Medical Nursing
Resume:
MARIBEL DELA CRUZ, BSN, RN
*** ******* ** • Roseville, California, USA 95747
916-***-**** • 530-***-**** • **************@*****.***
NURSE CONSULTANT • NURSE CASE MANAGER
Dedicated healthcare professional with exemplary work ethics, management experience,
and more than 19 years of success in diverse medical environments.
• Demonstrated aptitude for fostering collaborative relationships with colleagues.
• Proven ability to identify and develop opportunities to improve patient care.
• Consistent record of providing medical staff, patients, and communities with
information and training needed to achieve best possible health outcomes.
Management • Team Leadership • Training • Employee Development • Patient Education •
Communication
PROFESSIONAL EXPERIENCE
JEAN MARTIN GROUP HOMES, North Highlands, California • 2008 – Present
12-bed facility providing residential care to developmentally disabled clients.
Nurse Consultant/RN Care Manager
Supports ongoing health and wellness of residents by providing nursing expertise and
around-the-clock availability to staff with questions regarding nursing care. Oversees
nursing admission process for new residents. Assesses long-term health needs of each
patient and designs plan of care in partnership with attending physician and psychiatrist.
Educates staff and ensures proper implementation of nursing care plan. Adjusts nursing
care plan as needed to address changes in residents’ behavior and wellbeing, and
communicates status of residents and revised plan of care to physician, psychiatrist,
administrator, assistant administrator, and staff. Verifies doctor’s orders to ensure timely
and correct implementation. Reviews printed Medication Administration Records against
doctor’s orders. Administers scheduled injectable medications and completes monthly
drug regimen review of each resident. Generates monthly, semi-annual, and annual
nursing summary reports for all residents. Verifies laboratory and diagnostic exams,
checks lab results, and informs attending physician as needed. Advises assistant
administrator regarding scheduled immunizations
Prepares educational materials and conducts regular in-service training events for staff
and personnel.
• Reduced resident hospital visits by educating staff on health maintenance
and disease prevention.
Health Net Federal Services, Rancho Cordova October 2012 – September 2014
For over 20 years, Health Net has partnered with the Department of Defense to provide
health care services to the men and women who serve and their family members. Health
Net assists nearly 3 million beneficiaries including active duty, retired, National Guard
and reserve, and family members. Health Net was one of the first companies in the U.S.
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to develop comprehensive managed care programs for military families. Health Net
Federal Services is the managed care support contractor for the TRICARE North Region.
Disease Management Specialist RN
Provides one-on-one and group based disease management education to veterans,
active military personnel and their dependents by telephone. Performs initial, on- going
and post intervention patient assessment. Participates in program planning and update
meetings. Delivers one-on- one and group health resource information. Conducts brief
needs assessment to assist the beneficiary and identify resources needed to assist with
the appropriate management of the condition presented by the beneficiary and/or group.
Maintains current information on available resources including community and local
programs available, cost, and resource contact information. Invites beneficiaries to
complete and return program satisfaction surveys. Develops and maintains policies and
procedures. Assists beneficiaries by referring to appropriate organization resources or
contacts as indicated.
• Provides health education to beneficiaries with diabetes, COPD, heart failure and
asthma thereby helping them to successfully manage their chronic conditions.
Xerox, West Sacramento, California August 2011 – Sept 2012
A global leader in business process outsourcing contracted with the Department of Health
Care Services
( DHCS) to manage California Medicaid Management Information Systems ( CA-MMIS) for
payment processing of healthcare providers of the Medi-Cal fee-for-service program.
Nurse Consultant, Professional Claims/Medical Review/Utilization Review
Served as a clinical consultant for CA-MMIS. Identified significant opportunities for clinical or
financial improvement in medical management. Developed and designed interventions that
improved or maintained the quality of care while reducing the overall cost of care when
possible. Kept abreast with continuously evolving health care practices, equipment and
technology. Adjudicated claims and appeals.
• Provided clinical information to staff and other Medical Professionals to facilitate
proper and accurate adjudication of claims.
• Responded to appeals and reviewed medical necessity and identified levels of care.
RIDEOUT MEMORIAL HOSPITAL, Marysville, California • February 2007 –
September 2010
137-bed acute care hospital specializing in medical surgical cases.
Staff Nurse II
Provided comprehensive nursing care to medical- surgical patients on telemetry in
collaboration with nursing colleagues, physicians, and other healthcare clinicians.
