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Health Facilities Evaluator Nurse Resume Example

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HEALTH FACILITIES EVALUATOR NURSE
Professional Summary

Highly analytical, customer-oriented healthcare management professional with a strong background in risk management, quality assurance, and ambulatory care. Proficient in communicating, organizing, and solving problems to raise the stature and rankings of health care facilities. 

Skills
  • Psychiatry and mental health
  • Diabetes and nutrition treatments
  • Self-directed
  • Reliable
  • Direct Patient Care
  • Medical Records Review

  • Compliance reporting expert
  • Policy and program development expertise
  • Culturally competent care
  • Medical Clinical Procedures
  • Drug Therapy Management
  • Case Management
Work History
Health Facilities Evaluator Nurse11/2015 to Current
California Department of Public Health – San Bernardino, CA
  • Primary responsibility is for enforcement of State and Federal laws, rules, and regulations pertaining to areas affecting total patient care such as nursing, physician, restorative, pharmacy, social service, dental, and related services
  • Conduct inspections, investigations, surveys, and evaluations of health facilities for conformity with licensing and certification requirements of the Department of Public Health
  • Review health facilities for participation and compliance in Federal Title 18 (Medicare) and Title 19 (Medi-cal) programs
  • Advise health facilities' administrators and community agencies regarding State health facilities inspection, licensing, and certification programs
  • Issue citations, civil penalties, and determining program flexibility decisions
  • Acted as Team leader and assisted with training of new staff.
Nurse Navigator, RN04/2014 to 11/2015
Riverside County Regional Medical Center – Riverside, CA
  • Riverside County Health Systems- Quality management
  • Facilitated an on-going assessment of patient/family needs and implementation of interdisciplinary team care plan.
  • Investigated and reported issues relating to patient care or conditions that might hinder patient well-being.
  • Assisted with managing the overall operation of nursing services and patient care, including quality assurance, patient care, safety risk management, and teammate satisfaction. 
  • Closely collaborated with management team to make necessary improvements and satisfy patient needs.
  • Monitored Infection Control and Critical Incidents, Risk Management and Quality Improvement plans.
  • Created and maintained computerized record management systems to record and process data and generate reports.
RN Institutional Nurse12/2012 to 04/2014
Riverside County Regional Medical Center – Riverside, CA
  • Worked in Detention Health Services (DHS) independently and closely with Sheriff Deputies/inmates in a correctional facility
  • Act as a charge/lead nurse on scheduled shift
  • Triage individuals and obtain complete health history
  • Provide ambulatory care to needed inmates
  • Coordinate patient care and collaborate with other health care team members, including mental health staff, to establish patient goals, develop treatment plans, and to obtain desired outcomes
  • Performed as a wound care and diabetic nurse
  • Responded to and provided medical emergency care throughout the facility
  • Provide patient education based on identified learning needs.
  • Developed patient care plans, including assessments, evaluations and nursing diagnoses.
  • Specialized in the nursing care of patients with chemical dependency.
  • Strong leader for nursing personnel assigned to the unit/shift.
  • Partnered with team of registered nurses to achieve overall well-being of all patients.
Registered Nurse02/2012 to 09/2012
Riverside County Regional Medical Center – Riverside, CA
  • Worked for the Temporary Assignment Placement (TAP) department in Inpatient Treatment Facility (ITF)/ Emergency Treatment Facility (ETF)
  • Provided acute, emergency, and ambulatory care to mental health patients
  • Assess, evaluate, and document the patient's physical, medical, and psychosocial circumstances
  • Coordinated patient care and collaborate with other health care team members to establish patient goals, develop treatment plans, and to obtain desired outcomes
  • Implement plan of care and make recommendations based on assessment/reassessment of the patient
  • Provided patient education based on identified learning needs.
UM Supervisor / Triage Nurse03/2012 to 12/2012
Primary Provider Management Co – Corona, CA
  • Accountable for the performance of a team of Nurses and Coordinators of the Utilization Management and Durable Medical Equipment department
