Medical Manager
Resume:
-*Barbara L. Nuestro, LVN
Case Manager
Corona, CA 92882
**/****- ******* ****** ***** due to illness.
Parent expired; now seeking employment.
**/****-1/2010 AHMC Anaheim Regional Medical Center, Anaheim, CA
Title: Nurse Case Manager
Coordinates and facilitates the ongoing care and appropriate discharge planning of
patients through the continuum of care. Collaborated with members of the health care
team, the patients and their families and assured effective, efficient and appropriate care
and assumed fiscal responsibilities including management of utilization, provided
concurrent clinical reviews to payers, and assured appropriate reimbursement. Other
responsibilities included knowledge of alternative levels of care, ability to negotiate
orders with physicians in order to assign alternate levels of care, working knowledge of
community resources, and methods to resolve patient needs such as discharge planning,
home health, DME and SNF placements. Position also includes ability to case manage
smoothly and increase patient/physician satisfaction while staying within guidelines.
Timely discharges are of the essence, always assuring a safe discharge in the most cost-
effective way. The position was extended to include Case Management of the NICU,
completing TARS, applying for CCS, and providing CCS with weekly clinical reviews.
Provided teaching to parents for use of apnea monitors, suction devices, and routine
infant care. Coordinated post discharge infant follow up appointments as ordered by the
attending Neonatologist.
10/1997-03/2005 Advanced Medical Management, Long Beach, CA
Title: Nurse Case Manager
Monitored concurrently all patients hospitalized with the goal of maximizing cost
effectiveness while maintaining high standards of patient care and member satisfaction.
Identified and case managed members who met pre-established criteria. Executed
effective discharge planning. Worked with management to develop and implement
utilization management programs and procedures.
06/1991-10/1997 USC University Hospital, Los Angeles, CA
Title: Staff Nurse- Ortho/Neuro/Medical/Surgical
1993-1997 Responsibilities evolved to encompass the Neuro/Ortho transition that had
occurred in the unit. Administered post-operative care to craniotomy, joint replacement,
and spinal fusion patients in addition to all of the general aspects of previous
responsibilities
1991-1993 Administered care to patients in a medical/surgical unit. Responsible for
admitting patients to unit, accepting patients from recovery room to unit, administering
medications (P.O.I.M.), administering narcotics as needed and ordered, entering patient
orders into hospital computer system, utilization of hospital bedside computer system,
performing dressing changes and treatments as ordered, performing patient accu-check
serum glucose tests, performing patient physical assessments, implementing nursing care
plans, focus charting of patient progress, receiving and carrying out verbal and written
orders by physicians, reporting patient progress to physicians, reporting of patient status
to oncoming shift, counting and recording narcotic supply, reordering of narcotics as
needed, monitoring IVs and PCA pumps, recording patient intake and output.
12/1985-05/1991 Urology Associates Medical Group, Burbank, CA
Title: Staff Nurse
Administered care to urology patients with bladder infections, kidney stones, bladder
cancer, prostatitis. Responsibilities included obtaining catheterized urine specimens;
performing routine urinalysis & charting results; administering oral and I.M. medications;
obtaining history of illness from patients; preparing patients for examinations and various
procedures; assisting physicians with, and setting up the following procedures:
Vasectomies, circumcisions, x-ray studies, prostatic needle biopsies, cystoscopies,
bladder and urethral dilation. Additional responsibilities included administration of
chemotherapy to cancer patients; preparing and interpreting urine cultures and
sensitivities; assisting with transrectal ultrasounds for prostatic needle biopsies, home
contact for follow-up care; sterilization of operative packs and instruments; maintenance
of medical equipment; ordering of medical supplies and medications; calling pharmacies
to approve medication refills; and performing follow-up calls to post-operative patients
after hospital discharge.
02/1985-12/1985 Urology Associates Medical Group, Burbank, CA
Part-time with most of the above responsibilities.
06/1985-12/1985 Queen of Angels Medical Center, Los Angeles, CA
Title: Part-time Staff Nurse
Administered care to patients in a medical/surgical unit. Responsible for administering
medications, monitoring vital signs, admitting patients to the unit, implementing nursing
care plans, documenting patient progress, reporting patient status to oncoming shift,
counting and recording narcotic supply, recording intake and output, and recording
dietary intake.
1981-1985 St. Joseph Medical Center, Pariseau Pavilion (Rehabilitative Care),
Burbank, CA
Title: Part-time Certified Nurses Assistant
Administered care to long term care patients with Alzheimer's Disease, post-traumatic
injuries, and post CVAs. Responsible for providing bedside care, personal hygiene,
assisting with ambulation, monitoring intake and output, and recording dietary intake.
1980-1981 St. Joseph Medical Center, Pariseau Pavilion (Rehabilitative Care),
Burbank, CA
Full-time certified nurses assistant with all of the above duties and responsibilities.
Education
1983-1984 Los Angeles Unified School District- Vocational Nurses Training Program,
Franklin Community Adult School.
Graduated November 8, 1984, Licensed March, 1985.
1981-1983 Glendale Community College/ Pasadena City College
Health Occupations emphasis.
1977-1980 Eagle Rock High School, Los Angeles, CA
Graduated June, 1980. Health Occupations Major.
