Attached is my resume.

Edna L. Bush, RN, BSN, CCM

***** ********* **.

Canoga Park, Ca. 91306

Home/ Fax number - 818-***-****

Cell phone – 818-***-****

email: c6mh1m@r.postjobfree.com

Professional Experience

March 2001 to July, 2011

Director, Case Management – QueensCare Family Clinics, Los Angeles, CA.

• Responsible for adapting and implementing the LA County espoused Chronic Care Model for disease management.

• Developed and implemented curricula for chronic diseases such as diabetes, hypertension, obesity and asthma with focus on nutrition, physical activity, medications and possible complications with input from physician champions and clinical pharmacists.

• Supervises case managers who perform one on one as well as group counseling for patients who have chronic diseases such as diabetes, hypertension and asthma . The same is done for those who are at high risk because of high cholesterol, are overweight, or have family history positive for these risks.

• Individual or group diabetic teaching – includes Insulin administration and proper use of glucometers.

• In charge of the Cope program whose objective is to ensure appropriate utilization of emergency department and acute admission.

• Regularly reviewed all managed care members who have visited the ER.

• Coordinator of a state-funded program called WISEWOMAN, the objective of which is to prevent cardiovascular diseases on Latina women ages 40-64 yrs old

• In charge of emergency preparedness with good knowledge of what to do when a natural or man-made disaster happens. In this capacity, most community clinics in Los Angeles participate in the statewide drills. My role is to facilitate a tabletop discussion among key members of the Incident Command System

• Started a Tobacco Cessation Program for patients who are motivated to quit smoking

• Dispensed medications once a week in one of the clinics, at the same time giving patients the proper tools they need to manage their chronic disease.

• Excellent knowledge of California Scope of Practice for nurses.

• Designed specific forms for case management for the electronic health record.

• Performed annual competency skills to nurses and medical assistants as part of their performance evaluations

• Developed customer satisfaction forms, with input from staff , specific to case management

• Active participation on grants sponsored by other agencies relating to diabetes outcomes, patient compliance, use of community healthe workers and the like.

• Computer literate

1997- 2000

Director, Case Management – Sherman Oaks Hospital

Responsible for the Case Management and Social Services department of a 150 bed facility .

Wrote, reviewed and revised the Case Management plan, departmental budget, policies and procedures, quality indicators for performance improvement. Reported findings and outcomes to hospital committees. Co-chaired the Peer Review Committee. For this monthly meeting, I was responsible for investigating and presenting cases that resulted in unexpected outcomes.

I was also given the task of calling an emergency subgroup committee for sentinel events.

All reviews and decisions made by the committee were entered into a peer review data base.

1995 –1997

Manager, Case Management – Prudential Health Care of Southern Ca.

Responsible for supervision and oversight of the catastrophic case management department for Prudential members in Los Angeles and Orange Counties. Performed concurrent telephone and on site reviews. Was trained, and in turn, trained the case managers and support staff on the Prudential case management computer information system.

1989- 1995

Supervisor, Case Management – Northridge Hospital Medical Center – Roscoe and Sherman Way campuses

Responsible for supervision and oversight of the Case Management Department of a 400+ full service hospital facility, and later also became responsible for the Northridge -Sherman Way Case Management departments during the transition from Unihealth to CHW.

1984-1989

Case Manager – Northridge Hospital Medical Center

Performed concurrent utilization review and discharge planning. Excellent knowledge of Medicare, MediCal and other third party payors’ regulations, as well as review criteria such as Interqual, Milliman and Robertson.

1982-1984

Critical Care Nurse – Northridge Hospital Medical Center

Staff nurse with the skills and knowledge required to care for the critically ill in a busy full

service and trauma facility.

Education – University of the Philippines – BSN degree

California Licensed Registered Nurse

Certified Case Manager

BLS certified

Co-author and Project Manager – Amigos en Salud – Study of newly diagnosed Latino diabetics in LA county in collaboration with Pfizer Health Solutions

Project Coordinator – WISEWOMAN (Well Integrated Screening and Evaluation for WOMen Across the Nation – an extension of Cancer Detection Program to prevent cardiovascular disease among Latinas in Los Angeles.

Project Supervisor Cope – to ensure appropriate ER and acute inpatient utilization and assign those patients to a medical home closest to their residence.

References : Alan Rothfeld, MD, CMO – ex -boss – 323-***-****

Glenn Diaz, MD, Assistant CMO – ex-boss – 562-***-****

Bobby Diamoond, RN – staff – 818-***-****

Socorro Tan, RN – peer - 818-***-****

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