MS

MARIANNE SAGUAN

ad3v4v@r.postjobfree.com 626-***-**** Pomona, CA 91767

Energetic Nurse Office Manager equipped to support day-to-day operational functions and accomplish business goals. Blends advanced organizational, technical and business expertise to enhance workflows. Focused on attentively assisting office staff and customers and identifying opportunities for improvement. Administrative Support

Operations Management

Customer Service

Inventory Control

Data Entry

Staff Hiring

Employee Supervision

Staff Management

Office Management

Contract Administration

Scheduling and Calendar Management

Clerical Support

Event Coordination

Regulatory Compliance

Scheduling

Organizational Skills

Vascular Surgery Dr Nicholas C. Saguan,

MD Inc. La Verne, CA

Office Manager

09/2020 - 04/2023

Developed and implemented office policies and procedures. Assisted with the preparation of budgets, forecasts and financial statements.

Supervised staff members, organized schedules and delegated tasks. Coordinated meetings, conferences, travel arrangements and department activities.

Maintained filing system for records, correspondence and other documents.

Ordered supplies and equipment to maintain adequate inventory levels. Answered phone calls, responded to emails, routed mail and coordinated courier services.

Resolved customer inquiries in a timely manner while maintaining positive relationships with clients.

Processed payroll accurately ensuring all employees were paid on time. Managed front desk operations including greeting visitors, answering questions or directing them to appropriate personnel. Tracked invoices and payments to ensure accuracy of accounts receivable and payable information.

Organized company events including holiday parties, team building activities .

Performed general bookkeeping duties such as reconciling bank statements and creating journal entries.

Ensured compliance with applicable laws regarding employment practices. Reviewed contracts for accuracy prior to signing off on behalf of the company.

Summary

Skills

Experience

Provided training to new hires on office policies and procedures. Managed office inventory and placed new supply orders. Monitored payments due from clients and promptly contacted clients with past due payments.

Maintained impeccable office organization to support efficiency, professionalism and performance objectives.

Oversaw receiving and organizing correspondence, answering and forwarding calls and creating business letters and records. Administered payroll and maintained proper documentation of employee personnel.

Reviewed files and records to obtain information and respond to requests. Managed, scheduled and coordinated office functions and activities for employees.

Handled scheduling and managed timely and effective allocation of resources and calendars.

Used judgment and initiative in handling confidential matters and requests.

Managed office budget to handle inventory, postage and vendor services. S&S Management, Inc. Alhambra, CA

Nurse Case Manager

08/2011 - 10/2015

Developed and implemented care plans for assigned patients, ensuring the highest quality of care.

Assessed patient needs, identified health problems and provided appropriate interventions to improve outcomes.

Monitored patient progress and modified treatment plans as needed. Provided education to patients and their families on disease management, medications and other treatments.

Conducted home visits as necessary to assess patient's condition in the home environment.

Maintained accurate documentation of all case management activities in accordance with regulatory standards.

Evaluated referrals from physicians, hospitals, clinics and other sources for appropriateness of services requested.

Identified community resources available for assistance with housing, transportation or financial issues impacting a patient's health status. Participated in interdisciplinary team meetings to coordinate care for complex cases.

Actively participated in performance improvement initiatives within the organization.

Facilitated access to specialty services by identifying providers who accept Medicaid and Medicare insurance programs.

Collaborated with payers to obtain authorization for requested services when applicable.

Advised physicians regarding alternative levels of care when indicated such as skilled nursing facilities or hospice settings. Communicated regularly with patients via phone calls or emails to check on their progress and answer any questions they may have. Attended continuing education courses related to case management topics such as chronic illness management, utilization review techniques and ethical considerations.

Assisted patients in navigating through the healthcare system by providing support throughout their treatment process.

Reviewed test results and lab reports for accuracy before sending them back out for further action by physician or other practitioners. Analyzed data from various sources including claims information, laboratory results and medication histories to identify potential risks or gaps in care.

Reviewed physician orders for accuracy and completeness prior to implementation of service plan.

Charted weekly progress notes and quarterly summaries. Developed new business relationships to drive patient volumes, capture new revenue streams and evaluate business development performance. Evaluated nursing notes to confirm completeness and accuracy of descriptions outlining nursing care provided and corresponding patient responses.

Utilized business customer service and relationship building skills to consistently increase referrals.

Villa Gardens Pasadena, CA

LVN Charge Nurse

07/2008 - 12/2014

Provided emotional support for patients facing difficult medical decisions or diagnoses.

Adhered strictly to infection control protocols while providing direct patient care.

Observed safety guidelines when handling hazardous materials or equipment.

Provided direct patient care, such as administering medications, changing dressings, and monitoring progress.

Instructed patients on how to manage their treatments at home or in the community setting.

Evaluated patient responses to treatments and interventions. Conducted patient education sessions on disease processes, medication side effects, and health maintenance topics.

Maintained accurate records of patient care plans, treatments administered, and changes in condition.

Documented all observations related to the patient's health status in medical charts for review by a physician or other healthcare provider. Collaborated with interdisciplinary teams to ensure that optimal quality of care was provided to patients.

Recognized abnormal vital signs and symptoms and reported them immediately to the supervising physician or nurse practitioner. Administered prescribed medications according to approved nursing techniques.

Monitored patients for adverse reactions to medications or treatments; reported any abnormalities promptly to supervising staff members. Performed basic laboratory tests such as urinalysis and complete blood counts.

Provided nutritional counseling services for patients with special dietary needs or requirements.

Served as a resource person for other LVN staff members regarding clinical practices and procedures.

Participated in performance improvement activities designed to improve quality of care delivered.

Utilized therapeutic communication techniques when interacting with patients and families.