Discussed treatment plans and discharge instructions with patients’ families, and
educated patients and their caregivers on health maintenance and disease prevention
strategies. Reviewed nursing reports from outgoing RN, personally assessed each client,
developed, implemented, and evaluated plan of care. Checked Medication
Administration Record against doctor’s orders and informed pharmacy of any
discrepancies. Administered medications, treatments, and therapies. Initiated and
maintained intravenous (IV) lines for fluid, medications, blood, and blood products.
Monitored and recorded vital signs, including pain level, as well as intake and output.
Created electronic record of patient observations. Performed nursing assessments and
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gave intravenous medications and fluids to patients under the care of LVNs. Supervised
Certified Nursing Attendants (CNAs).
• Earned numerous recognition based on colleague recommendations.
• Provided comprehensive care to medical-surgical and nephrology clients
on telemetry.
KAISER PERMANENTE MEDICAL CENTER, Sacramento, California • May 2008 –
August 2008
Facility affiliated with the largest managed care consortium in the United States.
Staff Nurse II
Received nursing reports on assigned clients from outgoing RN, performed nursing
assessment for each client, and developed individualized plan of care to meet their
unique needs. Collaborated with physician and other healthcare clinicians to ensure
quality of care. Referred urgent and emergent health conditions to attending physician.
Provided nursing care to medical-surgical clients. Verified Medication Administration
Record against doctor’s orders and communicated any discrepancies to pharmacy.
Administered medications and treatments. Monitored and recorded vital signs and client
intake and output. Initiated and maintained patent IV lines for fluid, medications, blood,
and blood products. Administered transfusions and infusions. Observed patients and
recorded findings
electronically. Assisted patients with activities of daily living. Treated wounds and
provided nursing care to clients with various types of medical equipment. Supervised
CNAs involved in patient care. Provided healthcare education and detailed discharge
instructions to clients and their families.
• Honed medical-surgical nursing skills. Honed motivation and teaching skills.
GLOBAL CITY INNOVATIVE COLLEGE, Taguig City, Philippines • January 2005 –
September 2005
Private institution offering undergraduate degrees in nursing, education, English,
business administration, and hospitality management.
Clinical Instructor/Faculty
Presented expert instruction to nursing students working toward Bachelor of Science in
Nursing (BSN). Planned and implemented effective teaching strategy for classroom and
clinical instruction. Assessed learning needs of individual students and provided
appropriate support. Contributed as member of nursing program. Mentored new faculty
and performed peer evaluations.
• Motivated BSN students to apply knowledge of nursing principles in
clinical practice.
• Honed teaching and leadership skills.
NURSE CORPS, ARMED FORCES OF THE PHILIPPINES, Quezon City, Philippines •
Jul 1995 – February 2005
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Service branch committed to providing comprehensive nursing care to military personnel
and their dependents, as well as authorized civilians.
Military Nurse
Analyzed health of individuals and populations and used available data to determine
nursing needs. Defined desirable health outcomes, created appropriate care strategy
with realistic goals, and partnered with patients, families, and communities to achieve
best outcomes. Managed nursing activities, supervising both enlisted personnel and
civilian employees. Identified opportunities for delivering patient care. Participated in
civil-military medical missions.
• Served as a military nurse and officer.
• Gained experience in diverse clinical areas, including Emergency Room,
Medical-Surgical, Pediatrics, OB-Gyn, Hemodialysis Unit, Outpatient Medical
Setting and Nursing Administration.
• Successfully completed physically and mentally challenging Technical
Service Officer Basic Course and Military Occupational Specialty Training in
Hemodialysis Nursing.
• Achieved assignment to military’s premier medical institution, a 1200-bed
acute care facility.
• Contributed to evacuation of hundreds of civilians from path of erupting
volcano.
• Earned numerous merit medals, awards, and decorations for exemplary
service.
EDUCATION, PROFESSIONAL DEVELOPMENT & CERTIFICATIONS
Bachelor of Science in Nursing (Cum Laude)
University of Cebu, Cebu City, Philippines
Case Management Certificate Program
Kaplan University USA
Case Management/ Utilization Review Practical Workshop/Training
Temple Community Hospital
Los Angeles, CA, USA
Registered Nurse
California Board of Registered Nursing
Basic Life Support for Health Care Providers (BLS-HCP)
Military Occupational Specialty Training in Hemodialysis Nursing
LANGUAGE SKILLS: Tagalog, Cebuano, English.
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MARIBEL DELA CRUZ Page 4• **************@*****.***
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