Registered Nurse Manager

PROFESSIONAL EXPERIENCE

Landmark Health, Ontario, CA – Complex medical case management (Medi-cal/Medicare)

RN Complex Case Manager, 10/2016 to 8/2017

Medical case management for individual of all ages (young adolescents to seniors) with complex medical needs and/or specialized health care requirements

Coordinating patient’s care, communicating with their providers and health care plans

Coordinating referrals and authorizations for treatment to/from health care plans

Participating in weekly interdisciplinary team meetings

Triaging patients care when on-call and addressing their needs

Assisting in making appointments for patients and their providers

Completing HRA’s, risk to possible admission analysis(RCA), admissions and discharge assessments.

Submitting request by provider authorization and following up on it with patient

Attending and participating on weekly IDT meetings

Maxim Staffing Agency,Glendale,CA-.Was hired to work at Inland Empire Health Plan as a temporary employee .Managed care plan for Medi-Cal/Medicare recipients.

RN Complex Case Manager,10/14-02/15

Identify and stratify risk of patients; assess patient needs and refer to appropriate resource

Conduct comprehensive health risk assessments (HRA) of Member’s clinical and psycho-social care needs

Work directly with the medical groups, providers, hospitals, community agencies, caregivers, and other entities supporting patient care

Assist with teaching and coordinating medical and social referrals

Develop and implement mutually agreed upon, person-centered care plans that include long-term and short-term goals aimed at improving the patient’s overall health

Evaluate and identify health care service delivery using clinical knowledge to make sure that the

patient receives care in the setting that best promotes quality and efficiency

HEDIS assessment and completing reports

Submitting requested authorization and following up on denied authorization with patient

Attending and participating in weekly IDT meetings

Inland Empire Health Plan (IEHP), Rancho Cucamonga CA. Was hired permanently after being a temporary employee. Managed care for Medi-cal/Medicare recipients of variety of age groups (young adult to seniors)

RN Complex Case Manager, 02/15- 10/16

Identify and stratify risk of patients; assess patient needs and refer to appropriate resource

Conduct comprehensive health risk assessments (HRA) of Member’s clinical and psycho-social care needs

Work directly with the medical groups, providers, hospitals, community agencies, caregivers, and other entities supporting patient care

Assist with teaching and coordinating medical and social referrals

Develop and implement mutually agreed upon, person-centered care plans that include long-term and short-term goals aimed at improving the patient’s overall health

Evaluate and identify health care service delivery using clinical knowledge to make sure that the

patient receives care in the setting that best promotes quality and efficiency

HEDIS assessment and completing reports

Submitting requested authorization and following up on denied authorization with patient

Attending and participating on weekly IDT meetings

Community Care Hospice, Glendora, CA.

Registered Nurse/Case Manager, 2/14 - 10/14

Evaluate patient's physical condition and develop a care plan that addresses any medical need

and social services.

Coordinate medical and nursing team members to provide appropriate care.

Address the psychological needs of patients and their families through counseling and education, and provide comfort.

Provide hands-on nursing care to clients.

Educate, instruct, and support the patient, family, and caregiver.

Anticipate, prevent and treat undesirable symptoms or secondary symptoms.

Documentation of patients’ problems, nursing assessments, patient goals, and care provided, and patient/family outcomes from interventions and care provided.

Royal Crest Health Care, Covina, CA

Registered Nurse (RN) Supervisor, 10/13 - 4/14

Supervise and assess care provided by CNA’s and give in-service as needed for continuous improvement.

Establish work routines for employees and assess overall effectiveness.

Direct and supervise staff to assure that proper care is provided to patients.

Observe isolation techniques. Daily, weekly and monthly assessments of care plans and careful implementation of physician’s orders; complete reports on the care and status of residents.

Drug dose redaction assessment, administering IV’s, assure that feeding programs are enforced and monitored.

Notify physician of any change, routinely monitor and document patient weight, consult with dietitian, and assure that all lab tests are completed as ordered.

Participate in interdisciplinary team meeting with resident and responsible party.

Assisted Healthcare Agency, West Covina, CA.

Licensed Vocational Nurse (LVN) - 1/11 - 2/14:

Duties include physical assessment of patients, inspection of skin and auscultation of lungs,

taking and interpreting vital signs, dispensing and providing oral and topical medications.

EDUCATION

Associates Degree: Nursing - Samarkand Medical College, Samarkand, Uzbekistan.

Course work and clinical work for licensure as a Nurse. Equivalent to a Registered

Nursing program in the United States.

SKILLS AND CREDENTIALS

Sept. 2010: Licensed Vocational Nurse (LVN)

Aug. 2012: Registered Nurse (RN)

Oct. 2010: IV Certification

Dec. 2010: Mechanical Ventilation Certification

Sept. 2016: ACLS Certification

June 2016: Basic ECG Interpretation Certification

Nov. 2012: PICC Line Certification

Other: Proficient in Microsoft Word, Excel, Outlook

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