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Click here or scroll down to respond to this candidateCandidate's Name
Fresno, California native working remotely in AlabamaFresno, CA Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEThe Pandemic really did change how we do things! In my current position my brick and stone office is located in Fresno, (Central) California with the Coporate office in Southern California. The pandemic required that I relocate to Alabama where I became a Hybrid employee working remotely and traveling back to California often and as needed. I&#Street Address ;ve become quite tech savvy with this change. I'm open to relocating, working remote, and traveling if needed. Willing to relocate: AnywhereAuthorized to work in the US for any employerWork ExperienceRegional Program DirectorUniversal Care dba Brand New Day/Bright Health Group - Montgomery, AL October 2019 to PresentResponsible for assuring high quality, cost effective clinical care delivery for Brand New Day Special Needs Programs to ensure implementation and further development of the Medicare required Model of Care. In collaboration with the Chief Medical Director, ensure effective financial management and delivery of appropriate services for symptoms, diagnosis and treatment diseases or condition. Assure compliance with internal policy and external regulations. Lead Change initiatives and new program developments such as Disease Management. Complex Care Management and Integrated Care Team. Monitor process implementation while maintain goal and growth strategies of the organization. Participate on project or cross functional teams addressing organization priorities. Oversee and train staff of Health Coaches / case managers Work with Registered Nurse Complex Case Managers (RN/CCMs) for most difficult cases Develop initial Intake process with Care Management / Leadership Team Ensure clinical (licensed) review of members Initial Health Risk Assessment (HRA) to stratify members into various case management levels (Complex Case Management levels): Responsible for developing and implementing Model of Care for Special Needs Medicare Programs. Assure management solutions for operations and clinical problems, address barriers to implementation of strategy and monitor corrective plan of actionRegistered Nurse, Director of Patient Care Services, Administrator Remedy Home Care - Fresno, CAMarch 2019 to September 2019Responsible for integrating the strategic plan of the organization with primary responsibility in clinical operations. Develop new business strategies to enhance market share and improve overall performance. Oversee major workforce and resource decision for clinical operations. Provide management oversight for the development of high quality, cost effective and integrated clinical programs. In depth knowledge of computer systems and electronic medical records. Home Health Staff Registered Nurse Case Manager. Interim Assistant Director of Nurses(Per Diem)Sequoia Home Health - Clovis, CAFebruary 2012 to March 2019Perform in home visits in Fresno County and surrounding areas. Perform physical assessments in the home. Identify patient needs and develop a plan of care with the physician/patient/family/caregiver. Complete comprehensive Oasis assessments at start of care and case manage patients progress to goals through care plan. Perform disease process education, infusion therapy and/or wound care management. Collaborate with all disciplines involved with care. Assist with Quality Management and chart reviews Registered Nurse, Nurse Case Manager, RN Care Coordinator/Charge Nurse Department of Veterans Affairs Central California - Fresno, CA January 2009 to March 2019Assist in managing multiple units providing specialty services in the Medicine department. Manage a team of RNs and LVNs as well as business operations support staff to making sure that staff provides high quality, accessible, and patient focused services to veterans across the continuum of care that complies with local, state, and federal requirements. Supervise the operations of multiple specialty units as well as act as patient advocate resolving patient care issues. Evaluate and recommend process improvement systems. Ensure staff provide the highest quality of care and are in compliance with the Nurse Practice Act, The Joint Commission, federal, state, and local requirements. Assist in the oversight and resolving human resource, labor relations, employee and department safety, and risk management issues. Perform independent and collaborative analytical and evaluative work associated with the BCMA activities of Nursing service within the VA Central California Healthcare System. Possess knowledge of the Barcode Medication Administration software and associated packages and how it interfaces between Vista, CPRS, and other software applications. Effectively apply all aspects of the nursing process with a collaborative, interdisciplinary practice setting, to enable effective implementation of health promotion and prevention practices, management of acute and chronic illnesses and the attainment of optimal levels of functioning and/or support of patient and family/significant others. Ability to understand the changes associated with aging and specific needs of the population served. Collaborate with physicians, department chief, and nursing manager in developing the level of patient services and the day-to-day operations of the department. Assist in providing ongoing staff development. Implement and monitor departmental policies and procedures which support the organization's goals and business objectives and ensures they are met. Assist Pulmonologist with scheduling pulmonary surgical procedures while interfacing and communicating with the surgical department and team. Provide pre-op and post-op instructions to patients. Review provider schedules for appropriate scheduling and review of patient charts for necessary lab, x-ray, and other diagnostic testing. Supervisor Occupational Health Services, Clinical Care Manager, Nurse PractitionerFoster Farms - Fresno, CAFebruary 2007 to January 2009Responsible for Health Service 24-hour Department operations in multiple locations. Support the Plant Manager for the strategic planning and operational management and development of effective functioning of all Plant Occupational Health and Safety programs. Professional oversight and mentoring of the health Services Team. Responsible for providing support in all areas of clinical practice and patient/ injured worker's care. Provide clinical staff education and training. Collaborate with multidisciplinary professionals to effect case management strategies that will optimize care of the injured worker and facilitate worker's compensation cost containment. Applied clinical expertise and knowledge of performance improvement and clinical practice guidelines to healthcare systems and processes to provide collaborative staff support. Proposed and developed a cost-effective medical rehabilitation program which improved the amount of revenue spent on workers comp costs by 1 million dollars the first year of employment. Performed work related to developing and monitoring quality improvement programs. Focused on promoting and restoring health, preventing injury/illness and protecting workers from occupational and environmental hazards. Maintained legal, regulatory, and ethical compliance standards. Screen, interview, hire, train, and educate departmental staff. Analyze and evaluate, on a quantitative or qualitative basis, the effectiveness of clinical programs or operations in meeting established goals and objectives.Nurse Practitioner Obstetrics and GynecologyOmni Women's Health Group - Fresno, CAFebruary 2005 to February 2007Provide high quality, accessible, cost-effective care to women according to Nurse Practice Act recommendations. Ensure that the support staff complies with state and federal requirements for effective and appropriate patient care. Provide in-services to staff according to operational needs. Correctly interpret lab data, ultrasounds, and other diagnostic tests for individual patient needs. Consult and effectivelycommunicate with physician regarding patients with complications. Assist the Site-leader with staff performance evaluations. Conduct training sessions with supervisors and employees on topics of health and wellness. Assist clinic manager with performing administrative work which included personnel administration, clinical equipment procurement, and clinic quality improvement programs.EducationMaster of Science in Nursing in NursingCalifornia State University Fresno - Fresno, CA1998Bachelor of Science in Nursing in NursingCalifornia State University Fresno - Fresno, CA1988Nursing LicensesRNExpires: December 2023State: CACNPExpires: December 2023State: CASkills Nursing Primary Care Experience Family Planning EMR Systems Nurse Management Operations Management Hospital Experience Infusion ExperienceLanguages Spanish - BeginnerCertifications and LicensesAdvanced Cardiovascular Life Support (ACLS)November 2018 to November 2020Public Health NurseMay 1988 to December 2023First Assistant SurgeonAugust 2000 to PresentAdditional InformationSpecial Skills Interests Telehealth/Telemedicine Zoom applications Virtual Care delivery models Various Electronic Medical Records applications Care/Case Management HEDIS/STAR measures Centers for Medicare & Medicaid Services(CMS) Audits |
