Samantha Menjivar
Torrance
Summary
At Optum, UnitedHealth Group, I excelled as an Inpatient Case Manager, leveraging my expertise in case evaluation and my exceptional problem-solving abilities. I spearheaded quality improvement initiatives, significantly enhancing patient outcomes and satisfaction. My collaborative approach and clinical documentation skills ensured compliance and fostered interdisciplinary partnerships, achieving a notable reduction in hospital readmissions.
Overview
17
17
years of professional experience
Work History
Inpatient Case Manager
Optum, UnitedHealth Group
08.2007 - Current
- Coordinated discharge planning to ensure a seamless transition from hospitalization to home or other healthcare facilities.
- Mentored junior case managers in proper techniques for assessment, care plan development, coordination of services, and documentation.
- Educated patients and families on available resources and support services, empowering them to make informed decisions about their care.
- Maintained accurate documentation of all case management activities, ensuring compliance with regulatory standards.
- Facilitated smooth transitions between healthcare settings by effectively communicating with all relevant parties.
- Evaluated patient progress and adjusted care plans accordingly, resulting in better health outcomes.
- Conducted screenings and assessments to determine eligibility for funding sources.
- Led interdisciplinary team meetings to review ongoing cases and discuss strategies for improving patient outcomes.
- Developed supportive professional relationships with patients to enhance quality of life and achieve self-sufficiency.
- Utilized evidence-based best practices to guide clinical decision-making and optimize patient outcomes.
- Welcomed new patients and actively built relationships by explaining patient services programs and offering information and support.
- Implemented quality improvement initiatives within the case management department to enhance overall effectiveness.
- Assisted in the development and implementation of policies and procedures related to case management, ensuring consistency and compliance across the organization.
- Collaborated with physicians to develop individualized treatment plans, ensuring optimal patient care.
- Served as a liaison between patients, families, medical staff, and external agencies to facilitate effective communication throughout the continuum of care.
- Reduced hospital readmissions by identifying high-risk patients and implementing targeted interventions.
- Developed strong relationships with community organizations that provided additional resources for patients during their recovery process.
- Enhanced patient satisfaction with thorough assessments, timely interventions, and clear communication of care plans.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Collaborated with healthcare providers to drive continuity of care.
- Worked with medical teams, patients and families to implement effective treatment plans.
- Managed caseload to satisfy multiple patients with diverse needs.
- Participated in interdisciplinary care conferences to discuss patient care plans and referrals.
- Coordinated patient discharge planning and follow-up care.
Education
Associate Degree In Nursing - General Studies
El Camino College
Torrance, CA07.2006
Skills
- Case evaluation
- HIPAA compliance
- Patient confidentiality
- Clinical documentation
- Care coordination
- Quality improvement
- Healthcare regulations
- Discharge planning
- Psychosocial assessment
- Financial counseling
- Interdisciplinary collaboration
- Positive attitude
- Problem-solving
- Collaborative care
- Time management
- Multitasking and organization
- Critical thinking
- Clear communication
- Team collaboration
- Active listening
- Verbal and written communication
- Case documentation
- Patient assessments
- Community resources
- Client advocacy
- Emotional awareness
- Documentation and reporting
- Email and telephone etiquette
- Case management
- Family education
- Community outreach
- Staff education and training
- EMR / EHR
Timeline
Inpatient Case Manager
Optum, UnitedHealth Group
08.2007 - Current
Associate Degree In Nursing - General Studies
El Camino College
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