  • Evaluated the individual performances of staff, including written annual performance appraisals
  • Planned work schedules/assignments
  • Planned, assessed, and evaluated ongoing DME services provided to members
  • Reviewed medical records as necessary to ascertain additional information necessary for completion of referral for ordering, or for UM review for denial
  • Promoted/ improved member client services by problem solving of member, clinician, and provider complaints/ or grievances * able to identify and analyze aspects of problems relative to quality of patient care
  • Liaison between the Health Plan (IEHP) and the IPA to facilitate continuity of care and letters of agreement
  • Coordinated care utilizing community resources
  • Coordinated with various departments regarding patients' discharge planning and transfers to next level of care.
Registered Nurse06/2010 to 03/2012
Department of Justice-BOP – Los Angeles, CA
  • Work independently and closely with Correctional Officers/inmates in a Federal Prison
  • Act as a charge/lead nurse on scheduled shift
  • Triage individuals and obtain complete health history
  • Provide ambulatory care to needed inmates
  • Assess, evaluate, and document the patient's physical, medical, and psychosocial circumstances
  • Coordinate patient care and collaborate with other health care team members, including mental health staff, to establish patient goals, to develop treatment plans, and obtain desired outcomes
  • Implement plan of care and make recommendations based on assessment/reassessment of the patient
  • Responded to and provided medical emergency care throughout the facility
  • Provide patient education based on identified learning needs.
Registered Nurse09/2006 to 06/2010
LA County Sheriff's Dept. – Los Angeles, CA
  • Worked closely with Deputy Sheriffs/inmates in a correctional facility
  • Triaged incarcerated individuals and obtained complete health history
  • Provided ambulatory care to needed inmates
  • Assessed, evaluated, and documented the patient's physical, medical, and psychosocial circumstances
  • Coordinated patient care and collaborated with other health care team members , including mental health staff, to establish patient goals, develop treatment plans, and to obtain desired outcomes
  • Implemented plan of care and made recommendations based on assessment/reassessment of the patient
  • Worked in the Step Down Unit (Acute care setting)
  • Administered medications and treatments, Performed as a Wound Care Nurse and Diabetic Nurse
  • Responded to and provided medical emergency care throughout the facility
  • Provided patient education based on identified learning needs
  • Provided discharge teaching
  • Assign and supervise work delegated to Licensed Vocational Nurses (LVN), nursing attendants, technicians, clerical staff, and nursing students.
Registered Nurse09/2005 to 09/2006
LA County- Harbor-UCLA Medical – Torrance, CA
  • Worked in Labor/Delivery (Acute care) * Continued Assessment of patients (Mother/Infant) * Monitored infant activity inside/outside the maternal wound * Assisted with vaginal deliveries and C-Sections * Worked in Postpartum * Coordinated patient care and collaborated with other health care team members to establish patient goals, to develop treatment plans, and to obtain desired outcomes * Administered medications and treatments * Assigned and supervised work delegated to Licensed Vocational Nurses (LVN), nursing attendants, technicians, clerical staff, and nursing students.
Licensed Vocational Nurse09/2002 to 07/2005
Kaiser Permanente – Los Angeles, CA
  • Worked in the Internal Medicine Clinic, Infectious Disease Clinic, and Urgent Care
  • Provided ambulatory care to patients
  • Coordinated patient care and collaborated with other health care team members
  • Administered medications and treatments
  • Scheduled appointments and responded to patients' messages in a timely and courteous manner.


Education
Bachelor of Science: Nursing2015CSU Dominguez Hills- Carson, CA
Certifications Public Health Nurse BLS:
Certifications
  • Public Health Nurse (PHN)
  • BLS
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Resume Overview

Companies Worked For:

  • California Department of Public Health
  • Riverside County Regional Medical Center
  • Primary Provider Management Co
  • Department of Justice-BOP
  • LA County Sheriff's Dept.
  • LA County- Harbor-UCLA Medical
  • Kaiser Permanente

School Attended

  • CSU Dominguez Hills

Job Titles Held:

  • Health Facilities Evaluator Nurse
  • Nurse Navigator, RN
  • RN Institutional Nurse
  • Registered Nurse
  • UM Supervisor / Triage Nurse
  • Licensed Vocational Nurse

Degrees

  • Bachelor of Science : Nursing 2015
    Certifications Public Health Nurse BLS :

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