Roles & Responsibilities

Resource Manager at Continuity of Care, Kaiser Permanente

Oct 2019 - Present

Operational oversight for Continuity of Care Department at 343-bed critical care teaching hospital.
New client/vendor relationship management for integration of healthcare technologies & services.
Collaborated with regional leadership and peers on improvement initiatives.
Stabilized staffing by rebalancing schedule during a COVID, while increasing throughput.
Responsible for hiring and managing a team of nurse case managers, social workers, resolving personnel actions, and performance improvement.
Provides leadership to the development of resource reduction strategies consistent with facility strategic plan with the areas of case management and utilization management with a focus on quality outcomes, reduction of length of stay, medical necessity, and level of care.
Developed Case Management Orientation On-boarding Program and
Ensured compliance in all regulatory requirements, workflows, protocols and daily patient care.
Increased care experience metrics for Care Transitions and Discharges.
Decreased Hospital funded care by 75%.
Established community partnerships with home health, assisted living, and skilled nursing facilities to assist patients in a safe discharge to the appropriate next level of care.

Oct 2016 – Oct 2019

Responsible to develop, evaluate, and coordinate a comprehensive discharge plan in conjunction with the patient/family, physician, nursing, social services, and other health care providers and agencies.
Monitors all clinical activities, makes recommendations for alternative levels of care, identifies cost-effective protocols, and develops guidelines for care.
Responsible for escalating utilization problems that have not been resolved at the local level to the higher management.
Identifies and assist in the implementation of opportunities for cost-savings and improvements in the quality of care
across the continuum.
Responsible for educating health care team members on utilization and cost containment initiatives.
Develops trends and analyzes data relevant to the utilization of health care resources including avoidable/variance days,
re-admissions, one-day stays, and length-of-stay.
Participates in interviewing, makes hiring recommendations, orients, and provides ongoing supervision of support staff.
Review medical records to develop the next course of action towards improvement in patient care.

Feb 2016 – Sep 2016

Responsible for delegating roles and responsibilities to different departments within the health care facility.
Evaluate escalations and develop a plan of correction. Review medical records to avoid re-admissions by providing better
care in the first place.
Provide in-service education for the staff nurses in response to interventions and plan of correction for quality improvement in clinical practices.
Weekly data collection of the patient cases to determine the patient health improvement and further plan of action.

Nov 2015 – Feb 2016

Schedule nurses to shifts and evaluated care effectiveness. Coordinated placement of patients.
Responsible for delegating nursing responsibilities and duties to the staff.
Day-to-day activities include comprehensive reviews and health assessment for new admissions.

Aug 2011 – Feb 2012

Worked in Gynaecology and Obstetrical Ward.
Responsibilities included assessing and looking after the Obstetrical and Gynae patients.
Assisted in general surgical and OGYN operations in OT.
Worked in Cardiology Unit for assessing cardiac patients on 24hr holter monitoring, cardiac pacemakers, and post CABG patients.
Responsible for monitoring patients on ventilators and assessing patients with Angina & Myocardial infarction.