Annette Willson, LVN

**** *. ********* ******

Long Beach CA. 90810

Phone: 562-***-**** ad1rgg@r.postjobfree.com

Objective

A challenging position which effectively utilizes my skills as a Licensed Vocational Nurse and Certified Professional Coder

Qualifications Summary

Dedicated, self-motivated, and determined to succeed Licensed Nurse with expertise in acute care, staff development, coding and documentation review, and complex case management.

Outstanding managerial concepts to include interpersonal and communication skills, corrected action plans, and the ability administer morale boosting incentives for employees.

Strong fiscal and auditing forums appended with company needs and requirements for revenue building techniques.

Capacity to multitask, manage priorities with ease while fostering delivery of exceptional patient care skills and employee trainings.

Solid administrative and communicative skills. High risk referral experience to include community-based resources, treatment planning and effective follow-up care in the in-patient and out-patient setting.

CMS knowledge of rules and guidelines, ICD10, CPT codes, and Milliman Guidelines. Train providers and nursing staff regarding documentation requirements for proper reimbursement submissions.

Career Experience:

Coast Healthcare: Cypress, CA May 2016 to May 2022

Inpatient Case Manager

Work independently as a nurse case manager and initiate staff projects and goals. Manage subordinate administrative staff. Hire, train, and monitor nurses and coordinators, assign schedules and tasks, and develop goals as well as strategies for reaching those goals. Consult with department heads and medical staff on administrative needs and take care of maintaining adequate bed days. Report to medical groups and their organization leads on their members hospital stays and outpatient needs.

Alls Well Health Care Staffing: Huntington Beach, CA Inpatient Case Manager

Accomplish clients' care by assessing treatment needs; developing, monitoring, and evaluating treatment plans and progress; facilitating interdisciplinary approaches; Documentation Skills, Analyzing Information, Decision Making, Research Skills, Verbal Communication, Written Communication, People Skills, Resolving Conflict, People Management, and integrity.

Alls Well Healthcare

Prospect Medical Group: Orange, CA Feb 2016 to May 2016 Inpatient Case Manager

Perform onsite review or telephonic clinical review of institutionalized members assigned to Prospect in the acute hospital, acute rehabilitation, and/or long-term acute hospital facilities settings. Actively implement a plan of care utilizing approved clinical guidelines ((e.g., CMS, Health Plan, MCG guidelines, NCQA) to transition and provide continuity of care for the member to an appropriate lower level of care in collaboration with the hospitals/physician team, acute or skilled facility staff, ambulatory care team, and the member and/or member’s representative from admission through discharge. Assist with and coordinate requests from ERs for members requiring care coordination, admission, and repatriation from non-contracted ERs to contracted hospitals or skilled facilities. Assist with and coordinate requests for transfers to tertiary facilities Perform on call duties as scheduled on a rotating basis.

RAM Enterprises: Carson, CA Jan 2013 to Feb 2016 Account Executive

Part-time liaising to include e-mails and telephone calls, preparing client reports, client meetings, developing sales and marketing strategies, plan to target new customers and retaining existing customers.

Regal Medical Group: Northridge, CA June 2012 to January 2013 Prior Authorization Case Manager

Promoting quality and cost effectiveness medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty referral requests. As a PACM, I reviewed for appropriate care and setting of members that require hospitalization and/or procedures, while following guidelines/policies, and approving services when indicated.

Windstone Behavioral Health: Costa Mesa, CA August 2007 to April 2012 Clinical Director

As a clinical director my primary function was to manage nurses and administrative personnel to ensure quality performance in our Health and Wellness department. My management skills were displayed to review employees’ productivity and audit their production accordingly. Revenue based objectives were reviewed and analyzed for company as well as departmental maintenance and growth. My leadership skills were utilized to communicate and demonstrate proper work ethics. Staff trainings along with coding analysis and documentation trainings with providers were exhausted. As a UR case manager my position included in-patient transfers to contracted facilities and hospitalists with appropriate treatment plans for discharge discussed with MD's. Continuity of care with patients to ensure proper follow-up care was being initiated. To optimize treatment monthly reports were reviewed.

Oasis Home health Upland, CA October 2006 to August 2007 Home Health Aide

Attaining to this position as a License Nurse I provided companion care and personal interaction in a home environment setting. Companion care included companionship and conversation, light housekeeping and laundry, cooking and meal planning along with medication reminders. Personal care included bathing, walking assistance, personal hygiene, and eating assistance.

Education

License Vocational Nurse, LVN (2006) Four-D College – Colton, CA

Certified Professional Coder, CPC (2011) AAPC - Orange, CA

Associates of Nursing (current) Los Angeles College - Los Angeles, CA

Intravenous Therapy and Blood Withdrawal Certified (2016) – Torrance, CA

References

Arlene Kidakarn RN, MSN, PCCN Los Angeles Harbor College Clinical Instructor

Randy Schwartz, CEO Windstone Health Services