Dan R. Email & Phone Number

Sacramento, Ca, Us

-Created and managed worker’s compensation patient case plans with ongoing monitoring to ensure quality and appropriate service delivery of the case management process-Measured effectiveness of treatment plans and creates alternate strategies when needed-Communicates effectively with medical providers, the assigned claims examiner, injured worker, and policyholder and/or handling attorneys on any given case-Maintained accurate record of management including costs, savings and demographic data

-Collaborates with healthcare providers to promote the most appropriate, highest quality and effective use of diagnostic imaging to ensure quality member outcomes, and to optimize member benefits-Notifies ordering physician or rendering service provider office of the preauthorization determination decision-conduct medical necessity clinical screenings of preauthorization request to assess the medical necessity of diagnostic imaging procedures, out of network services, and appropriateness of treatment-Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review-Follows-up to obtain additional clinical information-Ensures proper documentation, provider communication, and telephone service per department standards and performance metrics

San Francisco Bay Area

- Organized hospital wide annual events (Fit Testing, Flu, COVID-19, & TB) for three major Sutter Health organizations in the Peninsula South Bay region totaling over 10,000 employees- Collaborated with HR and managers for staff compliance in annual requirements- Audited employee health charts for survey readiness- Collaborated with Infection Control in the surveillance and prevention of staff exposures- Coordinated the care of patients with work related injuries under Workers’ Compensation- Triaged staff injuries by severity of illness/injury- Onboarded new hires via pre-employment medical screening

San Mateo, California

San Francisco Bay Area

San Francisco Bay Area

- Evaluated and assessed patients and their response to treatments and plan of care.- Formulated a nursing care plan for patients who have a change in condition and carry it out- Initiated appropriate measures in emergency situations- Correctly carried out physician’s plan of care and accurately charted in MATRIXCARE- Established priorities for patient care- Administered IV medications- Successfully start a patient's IV- Accurately calculated and administered medications- Bladder Scans and catheterizations

San Francisco Bay Area

- Managed and conducted the flu vaccination and PPD clinics at different CPMC campus sites- Used AIDET to address client questions and concerns at UCSF and CPMC flu clinics

United States

Dominican University BSN Program ​ January 2016 to April 2018Preceptorship in Telemetry Unit Kaiser Santa Rosa|​Santa Rosa, CA 180 HoursMed Surg 3 Marin General Hospital|​San Rafael, CA 120 Hours Community Health Hospice By the Bay|​Larkspur, CA 120 Hours Maternity ​Sutter Santa Rosa Regional Hospital|​Santa Rosa, CA 120 HoursPediatrics ​ Sutter Alta Bates Summit Medical Center​|​Oakland, CA 120 HoursMed Surg 2 St. Francis Memorial Hospital|​San Francisco, CA 120 HoursPsychology St. Francis Memorial Hospital|​San Francisco, CA 120 Hours Med Surg 1 CPMC Davies Campus|​San Francisco, CA 120 hours Geriatrics The Sequoias|​San Francisco, CA 120 hours

San Bruno, Ca

- Provided fulfilling guest experiences by offering a personalized service - Able to successfully multitask, prioritize, and manage transactions

South San Francisco, Ca

- Coached students to be problem solvers and self directed learners- Facilitated the academic growth of the children’s mathematical and English skills

Colma, Ca

- Took and served food orders, while managing transactions

Bachelor'S Degree, Registered Nursing/Registered Nurse

Associate'S Degree, Health Services/Allied Health/Health Sciences, General