Breaking Barriers case Links: Implications and Predictors of Adherence, AdancMed

17)HIV Therapy, Management & Emerging Treatment Options, NY & NJ, 10/3/07

18)The Influence of Culture in African American HIV/AIDS Care, NV, 8/29/07

19)ANAC Conference – Caring for Treatment of Experienced Patient, FL, 11/7-11/07

20)Preserving Integrity of Future Treatment, Advance Med, 2/19/08

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21)Rapid HIV Testing and Diagnosing Acute HIV Infection, Albany Medical College, 4/08

22)Introduction to Incident Command System – ICS 800, Emergency Mgmt. Institute, FEMA

23)National Incident Management System (NIMS) IS-700, Emergency Mgmt. Institute, FEMA

Civil Service Eligibility/Certification:

RN California RN Kansas RN Arizona

RCFE Certified

Philippine Nursing Board Examination with a rating of 95%

Other Organizations Affiliated:

Former Director, Philippine Nurses Association

Various Nursing Associations



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