Case Manager
Resume:
Roslyn Limongelli, LVN
Whittier, CA *****
**************@*****.***
Case manager with over 10 years of experience. My goal is to expand my nursing career while providing the highest quality in nursing care. Dedicated nurse with specialty experience in Occupational Medicine, Home Health and family practice. Proven ability to build positive relationships with patients, family members, physicians, and other medical professionals.
Authorized to work in the US for any employer
Work Experience
Inpatient Case Manager
Long Beach Memorial Inpatient Case Manger
July 2018 to Present
Responsibilities include: Accomplishes patient’s care by assessing treatment needs; developing, monitoring, and evaluating treatment plans and progress for discharge plans; facilitating interdisciplinary approaches; coordinating care with multiple team members, assuring safe and appropriate discharge plan. Daily hospitalist rounds and physician advisor rounds for discussion on complex patients. Reviewing chart for medical necessity of admission versus observations status. Monitoring LOS using Geometric LOS scale. Review medical necessity for
Home health services, SNF placement, higher level of care, LTAC or acute rehabilitation unit. Ambulatory Case Manager
Memorial Care Health Services - Fountain Valley, CA July 2016 to July 2018
Responsibilities include: coordination of care between patient and other health care team members. Primarily case managing patient's that are enrolled in various CMS approved programs (Diabetes, HTN, CHF, Complex Dx). Participating in daily IDT rounds and organizing a weekly case review and presenting to Medical Director for further review. Following patient's that were recently hospitalized for all health conditions and reviewing medical records (including dc instructions). Provide daily clinical reviews for inpatient and coordinate with Medical Director, providers, and medical groups patient's plan of care, including SNF placement, Home Health referral, and discharge follow up.
SNF Case Manager
Norwalk Meadows Nursing Center - Norwalk, CA
July 2015 to July 2016
Responsibilities Duties include but are not limited to appropriate discharge planning for HMO patients, arranging Hone Health, DME, and all needed appointments prior to discharge. Meeting with doctors, family, and patients to coordinate care and discharge plan and needs. Assess patient and their needs, communicate to MD and appropriate HMO, review medical chart including medications and verify any treatment plans, arrange transportation for scheduled appts, including dialysis scheduling, daily meeting on all assigned patients discussing treatment and discharge plan. Nurse Case Manager
Citizen's Choice Health Plan - Orange, CA
April 2013 to July 2015
Responsibilities include: coordination of care between patient and other health care team. Primarily case managing patient's that are enrolled in various CMS approved programs (Diabetes, HTN, CHF, etc). Coordinating care plan with PCP and offering alternatives to certain medications and recommending certain referrals
(based on patient's needs and Medical Director Review) Participating in weekly IDT rounds and organizing a weekly case review and presenting to Medical Director for further review. Reviewing and approving authorization requests per CMS / Milliman guidelines. Following patient's that were recently hospitalized for all health conditions and reviewing medical records (including dc instructions). Provide daily clinical reviews for inpatient and coordinate with Medical Director, providers, and medical groups patient's plan of care, including SNF placement,
Home Health referral, and discharge follow up. Interacting and assisting with patient's that are seen at our Care Center.
Home Health Case Manager
Action Home Health Care
April 2011 to January 2013
Responsibilities include : coordinating Medicare and Managed care patient load of 160+ patients, communicating all care with patient's family and doctor, writing doctor's orders, requesting all managed care authorizations, staffing nurses and CHHA's, coordinating plan of care with several different disciplines(including MSW, P.T, OT, ST and CHHA) assessing plans and assure that patients are being seen and cared for, review patients H&P scheduling lab draws, familiar with Medicare guidelines and policies, and also coordinating discharge planning with MD and patient’s family. Schedule meeting with hospitals, facilities, and MD offices regarding Home Health Services (Marketing) Intravenous Therapy certified
Skills
• EMR systems
• Phlebotomy
• Nursing
• Case management
• Home care
• Discharge planning
• Hospital experience
• Medical terminology
• Medication Administration
• Experience Administering Injections
Languages
• Spanish - Fluent
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