SUMMARY
SKILLS
EXPERIENCE
SIRESH PAUL
***********@*******.*** / C: 909-***-****
Redlands, CA 92374
LVN with Bachelors in Arts. Utilization, skilled nursing and management experience. Highly motivated and willing to learn all necessary skill to complete all and any task for the role of Utilization management Manager. Worked on different systems with knowledge of day to day operations in utilization management. I'm a good team player and participate in team building.
Knowledgeable professional expert in streamlining processes, supervising team members and performing any task given. Committed go-getter with team player attitude and ability to remain calm in stressful situations. Team player with excellent interpersonal and
telephone communication skills.
Interacting with various departments such as
customer services, provider relations and
contracting.
Planning and coordination
Supervision
MS Office
Worked in a fast paced environment
Team management
Utilization Management Supervisor / Agilon Health - Corona, CA 05/2014 -09/2020 Ensure that all utilization functions are staffed appropriately and that all processes are completed in a timely manner. Ensure coverage for sick and vacation absences. Identify opportunities for improvement and provide additional orientation and skill development on an on-going basis.
Develop and participate in new employee orientation(s). Identify opportunities for improvement and provides recognition for goo performance. Coordinated office activities and operations to secure efficiency and compliance with company policies. Evaluated employee job performance and motivated staff to improve productivity. Perform direct utilization activities as needed and as assigned. Submit reports to Director of Health services and utilization Management Manager regarding issues affecting the department.
Assist in continuation of on-going training for utilization management staff,including nurses and coordinators. Compiled audit reports to help management enhance plans and make key operational decisions. Ran Dailey reports for nurses and coordinators to work on. Charge Nurse / Waterman Convalescent & acute care. - San Bernardino, CA 06/2011 - 03/2014 Total patient care with specialized care for patients with trachs and GT tubes,med nebulizer treatments. Provided continuous assessment of patients in acute care unit from admission to discharge. Precepted new staff nurses to provide education on hospital policies and procedures, patient care skills, medical procedures and techniques, and patient assessments and interventions. EDUCATION AND TRAINING
Managed patient admissions and hospital discharges to various settings, including home care, rehabilitation or self-care.
Utilized Situation-Background-Assessment-Recommendation (SBAR) and electronic health records to document treatments and patient status observations.
Administered prescribed medications to address patient symptoms and underlying etiologies. Supported physicians and consultants with tests and procedures. Educated patients on wound and disease self-management techniques. Educated patients on disease prevention and health maintenance. Delivered high level of care to every patient.
Documented and evaluated effectiveness of care plans and interventions. Delegated and prioritized tasks, streamlining all steps in rapid response situations. Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and Director of Nursing.
Built and maintained strong working relationships between nursing department and other discipline. Charge Nurse / Alpha Residential Inc. - Pomona, CA 02/2010 - 05/2011 In charge of patients who are handicapped and on Vents with the help of Registered Nurse. Execute all paperwork for DME products.
Organized and delegated tasks during rapid response and high-pressure code situations. Utilized Situation-Background-Assessment-Recommendation (SBAR) and electronic health records to document treatments and patient status observations.
Educated patients, caregivers, and families on diagnoses, treatment and disease prevention. Created and implemented care plans after reviewing patients' imaging and test results, working closely with other members of interdisciplinary team.
Administered prescribed medications and started intravenous fluids to address patient symptoms and underlying etiologies.
Supported physicians and consultants with tests and procedures. Monitored patient status and treatment progress, reporting observations to physicians. Branch Manager / Svil automation Pvt ltd. - Bangalore, India, 12/1995 - 10/2005 Developed annual branch business plan for maximum profitability and effectiveness. Coordinated special update and conversion projects and monitored key performance metrics. Boosted customer base, acquiring new customers and identifying needs to deliver relevant products. Maximized branch revenue by optimizing daily operations. Designed sales and service strategies to improve revenue and retention. Networked within communities to identify and capitalize on business opportunities. Assessed employee performance and issued disciplinary notices. Produced sales by executing complete sales cycle process from prospecting through contract negotiations and close.
Reported to Director ( Sales )
Summit College - Colton, CA 01/2010
Licensed Vocational Nurse: Nursing
San Bernardino Adult School - San Bernardino, CA 04/2008 Pharmacy Technician: Pharmacy
Veerasaiva College - India 06/1985
Bachelor of Arts: Economics