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Care Manager

Location:
West Covina, CA
Posted:
July 25, 2014

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Resume:

Sonjia Wilson

***** ********** ****, ***********, ** 92394 760-***-****. ************@*****.***

Summary of Qualifications

Administrative and referral experience including admission & discharge, assessment, diagnosis, planning,

implementation, evaluation and education of patients. Excellent patient and family teaching skills. Ability to

interact effectively with an interdisciplinary team. Capacity to multitask and manage priorities in a fast paced

work environment. Ability to build positive relationships with patients, family members, supporting staff and

physicians.

Work Experience

Individual Nurse Provider, State of California In-Home Operation, Sacramento, CA Aug 2004-Present

• Case Management assessment of patients, care planning, treatment planning, planning & delivering of

care, evaluation of result and adjustment of care plan.

• Coordinate referrals, coordinate services with other healthcare providers.

• Complete HCFA 1500 claim processing; ICD-9 coding.

• Submit Treatment Authorization Requests (TARS), Plan of Treatments (POTS) and Remittance Advice

Details (RADS) through Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Supplemental

Services.

• Provide direct LVN patient care for the continuous treatment of TRACH, VENT & G-TUBE patients.

• Provide medical documentation to support the need for skilled nursing services.

• Maintain daily patient charting and provide medical information to physician as needed.

• Serve as a patient advocate.

• Conduct reviews for appropriate utilization of services from admission to discharge.

• Evaluate patient satisfaction and quality of care provided.

• Facilitate interdisciplinary patient care to review treatment goals, optimize resources, provide family

education and identify post-hospital needs.

Travel LVN, Readylink Staffing, Rancho Mirage, CA May 1999 -July 2004

• Admitted and discharged patients through Medi-Tech, at the following hospitals: Community Hospital of

San Bernardino, Parkview Community Hospital, Victor Valley Community Hospital, Barstow Community

Hospital, Lancaster Community Hospital, Gardena Memorial Hospital and Mission Hospital of Huntington

Park.

• Discharged planning complete psychosocial assessment.

• Administered prescribed medication.

• Initiated intravenous fluids.

• Provided TRACH Care and Wound Care.

• Inserted and monitored catheters.

• Recorded food and fluid intake and output.

• Collected samples for testing.

• Completed assessment of patients and family needs at the time of admission.

• Assessed patient care required throughout continuum of care for diagnosis, procedure and DRG’S. LVN,

Veteran’s Home of Barstow, Barstow, CA 1998-2000

• Reviewed and analyzed chart checking for state audits.

• Stocked inventory and supplies and necessary medications.

• Organized patient admission and discharge.

• Provided meticulous wound care.

• Completed S.O.A.P. charting and M.E.T.H.O.D charting.

• Responsible for assisting patients and families coordination of all home care services

• Assisted patients and families in completing and processing applications for extended care facilities, i.e.

hospice placement, home health nursing, physical therapy, etc.

• Updated care plans as needed.

Education

BLS CPR Certification, Current

IV Blood Withdrawal Certification, 2006

Vent Certification, 2005

Healthcare Innovations Inc., Colton, CA

Managed Health Care Certification, September 2003

State of California Board of Nursing Certification, 1997

San Bernardino Adult School, San Bernardino, CA

Licensed Vocational Nursing Program, April 1997



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