Experience

Beverly Community Hospital

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• ER RN Case Manager

  • Aug 2022 - Present

  Startup of the Emergency Department case management role. Facilitate transfers to in-network facilities, higher level of care, tertiary care. Following EMTALA guidelines throughout the continuum of care. Initial utilization review for admissions using InterQual and CMS guidelines. Discharge planning. Startup of the Emergency Department case management role. Facilitate transfers to in-network facilities, higher level of care, tertiary care. Following EMTALA guidelines throughout the continuum of care. Initial utilization review for admissions using InterQual and CMS guidelines. Discharge planning.



Marina Del Rey Hospital

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• RN Case Manager/ER

  • Mar 2021 - Present

  Function as an advocate, and contact person for the care team, patient/family when communicating with payers, and or outside agencies to ensure continuity of care, optimal clinical resource outcomes, and appropriate financial management for the patient and the organization. Validate patients' placement to be at the most appropriate level of care based on nationally accepted admission criteriaUse medical necessity screening tools, such as InterQual or MCG criteria, to complete initial and continued stay reviews in determining appropriate level of patient care, appropriateness of tests/procedures and an estimation of the patient's expected length of stay



Go RN, LLC

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Staff RN

  • Nov 2020 - Feb 2022

  Staffing agency for LA County projects such as Project Room Key, COVID-19 testing and vaccinations. Staffing agency for LA County projects such as Project Room Key, COVID-19 testing and vaccinations.



St. Francis Medical Center

• United States
• Hospitals and Health Care
• 300 - 400 Employee

• Staff RN

  • Jan 2021 - Jun 2021

  Emergency Room staff nurse. Emergency Room staff nurse.



AppleCare Medical Management

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Inpatient Nurse Case Manager

  • Jun 2017 - Feb 2021

  Utilization review and discharge planning for acute care hospitals. Utilization review and discharge planning for acute care hospitals.



Avanti Hospitals, LLC

• Hospitals and Health Care
• 1 - 100 Employee

• Nurse Case Manager

  • Sep 2014 - Jun 2017

  Managing and coordinating care of patients in the acute setting. Review of medical records to determine legitimacy of admission, treatment, and length of stay in acute setting in accordance with patient needs, regulatory standards and insurance company guidelines. Discharge planning to ensure a safe discharge. (Primarily at East Los Angeles Doctors Hospital and Community Hospital of Huntington Park.) Managing and coordinating care of patients in the acute setting. Review of medical records to determine legitimacy of admission, treatment, and length of stay in acute setting in accordance with patient needs, regulatory standards and insurance company guidelines. Discharge planning to ensure a safe discharge. (Primarily at East Los Angeles Doctors Hospital and Community Hospital of Huntington Park.)



Kaiser Permanente

• United States
• Hospitals and Health Care
• 700 & Above Employee

• SNF/LTC Liaison

  • Feb 2015 - Feb 2016

  Assist with placement to SNF and Long Term Care. DME delivery. Assist with placement to SNF and Long Term Care. DME delivery.

• Inpatient Nurse Case Manager

  • May 2012 - Sep 2014

  Concurrent review and discharge planning for acute care hospitals and skilled nursing facilities. Concurrent review and discharge planning for acute care hospitals and skilled nursing facilities.

• Discharge Planner

  • Oct 2010 - May 2012

• LVN

  • Apr 2009 - Oct 2010

• Accounting Clerk

  • Jun 2004 - Apr 2009