Lynda Kang

Evaluated patient reviews to develop strategic recommendations for improving patient outcomes.

Collaborate with IPA, Health Plans and colleagues in a team effectively for efficiency and productivity

Developed and implemented onboarding processes to enhance new hire integration into clinical team.

Championed initiatives that strengthened team cohesion and reduced turnover rates.

Promoted a supportive workplace culture to improve employee engagement and productivity.

Conducted presentations and facilitated discussions on content to enhance collaboration with IPA HealthPlan and clinical teams.

Addressed issues through proactive problem-solving strategies.

• Directed nursing staff in delivering high-quality patient care within a collaborative healthcare team environment.
• Coordinated comprehensive assessments and care plans that addressed diverse patient needs and preferences effectively.
• Implemented quality improvement initiatives, enhancing patient outcomes and fostering a culture of continuous learning.
• Led cross-departmental meetings to improve communication and streamline processes for enhanced patient transitions.
• Oversaw recruitment and selection of care staff to build a high-performing team. Conducted performance evaluations to drive staff development and improve service quality. Managed staff termination processes to maintain team integrity and compliance.

• Successfully perform RN Supervisor duties within Long Term Care (LTC) and Skilled Nursing Rehabilitation (SNF) settings.
• Job tasks include: Admission, head to toe assessments, discharges, med reconciliation, wound care treatments, care coordination.
• Effective daily communication and excellent rapport established with patient, families, PCP’s, hospitals, facilities.
• Timely charting and documentation with good knowledge of PCC software applications.
• Interpret lab values and use good communication skills with patient’s PCP to request orders and carry out orders as necessary.
• Strong ability to execute decisions and diffuse difficult situations with professionalism.
• Achieved improved staff retention through effective recruitment and termination processes. Enhanced team performance by implementing structured performance evaluations. Fostered a supportive onboarding experience for new care staff.

• Delivered comprehensive patient care services primarily to adult and geriatric demographics, maintaining professional standards.
• Implemented effective communication strategies to enhance rapport with patient families and healthcare professionals, ensuring seamless collaboration.
• Engaged with a diverse team of healthcare professionals, including RNs, LVNs, PTs, OTs, and MSWs, to streamline discharge planning and support successful transitions to home care.
• Demonstrated strong decision-making capabilities in high-pressure environments.
• Mentor and train others
• Executed quality assurance tasks to ensure product reliability and compliance with standards.

• Demonstrated strong leadership skills with team members and help build a cohesive team for successful outcomes and in meeting TAT deadlines.
• Provided effective communication with member/family members and requests if necessary, further assistance when needed.
• Successfully perform Clinical Assessment/Questionnaire of the member and determines an acuity score for necessary scheduled follow-up.
• Develop an outcome-based plan of care, based on the member’s input and assessed member needs. Implements and evaluates the plan of care as often as needed as evidenced by documentation in the member’s case file.
• Successfully document member assessment and reassessment, member care plans, and other pertinent information completed in the member’s medical record in accordance using nursing standards, and company policies and procedures.
• Coordinated multidisciplinary team meetings to facilitate effective communication and streamline care transitions for members.

• Facilitated effective communication with patients and families to gather comprehensive clinical information and medical history.
• Executed comprehensive patient assessments to determine eligibility for admission in long-term acute care facilities.
• Conducted thorough pre-admission assessments to ensure compliance with facility protocols and payer standards.
• Delivered comprehensive resources and cross-training sessions for team members on acute rehabilitation criteria and diagnostic case mix management coding.
• Provided mentorship and guidance to colleagues, promoting skill enhancement and professional growth.

• Applied comprehensive understanding of HMO/IPA regulations to enhance utilization management efficiency.
• Identified issues and implemented strategic solutions to drive continuous improvement.
• Leveraged medical MCG and Anthem Blue Cross criteria to evaluate standard retro and urgent authorizations, ensuring accurate decision-making for approvals, reclassifications, or MD reviews.
• Streamlined authorization processing by rigorously applying Milliman guidelines, achieving timely completion of all reviews.
• Compiled comprehensive patient summaries for physician review, ensuring clarity and accuracy.
• Oversaw chronic care management for patients via telephonic outreach and coordinated care efforts. Cultivated trust and rapport with at-risk populations, including the homeless. Facilitated referrals to outreach programs and Beacon Health to enhance patient support.
• Coordinated interactions among healthcare providers to improve efficiency in authorization processes and resolve operational issues.

• Developed tailored marketing strategies that increased local engagement and boosted customer acquisition efforts.
• Managed daily operations, optimizing workflow processes to enhance service delivery and customer satisfaction.
• Cultivated strong relationships with clients, fostering loyalty through exceptional service and effective communication.
• Directed financial planning activities, including budgeting and expense management, to ensure business sustainability.
• Managed HR operations, implementing strategies to improve staff retention and support organizational growth.
• Implemented strategic plans to launch and manage three locations, ensuring operational efficiency and customer satisfaction.