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Case Manager Registered Nurse

Location:
Irvine, CA
Posted:
September 05, 2023

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Resume:

BITA SAAD ADEL, RN

**** **********, ****** ** ***** 949-***-**** adzhpb@r.postjobfree.com

Highly Effective RN Case Manager ● Proven Excellence in Case Management

Highly skilled Registered Nurse (RN) and Case Manager with more than nine years of relevant experience providing superior care while ensuring smooth nursing operations at acute care hospitals. Recognized as an exceptional team member and problem solver with expertise in quality and utilization. Notable success in hospital policy and procedure development. Proven in the delivery of excellence in patient care. Areas of expertise:

●Quality Assessments

●Process Improvements

●Quality Management

MEMORIALCARE HEALTH SYSTEM (Greater Newport Physicians), at HOAG MEMORIAL HOSPITAL

Newport Beach, CA

RN Case Manager/Inpatient Utilization, 05/17-Present

Provide clinically-based case management to support the delivery of effective and efficient patient care. Integrate utilization management, care coordination, and transition planning functions. Responsible for overall accountability for a designated case load and plan effectively in order to meet patient's needs, manage the length of stay, and promote efficient utilization of resources. Support the physician in facilitating patient care with the objective of enhancing the quality of patient outcomes and patient satisfaction while managing the cost of care.

METHODIST HOSPITAL

Arcadia CA

RN Case Manager, Utilization Review, Discharge Planner, 06/13 to 02/17

Assessed, arranged, and executed individual discharge plans to meet individual patient’s clinical needs. Provided exceptional, patient-centered services and catered to individual demands with special care. Developed and examined short-term goals of management care plan. Performed utilization review in accordance with all state mandated, and Centers for Medicare Services guidelines/regulations. Monitored cases by observing and evaluating treatments and results.

INNOVATIVE SENIOR CARE HOME HEALTH (Part of Brookdale Senior Living)

West Covina, CA

RN Case Manager, 12/11 to 08/13

Performed patient assessments, admissions, recertification, resumption of care, and discharges. Interpreted medical records, reports, and assessed vital signs, provided wound care, and fulfilled other nursing needs. Provided patient and family educational teaching of wound care, medication management, and disease management. Coordinated care with primary care provider (PCP) and other specialists. Participated in leadership, interdisciplinary team, and case management meetings. Provided supervision of Licensed Vocational Nurses’ patient visits. Performed ICD-9 Coding & Quality Assurance.

LA CARE PROVIDER HOME HEALTH

Santa Monica, CA RN Case Manager, 1/11 to 12/11

Performed patient assessments, admissions, recertification, resumption of care, and discharges. Coordinated care with primary care provider (PCP) and other specialists. Participated in leadership, interdisciplinary team, and case management meetings. Performed ICD-9 Coding & Quality Assurance.

EDUCATION, CREDENTIAL, & SOFTWARE

●Master of Science in Nursing, West Coast University, California, Nov 2020

●Bachelor of Science in Nursing, Iran University of Medical Sciences, Tehran, Iran, September 1999.

●Valid California Registered Nurse License, July 2008.

●HCHB system, Midas, Affinity, MACS, ACM, EPIC.



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