Registered nurse/ healthcare management

FIELD EXPERIENCE:

. Treated patients displaying Depression, Mania, Anxiety Disorder, OCD,

and Schizophrenia.

. Monitored group therapy sessions (stress release) and psychotherapy.

. Observed the process of natural and induced deliveries and C/S

(caesarean section).

. Used a Doppler to check position of the fetus.

. Treated patients with oral carcinoma surgery w/ Skin Flap, and

Osteotomy.

. Treated premature infants with their feeding, suction, percussion,

ventilator, IV bag of antibiotics, vital signs, Cleft lip / Cleft

palate Care, Phototherapy and care, ARDS, Endo care, monitoring of the

heart rate and respiratory rate count machine.

. Experience in IV and syringe pump checks, IV Flushes, urinary

catheterization care, CAPD, Vital Sign monitoring.

. Educated patients with Uremia, Renal Failure, A-V Fistula Care of Low

Sodium, Potassium, Calcium Diets, Heart Failure, Hypertension,

Hypercholesterolemia. .

. Observation in sub-acute hospital for externship.

. Performed EKG, health assessment, Auscultate lung sound, Auscultate

normal heart sound and murmur.

. Managing claims, confirming and documenting IPA's (Independent

Physician Association) authorization status as if it is approved,

pending, or denied, and stating the reason if it is denied.

. Key in data for authorization reports for information records, such as

patient information, authorization status, services, time of service,

and when is the authorization expired.

. Familiarize different categories of services in authorization, such as

inpatient, outpatient and office, durable medical equipment (DME)

rental or purchase, home health care or visit, skilled nursing

facility, and ambulance services, EZ CAP authorization module and

codes, authorization status definition, various service codes used in

authorizations, insurance types (Health Maintenance Organization,

Preferred Provider Organization, medi-care, medi-cal), and different

services with special groups, such as California children's services

(CCS).

. Acknowledge differences between full risk management and share risk

management.

. Work with IPA to manage patient's examinations, treatments, and

allocate patients to different facilities based on their conditions

and insurance. (OON, out of network/ in network)

. Participate in chart review process to determine if it is reasonable

to approve authorizations of patients based on medical records.

CERTIFICATIONS/ADDITIONAL:

. Passed NCLEX - RN

. Taiwan Professional Nursing License

. AHA certified BLS

CLINICAL TRAINING EXPERIENCE:

Cedars- Sinai Medical Center

04/2014-06/2014

Pain management department

Huntington Memorial Hospital

01/2014-03/2014

Cardiology Unit/ Cath Lab and Medical/ Surgical ward

Methodist Hospital of Southern California

Intensive Care Unit and Medical/ Surgical ward

09/2013-12/2013

AHMC Healthcare Inc.

Utilization Management Department

01/2012-12/2012

Cedars Sinai Clinic Center

Cardiology Outpatient Department

06/2009-09/2009

Shin Kong Ho - SU Memorial Hospital 07/2005-

11/2005

Ophthalmology Outpatient Department

Taipei City Hospital - Sogde Campus 09/2004-

10/2004

Psychiatry Department

National Taiwan University Hospital- Bei-Hu Branch 04/2004-

05/2004

Counselor to seniors with Diabetes

National Taiwan University Hospital 09/2003-

11/2003

Pediatric Department

Department of Health 09/2002-

11/2002

Chronic Ward

Taipei City Hospital 05/2002-

06/2002

Obstetrics Department

Mackay Memorial Hospital 02/2002-

04/2002

PICU (Premature Intensive Care Unit)

Taichung Veterans General Hospital 09/2001-

12/2001

Internal Medicine Department

Language:

English/ Mandarin

EDUCATION:

California State University, Los Angeles

2010 -- present

MSN Acute Care Nurse Practitioner/ Healthcare Management

West Coast Ultrasound Institute/Beverly Hills, CA 2008 -

2009

Medical Assistant Program

National Taipei University of Nursing and Health Sciences

2003- 2005

B.S. Nursing

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