Registered Nurse (RN) - Choice in Aging – Bedford Center - Antioch, CA
(2021-06 - 2026-03)
- Provided skilled nursing care to residents in a long-term care/skilled nursing facility.
- Conducted comprehensive nursing assessments and implemented interventions for individuals with cognitive impairments, including behavioral health diagnoses, dementia, developmental disabilities, traumatic brain injury (TBI), and residual effects of stroke.
- Completed initial, biannual, quarterly, and change-in-condition physical assessments.
- Monitored and assessed chronic comorbidities, including cardiovascular disease, neurocognitive disorders, and diabetes mellitus.
- Administered medications and monitored for therapeutic effectiveness and adverse reactions.
- Maintained accurate and timely documentation in the electronic medical record (EMR).
- Coordinated interdisciplinary care with physicians, caregivers, therapists, and other healthcare team members.
- Triaged sudden changes in condition and injuries, determining the appropriate level of care and initiating necessary interventions.
- Supervised, educated, and supported certified nursing assistants (CNAs) and other unlicensed assistive personnel.
- Precepted and mentored MA, LVN, and RN students during clinical rotations.
Grievance Clinical Lead R.N. (Registered Nurse) - Partnership Health Plan of California - Fairfield, CA
(2009-12 - 2018-09)
- Triaged all incoming grievances for all of Northern California to determine a need for immediate medical evaluation.
- Reviewed medical records in regards members complaint and complied medical summary of all of Member's records to forward to Medical Director for further review in a timely manner.
- Evaluated grievances to determine if referral to other departments such as Care Coordination or Quality of Improvement was appropriate.
- Reviewed all cases for possible HIPAA violations, fraud, waste or abuse and refer them to Compliancy Department as appropriate.
- Provided clinical support to Grievance Coordinators.
- Worked with Grievance Coordinators to facilitate member's needs.
- Reached out to Member's healthcare providers to help resolve each member's issue.
- Provided education to Grievance Coordinators on healthcare topics to further their understanding of potential healthcare issues.
- Motivated colleagues as a team leader through team building exercises to create a strong group dynamic.
R.N. Out Patient Surgery (Registered Nurse) - VETERANS ADMINISTRATION - MARTINEZ, CA
(2006-02 - 2008-02)
- Worked in a fast paced unit with high volume of daily patients.
- Scrub and circulate out patient surgical procedures.
- Performed all pre-operative admissions for all patients for their procedures.
- Worked post anesthesia recovery unit for both surgical and patients undergoing GI lab procedures.
- Partnered with all members of the health care team to provide optimal care for all patients during their stays.
- Performed daily post op calls to patients to ensure optimal recovery and provided any additional information/resources the patient may need.
- Ensured all appropriate clinical care standards were met/maintained according to evidence-based standards.
R.N. Utilization Management - CONTRA COSTA HEALTH PLAN - MARTINEZ, CA
(2004-10 - 2006-02)
- Worked in a Multiplan program including employee sponsored, private and Medicaid programs.
- Responsible for reviews and approvals of treatment authorization requests.
- Obtained additional medical documentation to determine medical necessities.
- Forwarded requests that did not meet the standards for approval under each of the plans to Medical Director for evaluation of request.