Assessed learning needs of individuals, families, communities and developed teaching plans accordingly.

Intercare Holdings Insurance Pasadena,

CA

Clinical Review Nurse

04/2010 - 07/2011

Reviewed medical records and documents to determine coverage eligibility of claims for insurance benefits.

Performed data entry into the computer system to record information regarding claim status.

Investigated discrepancies in claims and resolved issues with customers via telephone or written correspondence.

Provided guidance to other staff members regarding claim processing rules and regulations.

Evaluated requests for pre-certification and authorization services, determining appropriate reimbursement levels based on contractual agreements between providers and payers.

Initiated contact with providers to obtain additional information needed for accurate adjudication of claims.

Handled and processed variety of claims, including workers compensation and personal injury.

Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.

Reviewed claims to ensure accuracy, resulting in multiple claim reductions. Gathered information from various third parties to determine claim acceptability.

Consulted accountants, engineers, lawyers and physicians when needed. Delivered exceptional customer service to clients by communicating information and actively listening to concerns.

Performed medical necessity reviews of inpatient and outpatient services to ensure compliance with relevant regulations and standards. Reviewed patient records for accuracy, completeness, timeliness, and appropriateness of care prior to authorization requests. Assessed clinical data from multiple sources including but not limited to medical records, lab results, radiology reports, medication administration records.

Conducted utilization management activities such as pre-certification and pre-authorization requests for services rendered by health care providers. Developed standardized processes and procedures related to review activities that are compliant with state and federal regulations. Consulted with physicians regarding appropriate documentation requirements when necessary to support clinical decision making. Collaborated with health plan members, providers, case managers and other stakeholders involved in the delivery of patient care. Evaluated appeals from denied claims per applicable state and federal laws.

AHMC Monterey Park Hospital

Alhambra, CA

LVN Floor Nurse- Telemetry Dept.

05/2008 - 07/2010

Assisted physicians in examining and treating patients. Provided wound care, including dressing changes and administering intravenous medications.

Monitored vital signs, such as blood pressure, temperature, pulse rate and respiration rate.

Instructed patients on proper self-care techniques after discharge from hospital or clinic.

Assisted with the administration of injections and IV fluids to patients. Prepared patient rooms for examination, including stocking supplies and ensuring cleanliness.

Maintained accurate patient records documenting treatments, medications administered and other pertinent information.

Observed changes in patient conditions and reported any unusual findings to supervising physician or registered nurse.

Collected specimens for laboratory analysis; prepared specimens for transport to lab.

Administered prescribed medications under the direction of a physician or RN.

Performed basic medical procedures such as catheterization, EKGs and phlebotomy according to established protocols.

Assisted with patient transfer activities utilizing appropriate equipment and safety measures.

Evaluated patient responses to treatments; documented assessments in medical record system.

Provided emotional support to family members during difficult times. Participated in continuing education programs to maintain licensure requirements.

Developed individualized plans of care based upon assessment findings. Implemented infection control measures per facility policy. Utilized medical instruments safely and effectively while providing direct care to patients.

Charted changes in patient conditions and discussed concerns with supervising healthcare provider.

Addressed patient care needs, collected vitals, dressed wounds and managed catheters.

Observed strict confidentiality and safeguarded all patient-related information.

Cared for patients' acute and chronic wounds by changing dressings and applying medicated compounds.

Monitored infection control procedures to verify facility-wide health and safety.

Administered prescribed medications and started intravenous fluids to address patient symptoms and underlying etiologies. Inserted, cared for and removed patients' catheters and monitored fluid output.

Evaluated patient care procedural changes for effectiveness and made necessary adjustments.

Directed implementation of improved patient care and documentation methods and procedures to achieve quality objectives. Assisted with patients' nutritional needs by setting up self-feeding assistance or directly feeding individuals with severely limited mobility. Collected biological samples for routine laboratory testing to assist diagnostic processes.

Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.

Worked with registered nurses to deliver comprehensive, high-quality care to Cardiac Telemetry level of care, medical/surgical level of care, as well as postpartum/labor@delivery patients.

Alhambra Convalescent Hospital

Alhambra, CA

LVN Floor Nurse

09/2004 - 10/2008

Provided wound care, including dressing changes and administering intravenous medications.

Assisted physicians in examining and treating patients. Instructed patients on proper self-care techniques after discharge from hospital or clinic.

Assisted with the administration of injections and IV fluids to patients. Prepared patient rooms for examination, including stocking supplies and ensuring cleanliness.

Maintained accurate patient records documenting treatments, medications administered and other pertinent information.

Observed changes in patient conditions and reported any unusual findings to supervising physician or registered nurse.

Collected specimens for laboratory analysis; prepared specimens for transport to lab.

Administered prescribed medications under the direction of a physician or RN.

Performed basic medical procedures such as catheterization, EKGs and phlebotomy according to established protocols.

Assisted with patient transfer activities utilizing appropriate equipment and safety measures.

Evaluated patient responses to treatments; documented assessments in medical record system.

Provided emotional support to family members during difficult times. Participated in continuing education programs to maintain licensure requirements.

Developed individualized plans of care based upon assessment findings. Implemented infection control measures per facility policy. Coordinated care provided by other healthcare professionals involved in patient's care plan.

Utilized medical instruments safely and effectively while providing direct care to patients.

Adhered to all applicable laws regarding confidentiality of protected health information.

Charted changes in patient conditions and discussed concerns with supervising healthcare provider.

Addressed patient care needs, collected vitals, dressed wounds and managed catheters.

Observed strict confidentiality and safeguarded all patient-related information.

Monitored vital signs, such as blood pressure, temperature, pulse rate and respiration rate.

Citrus College Glendora, CA

Associate of Science in Nursing

08/1998

Education and Training

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