Rasheda Booker, LVN

Email: abo2q8@r.postjobfree.com

Address:

City: Banning

State: CA

Zip: 92220

Country: USA

Phone: 951-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Enthusiastic, Nurse Case Manager with excellent people skills, solid clinical, case management and utilization experience within a managed care and non-managed care setting.

Educational Background:

High School Dipolma from Mt San Jacinto College, San Jacinto CA 1/2001 to 5/2012 (Nursing - In Process)

High School Dipolma from Four D College, San Jacinto CA 1/2001 to 10/2012

Job History / Details:

Professional Summary

Enthusiastic, Nurse Case Manager with excellent people skills, solid clinical, case management and utilization experience within a managed care and non-managed care setting.

Licenses

Licensed Vocational Nurse, California, VN203756, 04/2013

Education and Training

2015 Mt San Jacinto College San Jacinto, California

Associate of Science Nursing - In Progress

2002 Four D College Colton, California

Nursing

Diploma in Vocational Nursing

Professional Experience

October 2008 to Current

California Nursing and Rehabilitation Center Palm Springs, California

Director of Case Management

Served as liaison between the HMO case managers, hospital case managers, attending physicians, family members, vendors, referral sources

Case Managed all Medicare/Medi-Cal patients; assessment, development of care plan, delivery of services and discharge planning

Oversee HMO case management process to ensure timely delivery of services and efficient use of available resources

Partnered directly with on-site HMO case manager for continued continuity of care

Facilitate bi-weekly Medicare and HMO interdisciplinary team meetings

Monitors daily HMO/managed care patients for care needs and physician orders relating to same

Requests and receives level changes throughout resident's stay as appropriate

Monitors ongoing treatment plans of all HMO/Managed care patients and communicates with payor to insure appropriate reimbursement

Discuss discharge plan with patient and/or family to insure discharge to appropriate level of care in a timely manner

October 2006 to December 2008

California Nursing and Rehabilitation Center Palm Springs, California

Nurse Case Manager

Accepted inquiries and conducted pre-admission reviews of potential patients in a timely manner

Monitored daily all HMO/managed care residents for care needs and physician orders relating to the same

Attended twice weekly interdisciplinary team meetings while keeping HMO case manager informed of progress and needs of patients

Assured proper written authorization for treatment is received on all new and exiting HMO/managed care admissions

Communicate with on-site and external case managers and discharge planners the progress and needs of HMO/managed care residents

Discussed discharge plan with patient and/or family to insure that the plan and level of care will meet patient needs

Communicated with business office staff regarding rates, exclusions, changes in level of care for HMO/managed care patients

July 2006 to December 2006

California Nursing and Rehabilitation Center Palm Springs, California

Admissions Nurse Coordinator

Reviewed referrals for appropriate admissions

Complete working knowledge of HMO/manage care insurances that are acceptable within the facility and also meet Medicare guidelines

Assigned patient to appropriate room based on acuity and staffing

Verify transfer orders from physicians, hospital case managers and HMO case mangers

Initiated and completed all appropriate care plans

Complete all admission documentation

Obtained resident and/or responsible party signatures for treatment and PICC form

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