Customer Service Manager
Resume:
Nila K. Moser
Escondido, CA 92026
*********@*****.***
OBJECTIVE
• Dedicated healthcare professional seeking opportunity for enhanced patient care.
• Total of 27 years of experience in the healthcare industry including: 19 years in an acute inpatient hospital setting
with an additional 7 years in case management.
• Team oriented individual with strong communication and interpersonal skills
• Proficient in Medicare benefits and guidelines
• Familiar with out of area procedures for insurance authorizations and benefits
• Familiar with Kaiser, SCMG, Graybill, and numerous other medical groups and insurance benefits.
WORK EXPERIENCE
Property Management Assistant
July 2012 – Present, Little Mo Storage, Escondido, California
• Assist in daily operations of a 200+ unit storage facility consisting of: customer service and sales, property auction
preparation, building maintenance, community outreach, accounts receivable, payroll, and marketing.
LVN Care Coordinator for Utilization Review and Case Management
June 2012 – July 2012, Sharp Community Medical Group, San Diego, California
• Review charts utilizing Interqual and Milliman criteria to assess proper acuity and reimbursement.
• Worked in cross functional teams to assist in coordinating a smooth discharge process for all patients.
• Strong communication with the Medical Director regarding case updates.
LVN Home Health and Hospice
September 2011 – May 2012, Fallbrook Home Health and Hospice, Fallbrook, California
• Provided wound care, dressing changes, blood draws, ostomy care, catheterizations, and general patient care.
• Strong time management skills involving heavy caseloads.
LVN Case Manager Assistant
July 2003 – July 2010, Palomar Hospital, Escondido, California
• Worked with RN Case Managers completing full spectrum discharge process needs.
• Completed initial assessment, developed care specific discharge plan, responsible for faxing referrals to Home
Health, Acute Rehab, and Skilled Nursing Facilities, arranging transportation, ordering durable medical equipment
and addressing insurance issues.
• Frequently communicated with doctors, social workers, and patient’s families regarding discharge options.
• As a patient advocate, frequently educated patient and family members in multiple areas including medical
condition, insurance benefits, and availability of community resources.
• Completed disease specific assessments while frequently working complex cases including: diabetic needs, IV
antibiotics, wound care, and ostomy supplies.
• Responsible for attending rounds with Hospitalist doctors and case managers to expedite discharge process.
LVN Private Duty
February 2003 – June 2003, Palomar Pomerado Health, Escondido, California
• Provided all ADLs
• Checked vital signs
• Responsible for bowel and bladder care
Performed tube feedings
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SVNs
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ADDITIONAL WORK EXPERIENCE
• September 2001 – June 2002, Noon Duty Aide, Valley Center School District
• March 2001 – August 2001, Back Office Nurse, Valley Center Family Practice
• July 1982 – Summer 2000, LVN Floor Nurse for Medical Oncology Unit, Palomar Hospital
PROFESSIONAL LICENSES AND CERTIFICATIONS
1978 present: Licensed Vocational Nurse
March 2010 March 2012: C.P.H.M. (Certified Professional in Healthcare Management) previously the C.P.U.R.
References
• Victoria Austin, RN Case Manager – 760-***-****
• Dr. Julie Chuan,MD, Neighborhood Healthcare Hospitalist 760-***-****
• Judy Hecker, Supervisor of RN Case Managers – 760-***-****
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