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Work experience

Feb 2016Present

Case Manager

Prime Healthcare

I facilitate our patients hospitalization from admission to discharge, collaborating with all team members.  I utilize Medicare DRGs, Interqual and years of healthcare experience to determine LOS. I am competent with Midas, Epic, Allscripts/ECIN, Cerner, Outlook, and of course the EMR. 

Feb 2015Jun 2015

Utilization Review Case Manager

UC San Diego Health Systems

 I processed daily continued stay reviews applying national screening guidelines and medical necessity criteria in order to determine hospitalization need for insurance providers, Medi/Cal and Medicare.

Dec 2012Jan 2015

Medical / Surgical Registered Nurse

El Centro Regional Medical Center

I was responsible for the total care, assessment, planning, implementation and evaluation of assigned patients. I conducted training and education with patients and families related to care, condition, procedures and recovery.

Dec 1999Mar 2011

Staff RN Urgent Care and Emergency Department / Telemedicine Specialist RN / Supervisor RN Telemedicine

Kaiser Permanente San Diego

Staff RN : I was responsible for providing professional nursing care for clinic patients in the urgent care and emergency department following established standards and practices.  

Telemedicine Specialist  RN : I provided patient’s care instructions and education via the telephone. I assisted diverse patients of all ages with a wide variety of presented health conditions. I assessed patients’/callers’ needs accurately and assisted with issues related to the appropriate level of care. I used computer technology to provide care instructions according to approved clinical guidelines. I performed appropriate and accurate documentation of cases using call management software.

Supervisor RN Telemedicine : I accomplished nursing human resource objectives by coaching, counseling, and disciplining employees; communicating job expectations; planning, monitoring, appraising contributions and adherence to policy and procedures.

Dec 1997Dec 1999

Medical / Surgical Registered Nurse

Pomerado Hospital

I was responsible for the total care, assessment, planning, implementation and evaluation of assigned patients. I provided healthcare training and education to my patient(s) and/or my patient's family to facilitate recovery.

Sep 1997Dec 1998

Case Manager Home Health Hospice Registered Nurse

Horizon Hospice

I determined patient eligibility for admission based on admission guidelines, and regulatory requirements. I managed in home services.  I set up and trained on in home equipment use. I outlined and supervised nursing aide's and reviewed their care plans. I provided in the home physical and emotional assessments. I collaborated with physicians, LCSWs and other health professionals to achieve the most appropriate plan of care established by the team. I assisted my families and the patient cope with the end stages of life and bereavement.

Jul 1984Sep 1997

Medical Assistant

Sharp Rees Stealy

I preformed front and back office assistance to medical providers. My duties consisted of preparing patients for examination and various treatments in the departments of Family Practice, Internal Medicine, Orthopedics, Dermatology, OB/Gyn, Pediatrics, ENT, Rheumatology, Endocrinology, Gastroenterology, Ophthalmology/Optometry and Occupational Medicine.  I collaborated and obtained referrals and authorizations from insurance carriers. I conducted ICD 9 coding.