- Enjoy hobbies that combine physical activity with outdoor exploration
- Kayaking
- Camping
- Regularly practice mindfulness and meditation for overall wellness
- Swimming
Lisa Gomez
Virginia Beach
Summary
Dedicated healthcare professional with extensive experience in patient care, critical thinking, and effective communication, committed to enhancing patient outcomes through collaborative team efforts. Demonstrates reliability and adaptability in delivering compassionate care within fast-paced and dynamic environments. Possesses a robust foundation in medical knowledge, adept at conducting thorough patient assessments and coordinating care to support individuals post-hospitalization and address urgent care needs. Passionate about improving health outcomes through patient education and empowerment for better self-management.
Overview
44
44
years of professional experience
1
1
Certification
Work History
RN BSN certified case manager
Sentara
08.2017 - Current
- Sentara commercial case manager assisting members in advocacy, care coordination, health goals activation to reduce readmissions. Goals to improve health by developing care plans with SMART goals and assisting member’s with improved knowledge related to their conditions in an effort to improve health, secure community resources and enhance communication with providers
- Collaborated with multidisciplinary teams to develop individualized care plans for diverse patient populations.
- Conducted comprehensive assessments to identify patient needs and adjust care strategies accordingly.
RN intake with Sentara home health
Sentara home health
10.2014 - 08.2017
- Assisted with scheduling, obtaining orders and coordination of care for home health recipients to encourage a smooth transition from hospitalizations/injury or hospice initiation
- Streamlined documentation processes to improve accuracy and compliance with healthcare regulations.
RN Intake Coordinator
Gentiva Health Services
10.2004 - 10.2014
- Responsible for staffing new patients to provide skilled home health services
- Training of new employees
- Obtaining orders from doctor and nursing staff
- Led quality improvement initiatives that enhanced clinical outcomes and operational workflows.
RN Preauthorization Nurse
Hawaii Medical Services Association
10.2002 - 05.2003
- Review medical necessity of surgical procedures and new medications on the market for Blue Cross Blue shield clientele
- Referral to medical director if issues arose
RN Scheduler
Franconia Family Medicine
10.2000 - 12.2001
- Scheduling diagnostic studies and procedures for a large family practice group
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
Supervisory Nurse
Bon Secours St. Francis Hospital
08.1992 - 10.1994
- Formation and implementation of a new precertification centralized scheduling department within the hospital.
- Performed precertification and identification of reimbursement issues where knowledge of Medicare criteria improved reimbursement by $887,000 the first year
RN Review Specialist
Carolina Medical Review
02.1989 - 03.1991
- Strong Knowledge of DRG coding and secondary diagnosis that may affect the reimbursement of Medicare, Medicaid and Tricare patients through review within the state of South Carolina under the peer review organization
- Chart evaluation for attestation review and quality assurance
- Submission of records when quality issues arose, coding questions, Medicare HFCA standards of care set forth
Nurse Review Coordinator
Mutual Health Services
03.1987 - 11.1988
- Performed utilization review for a nation wide contract under Blue Cross/ Blue Shield
- Arranged for second opinions and case management for potential long term care patients
- Applied criteria set forth by company for approval of needed procedures and second opinions
Neonatal Staff RN
Nashua Memorial Hospital
08.1984 - 03.1987
- Assessment and care of newborn
- Teaching and education of parents
- Care of sick neonate and transfer to ancillary facility when necessary
Medical Surgical Staff RN
Nashua Memorial Hospital
07.1982 - 08.1984
- Experience with various medical conditions including Parkinson’s disease, Dementia, Diabetes, and Hospice.
- Patient care in medical- surgical unit, adeptly handling all aspects of treatment from medication to wound care
Education
Associate of Science - Registered Nurse
New Hampshire Technical Institute
Concord, NHBachelor of Science - BA of Business
Monterey Peninsula College
Bachelor of Science - Nursing
Capella University
12.2019
Skills
- Patient assessment
- Strong clinical judgment
- Patient education and counseling
- Clinical judgment
- Patient and family advocacy
- Compassion and empathy
- Care planning
- Patient care planning
- Precepting
Certification
- Completed Board certification for case management
- November 2022
Interests
Timeline
RN BSN certified case manager
Sentara
08.2017 - Current
RN intake with Sentara home health
Sentara home health
10.2014 - 08.2017
RN Intake Coordinator
Gentiva Health Services
10.2004 - 10.2014
RN Preauthorization Nurse
Hawaii Medical Services Association
10.2002 - 05.2003
RN Scheduler
Franconia Family Medicine
10.2000 - 12.2001
Supervisory Nurse
Bon Secours St. Francis Hospital
08.1992 - 10.1994
RN Review Specialist
Carolina Medical Review
02.1989 - 03.1991
Nurse Review Coordinator
Mutual Health Services
03.1987 - 11.1988
Neonatal Staff RN
Nashua Memorial Hospital
08.1984 - 03.1987
Medical Surgical Staff RN
Nashua Memorial Hospital
07.1982 - 08.1984
Associate of Science - Registered Nurse
New Hampshire Technical Institute
Bachelor of Science - BA of Business
Monterey Peninsula College
Bachelor of Science - Nursing
Capella University