Gisela Romero Ray , LVN
Norwalk,CA
Summary
Well-qualified medical professional with experience triaging patients, capturing information and completing basic procedures such as wound care. Excellent communication, prioritization and multitasking abilities with sound judgment and compassionate nature. Background in clinic and hospital environments.
Overview
25
25
years of professional experience
Work History
Case Manager /Utilization Review/ Field LVN
Telecare Corporation
04.2022 - Current
- Manage/triage caseloads up to 60 patients for medically fragile diagnosis.
- Performed prior authorization review of services requiring notification.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Evaluated patient histories, complaints, and current symptoms.
- Educated family members and caregivers on patient care instructions.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Recorded details regarding therapies to keep patient charts updated.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Coordinated patient transfers to other facilities.
- Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
- Facilitated successful transitions between levels of care by developing detailed discharge plans and coordinating resources.
- Provided crisis intervention support for clients experiencing emergencies, using appropriate techniques to de-escalate situations safely.
- Strengthened relationships with community organizations to increase access to supportive resources for clients in need.
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Monitored clients' progress and tracked client services to provide crisis interventions.
- Coordinated with healthcare providers to schedule diagnostic tests for patients, expediting care plans as necessary.
LVN Covid Assignment - ODR Field Nurse
Platinum Healthcare Staffing
08.2021 - 04.2022
- Over sight nurse for various ODR housing sites within LA county.
- Collaborated with varies sites on evaluation of care plan outcomes, implementing or adjusting interventions accordingly.
- Traveling to different ODR sites to give LAI's.
- Documenting in diversion database/medcall clients current and next LAI due.
- Assisting in various housing sites when no nurse is available with admit and discharge. Communicating with ICMS case manager any concerns.
- Verify that medications in ODR diversion database and medcall are current and correct.
- Established realistic, measurable and observable goals consistent with patients' diagnosis
- Working with Med Call in diversion data base/ updated and worked with ICMS on medication reconciliation as needed.
- Assessing and triaging clients. Assessing client to which level of care may be needed such as Urgent care, emergency room or making urgent appointments with PCP/ psychiatrist. Notifying team such as ICMS and direct supervisor of clients urgent need.
LVN covid- crisis assignment
Platinum Health Care Staffing
05.2021 - 08.2021
- Responded to patient requests with appropriate clinical and personal assistance.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Protected patients and healthcare team members from infection by sterilizing equipment and reusable supplies.
- Took samples to complete diagnostic and routine assessment tests.
- Managed various general office duties such as answering multiple telephone lines, completing insurance forms and mailing monthly invoice statements to patients.
- Answered incoming phone calls from patients to provide basic assistance and triage medical concerns.
- Supported physicians during examinations and scans to assist with diagnostic procedures.
- Assisted with admissions, appointments, transfers and discharges.
- Collaborated with different disciplinary teams to assess patient needs, plan and modify care and implement interventions.
LVN Pediatric Outpatient Specialty Clinic
Long Beach Millers And Woman's Hospital
09.2017 - 05.2021
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Registered and verified patient records before triage with most up-to-date information.
- Analyzed and interpreted patients' histories, symptoms, physical findings and diagnostic information to develop appropriate diagnosis.
- Provided educational support to patients and families to inform them of procedures.
- Helped young patients feel comfortable with procedures and immunizations.
- Asked parents pre-determined questions based on age of child.
- Completed school forms and patient charts, using EPIC .
LVN Outpatient Psych Clinic
Community Hospital Long Beach
01.2014 - 09.2017
- Performed patient assessments to monitor expected response to medications, altering treatment plans as needed.
- Explained useful coping methods to relieve depression and anxiety, including meditation and yoga.
- Provided direct quality care to patients by monitoring, recording and evaluating psychiatric conditions.
- Coordinated with medical and paramedical professionals to provide appropriate input and effectively formulate and implement treatment plans for patients.
- Conducted therapy for mentally ill patients in group and individual settings to assist patients in achieving normalcy.
- Responded to numerous volatile situations and violent outbreaks to restore safety and security of patients and staff.
- Monitored vital signs, nutritional intake and signs and symptoms of complications to report deviations to supervisor.
- Administered medication and treatments to patients to observe and record responses.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
LVN Inpatient Psychiatric Nurse
LCM- San Pedro Hospital
12.1998 - 12.2016
- Took and monitored vital signs, administered medications and managed patient behavior.
- Charted on each patient daily.
- Applied interventions when necessary, including clients wanting to leave against medical advice (AMA).
- Treated clients and families with respect and dignity.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Provided direct quality care to patients by monitoring, recording and evaluating psychiatric conditions.
- Oversaw care of suicidal patients and acted swiftly to reduce risk of harm to themselves or others.
- Monitored vital signs, nutritional intake and signs and symptoms of complications to report deviations to supervisor.
- Administered medication and treatments to patients to observe and record responses.
- Monitored patient reactions after administering medications and IV therapies.
- Assessed and evaluated mental health needs, working with multidisciplinary team to initiate, manage and modify individualized care plans.
- Educated family members and caregivers on patient care instructions.
- Administered medications to 5-6 patients and monitored response to medications.
Education
High School Diploma -
Gardena High School
Gardena , Ca06.1993
Associate of Science - Nursing
Cerritos College
Norwalk, CASkills
- Patient Management
- Direct Patient Care
- Documenting intake
- Transcribing orders
- Case management
- EMR / EHR
- Outpatient care
- Flexible & Adaptable
- Utilization Review
- Microsoft Office
Timeline
Case Manager /Utilization Review/ Field LVN
Telecare Corporation
04.2022 - Current
LVN Covid Assignment - ODR Field Nurse
Platinum Healthcare Staffing
08.2021 - 04.2022
LVN covid- crisis assignment
Platinum Health Care Staffing
05.2021 - 08.2021
LVN Pediatric Outpatient Specialty Clinic
Long Beach Millers And Woman's Hospital
09.2017 - 05.2021
LVN Outpatient Psych Clinic
Community Hospital Long Beach
01.2014 - 09.2017
LVN Inpatient Psychiatric Nurse
LCM- San Pedro Hospital
12.1998 - 12.2016
High School Diploma -
Gardena High School
Associate of Science - Nursing
Cerritos College
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