Wound Care Director

Pietro Paolo Jusay, LVN

**** **** ****** ****** ***.178

Cypress, CA 90630

Cell phone: 714-***-****

Email: **********@*****.***

Seeking to obtain a full time position, where my nursing training and work

experience can be applied by offering professional and personal care. More

than three year experience in an acute and outpatient setting as a Licensed

Vocation Nurse specializing in wound care and planning patient

interventions pre-admission, during hospital stay, and upon discharge. A

strong background as an Analyst and Reimbursement Specialist in a medical

business office. Excellent Computer Skills. Bilingual.

PROFESSIONAL EXPERIENCE:

Tri-City Regional Medical Center Hawaiian Gardens,

CA

Wound Care Director/Admission-Discharge Coordinator May 2010 to

September 2013

. Facilitates necessary admission papers for patient referred by home

health, nursing home and doctors for wound care intervention.

. Initiate prior authorization per approval from Chief Medical Officer

or Medical Director.

. Making concurrent reviews on patient's case, following the patient's

prognosis, discharge planning, etc.

. Ensures continuity of care during hospital stay and cost containment

until discharged.

. Evaluate the patient's need prior to discharge such as assigning home

health, physical therapy, occupational therapy, plan of actions,

arrange other assistive device patient might need, care planning and

referrals.

. Obtains authorization/approvals for services needed by the patient

outside the hospital.

. Monitors the progress of the patient every day and discuss the plan of

care with patient, physicians and nursing staff.

. Offer, schedule and perform in-services on wound prevention and

management to nursing staff at skilled nursing facilities, home

healthcare agencies and board and care facilities.

. Collaborate with Wound Care Program Surgeon and hospital personnel for

operation preparations and authorization of benefits.

. Visit and inform physicians, skilled nursing facilities, home health

care agencies, and board and care facilities about the Wound Care

Program and the general public to provide education regarding wounds.

. Perform data collection, wound evaluation and formulation of treatment

suggestions for patients referred (with a physician's order) to the

Wound Care Program.

. After patient discharged, remains on 24-hour call during post-op

healing

. Facilitate Attending Physician-Surgeon communications.

. Coordinates scheduling and transportation arrangements with hospital,

referring agency, attending, surgeons, operating room, family and

patient.

Brookfield HealthCare Center Downey, CA

Licensed Vocational Nurse, Charge Nurse January 2010 to May

2010

. Provide high quality nursing care for patients, with responsibility

for: Medication Administration Oxygen Therapy; Vital Signs; Wound

Care; Nasopharyngeal and Oral Suctioning; Intravenous Therapy;

Application of Dressings; Insertion of Catheters

. Follow up with timely and accurate charting procedures and verify

prior shift information.

. Conduct initial assessment of patients upon admission and assist with

discharge planning.

. Report changes in patients' conditions routinely and when requiring

immediate attention.

. Collect specimens from patients for laboratory testing.

. Monitor, evaluate and record food and liquid intake and output levels.

. Operate equipment and assistive devices to safely transfer patients

dispensing of medication.

West Anaheim Medical Center Anaheim, CA

Accounts Receivable Analyst / Reimbursement Specialist January 2003

to January 2010

. Review and correct hospital charges.

. Report Daily Hospital Census

. Report Daily Unbilled Patient claims

. Accurately price physician's bills under Medicare rate for payment.

. Accurately price Ambulance bills per management contract.

. Review collection agency payment

. Transfer delinquent patient accounts onto its proper bad debt

collection agencies

. Prepare and submit candidate patient for California Healthcare for

Indigents Program

. Verify and balance total of all payment checks and cash from banks,

insurance companies and members to be sent for deposit using 10 key

. Check accuracy and assure all payments are posted to patient's

accounts

. Handling multiple insurance phone calls

. Ensures encountered data errors are corrected in a timely manner

. Deposit, manually and electronically, payments received from mail and

over the counter money

. Accurately balance daily posting and total deposit through excel

spread sheet

. Precisely scan all correspondence and explanation of benefits on a

daily basis

EDUCATION:

American Career College Anaheim, CA

. Licensed Vocational Nurse - Diploma

March 2007 to October 2008

CERTIFICATIONS:

. Licensed Vocational Nurse-License. No. 240946

. Certification in BLS

. Certification in IV Therapy and blood withdrawal

. Certification in Ventilator Management

REFERENCE:

Available upon request

Contact this candidate