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Case Manager Patient Care

Location:
Hayward, CA
Posted:
February 07, 2024

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Resume:

Roann Belen

*** ********* **., *******, ** *****

ad3f35@r.postjobfree.com

650-***-****

Professional Summary

Dedicated individual with 9 years of nursing experience desire for a Case Manager, Utilization Review Nurse, Nurse Supervisor position that values organizational, managerial and interpersonal skills.

Skills

Using InterQual criteria

BLS certified

Post Acute expert

MDS 3.0 expert

Using Medicare Guidelines

Admission and discharge expertise

Strong Clinical judgment

IV insertion and administration expertise

Patient focused

Individualized care planning expertise

Computer Literate

Wound care Expertise

Education

Southeast Asian College Inc. June 2004- March 2009

Bachelor of Science in Nursing

Quezon City, Philippines

Experience

Charge Nurse/Nurse Manager- Napa State Hospital- Napa CA- July 2018- Current

Provide insight patient needs and addresses patient care.

Collaborate with patients; physicians and treatment team to ensure needs are met.

Updating patient treatment plan, care plan and discharge plan.

Follow up on patient appointments and needs.

Utilization RN/ RN Liaison- St. Helena Hospital- Vacaville CA- January 2018- July 2018

Performs clinical assessment/evaluations, admission, transfers and discharge of patient to and from PHP and IOP.

Uses InterQual criteria for initial and concurrent reviews.

Performs utilization reviews, management process and concurrent data collection process for quality improvement program functions and the clinical review of all cases.

Works closely with members of medical and hospital staff in improving program functions.

House Supervisor- St. Helena Hospital- Vallejo CA- May 2017- January 2018

Provide oversight for hospital staff in the absence of unit management.

Addresses patient care, staffing and any other issues that may arise.

Handles occurrences during the shift, ensuring appropriate documentation and communications.

Collaborates with patients, family members and physicians to ensure needs are met and problems are resolved.

MDS Coordinator- Sonoma Developmental Center- Sonoma CA- May 2017- July 2018

Conduct meetings with the IDT team caretakers and family to discuss these goals and plan of action.

Reach out to specialists within the community to get help in achieving care plan goals.

To develop a plan of care that long term and short term improvement.

MDS Coordinator/ RN Supervisor- Broadway Villa Post Acute- Sonoma CA- January 2013- Current (on-call)

Conduct meetings with the IDT team caretakers and family to discuss these goals and plan of action.

Reach out to specialists within the community to get help in achieving care plan goals.

To develop a plan of care that long term and short term improvement.

Supervise all Nursing staff on duty.

Treatment Nurse- Buena Vista Health Care- Santa Barbara CA- July 2012-January 2013

Patient’s medical team to monitor the patient’s wounds and healing process.

To provide direct care to the patient and promote healthy and rapid healing of the patient’s wounds.

Wound Care nurse’s resumes reflect responsibilities to assess to treat, and monitor patients’ wounds and work with the patient’s physician to assess the appropriateness of antibiotic therapy and surgery.

Visiting Nurse- Prohealth Home Health- San Jose CA-July 2011-January 2013

Conduct meetings with the IDT team caretakers and family to discuss these goals and plan of action.

Reach out to specialists within the community to get help in achieving care plan goals.

To develop a plan of care that long term and short term improvement.

Maintain accurate, detailed reports and records.

Charge Nurse/Treatment Nurse- Elmwood Nursing and Rehab- Berkeley CA-January 2011- July 2013

Patient’s medical team to monitor the patient’s wounds and healing process.

To provide direct care to the patient and promote healthy and rapid healing of the patient’s wounds.

Wound Care nurse’s resumes reflect responsibilities to assess to treat, and monitor patients’ wounds and work with the patient’s physician to assess the appropriateness of antibiotic therapy and surgery.



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