References furnished upon request.Barbara L. Nuestro, LVN
Case Manager
1585 Border Ave. Apt. F
Corona, CA 92882
01/2010- Present Family leave due to illness.
Parent expired; now seeking employment.
03/2005-1/2010 AHMC Anaheim Regional Medical Center, Anaheim, CA
Title: Nurse Case Manager
Coordinates and facilitates the ongoing care and appropriate discharge planning of
patients through the continuum of care. Collaborated with members of the health care
team, the patients and their families and assured effective, efficient and appropriate care
and assumed fiscal responsibilities including management of utilization, provided
concurrent clinical reviews to payers, and assured appropriate reimbursement. Other
responsibilities included knowledge of alternative levels of care, ability to negotiate
orders with physicians in order to assign alternate levels of care, working knowledge of
community resources, and methods to resolve patient needs such as discharge planning,
home health, DME and SNF placements. Position also includes ability to case manage
smoothly and increase patient/physician satisfaction while staying within guidelines.
Timely discharges are of the essence, always assuring a safe discharge in the most cost-
effective way. The position was extended to include Case Management of the NICU,
completing TARS, applying for CCS, and providing CCS with weekly clinical reviews.
Provided teaching to parents for use of apnea monitors, suction devices, and routine
infant care. Coordinated post discharge infant follow up appointments as ordered by the
attending Neonatologist.
10/1997-03/2005 Advanced Medical Management, Long Beach, CA
Title: Nurse Case Manager
Monitored concurrently all patients hospitalized with the goal of maximizing cost
effectiveness while maintaining high standards of patient care and member satisfaction.
Identified and case managed members who met pre-established criteria. Executed
effective discharge planning. Worked with management to develop and implement
utilization management programs and procedures.
06/1991-10/1997 USC University Hospital, Los Angeles, CA
Title: Staff Nurse- Ortho/Neuro/Medical/Surgical
1993-1997 Responsibilities evolved to encompass the Neuro/Ortho transition that had
occurred in the unit. Administered post-operative care to craniotomy, joint replacement,
and spinal fusion patients in addition to all of the general aspects of previous
responsibilities
1991-1993 Administered care to patients in a medical/surgical unit. Responsible for
admitting patients to unit, accepting patients from recovery room to unit, administering
medications (P.O.I.M.), administering narcotics as needed and ordered, entering patient
orders into hospital computer system, utilization of hospital bedside computer system,
performing dressing changes and treatments as ordered, performing patient accu-check
serum glucose tests, performing patient physical assessments, implementing nursing care
plans, focus charting of patient progress, receiving and carrying out verbal and written
orders by physicians, reporting patient progress to physicians, reporting of patient status
to oncoming shift, counting and recording narcotic supply, reordering of narcotics as
needed, monitoring IVs and PCA pumps, recording patient intake and output.
12/1985-05/1991 Urology Associates Medical Group, Burbank, CA
Title: Staff Nurse
Administered care to urology patients with bladder infections, kidney stones, bladder
cancer, prostatitis. Responsibilities included obtaining catheterized urine specimens;
performing routine urinalysis & charting results; administering oral and I.M. medications;
obtaining history of illness from patients; preparing patients for examinations and various
procedures; assisting physicians with, and setting up the following procedures:
Vasectomies, circumcisions, x-ray studies, prostatic needle biopsies, cystoscopies,
bladder and urethral dilation. Additional responsibilities included administration of
chemotherapy to cancer patients; preparing and interpreting urine cultures and
sensitivities; assisting with transrectal ultrasounds for prostatic needle biopsies, home
contact for follow-up care; sterilization of operative packs and instruments; maintenance
of medical equipment; ordering of medical supplies and medications; calling pharmacies
to approve medication refills; and performing follow-up calls to post-operative patients
after hospital discharge.
02/1985-12/1985 Urology Associates Medical Group, Burbank, CA
Part-time with most of the above responsibilities.
06/1985-12/1985 Queen of Angels Medical Center, Los Angeles, CA
Title: Part-time Staff Nurse
Administered care to patients in a medical/surgical unit. Responsible for administering
medications, monitoring vital signs, admitting patients to the unit, implementing nursing
care plans, documenting patient progress, reporting patient status to oncoming shift,
counting and recording narcotic supply, recording intake and output, and recording
dietary intake.
1981-1985 St. Joseph Medical Center, Pariseau Pavilion (Rehabilitative Care),
Burbank, CA
Title: Part-time Certified Nurses Assistant
Administered care to long term care patients with Alzheimer's Disease, post-traumatic
injuries, and post CVAs. Responsible for providing bedside care, personal hygiene,
assisting with ambulation, monitoring intake and output, and recording dietary intake.
1980-1981 St. Joseph Medical Center, Pariseau Pavilion (Rehabilitative Care),
Burbank, CA
Full-time certified nurses assistant with all of the above duties and responsibilities.
Education
1983-1984 Los Angeles Unified School District- Vocational Nurses Training Program,
Franklin Community Adult School.
Graduated November 8, 1984, Licensed March, 1985.
1981-1983 Glendale Community College/ Pasadena City College
Health Occupations emphasis.
1977-1980 Eagle Rock High School, Los Angeles, CA
Graduated June, 1980. Health Occupations Major.
References furnished upon request.
Contact this candidate