Pierre Angeli Flores
**** * ********** **. **** *043 Anaheim, CA 92804
Cell: 714-***-****
adbitu@r.postjobfree.com
Career Overview
* ***** ********** ** ******** coordinator at a PCP office with different insurances and benefits (HMO, Medi-Cal and Medicare) Dedicated and experienced Supervisor with CPR, First Aid and CPI certifications. Organized and collaborative team player strong clinical and interpersonal skills. Proficient in caring for geriatric patients to improve overall health and wellbeing. Skilled in assisting patients with daily living. Graduated LVN on 2013.
Highlight
Referral Coordinator at PCP office
RCFE Administrator
Documentation
Housekeeping and laundry
Medication administration
Meal preparation
Grooming and bathing
Mobility assistance
Personal care
Fit and able to move patients
Calm and level-headed under duress
Friendly and courteous
Dependable and punctual
Experience
Hana Medical Group
8615 S Knott Ave # 3, Buena Park, CA 90620
December 4 2017 to Current
Submit and Reviews Authorizations (HMO, Medi-Cal, and Medicare)
Time management skills
Attend to patients needs/problems towards their authorization/approval and denial letter.
Knowledge about different insurance benefits.
Computer knowledge.
Assist with setting up temporary contracts for new providers by obtaining all necessary information and forwarding to the contracting department by email or via the ‘pending contracting”
Forwards Disease Management cases to the Health Education Department daily.
Processes and coordinates reviews all referral requests.
Handles stat calls for assigned team on a daily basis and adhere to department standards for coverage.
Answers all voice mail at least every hour and respond to messages within 24 hours to ensure customer satisfaction is maintained.
Daily eligibility and benefit checks on referrals to ensure proper handling of case.
Assures all referrals are maintained within appropriate networks.
Inputs 150 determinations per day set by department standard.
Del-Sol Homes
6652 Naomi Buena Park, CA 90620
10/2013 to 12/10/2018
Supervisor
Prepared meals and keep kitchen, bathroom, and living areas clean.
Manage patients schedules and ensures doctor’s appointments are kept.
Groom and bathe patients as needed.
Arranged medications for use following doctors order and organize supplies.
Help patients complete prescribed therapy and exercise routines.
Cared for up to six different clients on a rotating schedule.
Followed patients care plans and observe patient behaviors.
Documented patient behaviors and reported any abnormalities or new symptoms to supervisor.
Engaged patients in activity such as walks and easy games.
Observed, documented and provided reports on consumer behavior and progress.
Provided education on daily living skills, such as budgeting, household chores and meal preparation.
Assisted with transportation and linked consumers to community resources.
Maintained required paperwork and documentation.
Del-Sol Homes
17012 California Ave. Bellflower CA 90706
07/2016 to 12/10/2018
Supervisor
Handled G-Tube care and feeding administration, Medication administration through G-tube, and G-Tube care dressing change.
Handled Foley Catheter Care (Drain and Measure Urine)
Handled Tracheostomy Care
Prepared meals and keep kitchen, bathroom, and living areas clean.
Manage patients schedules and ensures doctor’s appointments are kept.
Groom and bathe patients as needed.
Arranged medications for use following doctors order and organize supplies.
Help patients complete prescribed therapy and exercise routines.
Cared for up to six different clients on a rotating schedule.
Followed patients care plans and observe patient behaviors.
Documented patient behaviors and reported any abnormalities or new symptoms to supervisor.
Engaged patients in activity such as walks and easy games.
College Hospital Cerritos
10802 College Pl, Cerritos CA 90703
04/2016 to 07/20/2016
Mental health Worker
Lead supportive groups that encouraged problem solving skills.
Daily milieu contact that encouraged socialization and reduced isolation.
Documented appropriate clinical information in a timely fashion.
Maintained "billable hour" quotas (minimum 3 hours per shift).
Assessed patient's safety and communicated status to licensed health professional as needed and in emergency situations.
Provided 1:1 patient supervision.
Completed reports and documentation comprised of focus notes.
Monitored vital signs and provided emotional support.
Assessed environment for safety hazards.
Communicated patient status to registered nurse.
Conducted a comprehensive psycho-social assessment in collaboration with the treatment team.
Provided assistance with daily living skills and monitored clients progress by documenting through behavioral charts.
Increased clients' participation in group activities aimed at improving their social skills and mental health.
Documented clients' progress and worked with their individual team of healthcare professionals to facilitate clients' recovery.
Education: Licensed Vocational Nurse (LVN)
Summit Career College Anaheim, CA
Graduated (2013) with Certificate and Diploma
Received 3 Clinical Excellence Award
RCFE Certification