Case Manager Los Angeles
Resume:
Lovella Aler
Beaumont, CA. *2223
Cell: 310-***-****
E-Mail: ad34zm@r.postjobfree.com
Professional Summary
Enthusiastic MDS LVN with excellent people skills and dedicated work ethic. Demonstrated medical procedure competency.
Nurse Case Manager with valid State License. Solid clinical, utilization review and case management experience within a managed care environment.
Professionally trained MDS with experience ensuring high standards of culturally competent care for wide variety of patients with diverse needs.
Skills
Admission
Review physician orders
Update careplans
ICD-10 Coding
MDS 5th day/ admission, IPA as needed
MDS and PDPM tracking
CAA
Weekly/Daily PDPM meeting
Monthly Triple check
Professionally trained PCC
ADR tracking
Maintain facility and Resident Quality Measure
IDT/care conference with resident/family
MDS reviews to assure achievement of maximum allowable HIPPS categories
Manage the overall process and tracking of all Medicare/Medicaid case mix
Tracks Medicare Resident to determine continue and appropriate Medicare Eligibility and Benefits period by determining skilled level of needs
MDS reviews and updated quarterly, annually and as needed for significant change in conditions
Update Medicare certification and recertification
PASSR trained
Update Resident matrix CMS-802
672- Resident Census and Condition
Organized monthly calendar management
Qualified lab result evaluator
Qualified in healthcare billing
Patient evaluation/intervention
Thorough physical assessments
Patient positioning competency
Foley catheter insertion/removal familiarity
Patient and family advocacy
Medicaid Management Information Systems
Quality improvement competency
Strong presentation skills
Patient evaluation/intervention
Critical care nursing
Diabetes, Hospice, and Stroke Patient Care
Insulin medication assistance understanding
Work History
Rockwell healthcare
3281 E. GUASTI RD STE 700
ONTARIO CA 91761-7643
MDS Resource
May 16, 2022-Present
Cedar Mountain Post Acute
11970 Fourth St.
Yucaipa, CA. 92399
MDS Resource, MDS for MedA and HMO/Manage care
October 2021-May 13, 2022
Bayshire Rancho Mirage Skilled Nursing
72201 Country Club
Rancho Mirage, Ca. 92270
MDS for Medicare/Manage care/HMO
June 21,2021- October 2021
View Park Convalescent Hospital
Longwood Management
3737 Don Felipe Drive
Los Angeles, Ca. 90008
MDS Floater
April 19, 2021-June 20, 2021
Meadows Ridge Care Center
Longwood Management
1700 E Washington Ave.
Colton, Ca.92324
MDS Coordinator
February 3, 2020- April 18, 2021
Longwood Management Corp.
4032 Wiltshire Ave.
Los Angeles, Ca. 90010
MDS Floater
July 29, 2019- January 31, 2020
Highland Spring Care Center
Longwood Management
1441 N Michigan Ave. Beaumont, CA 92223
September 4, 2017- July 26, 2019
MDS Coordinator
View Park Convalescent Hospital
Longwood Management
3737 Don Felipe Dr. Los Angeles, CA 90008
October 2012 to September 2, 2017
MDS Coordinator
Crenshaw Nursing Home
Longwood Management
1900 S. Longwood Ave. Los Angeles CA
April 2010 to October 2012
Charge nurse/MDS Coordinator
Windsor Care Center
3533 Motor Ave. Los Angeles, CA.
December 2010 to January 2012
MDS/ Charge Nurse
Education
Career Colleges of America
South Gate, CA
Diploma Vocational Nursing
Graduate: 2008
Far Eastern University
Manila Philippines,
Diploma Political Science
Graduate: 1999
Roosevelt College
Manila Philippines,
High School Diploma
Graduate: 1998
Roosevelt College Elementary School
Manila Philippines,
Diploma
Graduate: 1994
Certifications
CPR certified through American Heart Association
First Aid Certification
Fire Certified
IV Certified
N95 Fit Test Certified
RAC CT Certified
Contact this candidate