Case Manager II at TRI-CITY MEDICAL CENTER (2010-12 – Present)
- Provide daily inpatient acute care case management and coordination for hospitalized patients with complex medical, psychosocial, discharge, and immediate post-acute care needs.
- Assess clinical, functional, psychosocial, and discharge needs; develop and implement safe, appropriate, timely, and cost-effective transition plans from inpatient care to post-acute settings.
- Collaborate with physicians, nursing, ancillary disciplines, patients, families, payers, community resources, and post-acute providers to coordinate care across the system and continuum.
- Perform utilization review, including evaluation of medical necessity and appropriate level of care throughout hospitalization, and address payer requirements that may affect care or discharge.
- Identify and address barriers or delays affecting treatment, discharge, and transitions of care; reassess and revise plans as patient needs evolve.
- Coordinate skilled nursing, rehabilitation, home health, durable medical equipment, and other post-acute services to support safe discharge and continuity of care.
- Apply Medicare, Medi-Cal, health plan, regulatory, and payer requirements to utilization-management, resource-utilization, and discharge-planning activities.
- Engage patients and families in transition planning, provide education regarding post-acute options and needs, and support agreement with and implementation of the discharge plan.
- Precept nurses entering hospital case management and utilization review and participate in interviewing RN Case Manager candidates.
Case Manager at TRI-CITY MEDICAL CENTER (2002-08 – 2010-12)
- Managed hospitalized acute care patients requiring case management, utilization review, discharge planning, payer coordination, and post-acute service arrangements.
- Collaborated with interdisciplinary teams, patients, families, and community providers to identify needs and barriers to discharge and facilitate safe, timely transitions of care.
Admission/Discharge Unit Registered Nurse at TRI-CITY MEDICAL CENTER (2002-03 – 2002-08)
- Provided nursing assessment, patient education, care coordination, and discharge support in a hospital admission/discharge setting.
Medical & Psychiatric Case Manager at SUNPLUS HOME HEALTH (1999-06 – 2002-03)
- Managed medical and psychiatric home-health patients through assessment, care coordination, education, and interdisciplinary communication.
- Coordinated with physicians, patients, families, caregivers, and community resources; supervised Certified Home Health Aides and precepted nurses new to home health.
Case Manager at ASSIST — ASSISTING SENIORS IN A STATE OF TRANSITION (2000-02 – 2002-03)
- Provided private case management for older adults, including regular client visits, care planning, caregiver oversight, safety assessment, and transition support.
Psychiatric Case Manager at TRI-CITY HOME CARE (1997-10 – 1999-06)
- Provided psychiatric home-health case management, assessment, patient education, care coordination, and collaboration with physicians, families, caregivers, and community resources.
Registered Nurse — Psychiatry & Emergency Department at VA MEDICAL CENTER — SAN DIEGO (1992-09 – 1998-05)
- Provided RN care in psychiatric and emergency settings, including clinical assessment, crisis intervention, patient education, care coordination, and interdisciplinary collaboration.
Additional Clinical Experience
Earlier nursing experience includes medical-surgical nursing, oncology, psychiatry, and chemical-dependency treatment, providing a broad clinical foundation for complex acute-care case management.
