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Highly skilled career professional with more than 4 years experience in hospital, ambulatory surgical and case management nursing. Established in Complex and Disease management. Utilizing Miliman and HEDIS guidelines Including patient support, detailed assessment, counseling, education regarding medications and treatment, lab work, documentation with care plan for diagnosis, and administration of treatment procedures. Computer skilled, managing heavy daily patient v olume including telephone assessment, authorizations, and patient referral. Proficient in all documentation/record maintenance/paperwork to ensure accuracy and patient confidentiality. All areas of acute care nursing procedures performed in hospital environment.
CREDENTIALS AND EDUCATION Board Examination License, State of California San Joaquin Delta College-AA Degree EXPERIENCE RN Case Manager Health Plan of San Joaquin (Medi-Cal) June 20thPresent 1997 1997 1997
July 13 th 2007-
Feb. 6 th 2011 Cared for acutely ill patients in a hospital setting. Duties included medication administration, wound care of the amputee, post surgical patients ect. Coordination of care between physician, therapy, as well as fellow nurses. Educating patients on prescribed medications and new/old diagnoses. Discharge planning.
Lodi Memorial Hospital Analysis of medical record documentation for accuracy and completeness as standardized by Joint Commission. Notification of physicians of any delinquencies and re -analysis to ensure corrected measures have been taken.