SHERI CAIN,RN
PO BOX83292
LOS ANGELES,CA 90083
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Summaryof Qualifications
Provide broadrange of nursingcare services,includingCase ManagementandUtilization Review and
discharge planning
Develop and implement a case management plan in collaboration with the member, caregiver, physician
and/or other appropriate healthcare professionals to address the member needs.
Provide recommendationsandcollaborate effectivelywithaninterdisciplinaryteamof healthcare
professionals
Performs ongoing monitoring of the plan of care to evaluate effectiveness and suggests changes
accordingly.
Promotes integration of services for members including behavioral health and long term care to enhance
the continuity of care
Excellentorganization,writtenandoral communicationskillsalongwithstronganalytical andproblem
solvingskills
Education
LA SouthwestCollege,LosAngeles,CA AD NursingDegree 1994
Universityof Illinois,Chicago,IL AD Physical Education1975
Kennedy-KingJr.College,Chicago,ILL AD Physical Education 1973
Licenses/Certifications
State of CaliforniaRegisteredNurse

Sheri Cain,RN page 2
ProfessionalExperience
07/2013-present RN Care Manager Region
HealthCare Partners Region3/SouthBay-LongBeach
Provide TelephonicCare Management/posthospitaldischarge support forpatientsandfamilymembers
inorder to minimizepotential forhospitalization. Collaboratewithinterdisciplinary teamandassistwith
programsthat helpto maximize patients'optimal chancesof recovery.
11/2011- 06/2013 RN Case Manager
BarlowRespiratoryHospital LosAngeles,Ca.
Successfullyprovidequalitycase managementfora 26 bed LTAC hospital foradultpatients.
Demonstrate strongworkingknowledge of InterQual criteriaof numerousChronicDiseasesandco-
morbidities.Provide patientandfamilymembereducationoncurrenttreatmentplans,available
hospital resources,andfollow-upcare.
* Participate indischarge planningprocesswithhospital andinpatientfacilitystaff,ensuringadequate
and appropriate dispositionwithpostdischarge plansandfollow-ups.Coordinate smoothtransitionand
follow-upsfromone level of care andservice toanother.Maintainall requireddocumentationinthe
informationsystem.
Provide leadershipincase conferences,clinical in-services,andothereducationalopportunities.
* RecordinformationinClaimsManagementsystemandcommunicatedwiththe ClaimsAdjustersto
processvalidmedical treatmentrequestsforauthorizationperpolicy.
6-2011 - 10-2011 Clinical Supervisor
MaximHealthcare Services,LosAngeles,California
* Medical case managementof criticallyill homeboundpatients. Supervise andprovide educational
instructiontoLVNswhomanage the cases. Supervise Fieldemployeesandcoordinate directpatient
care and contractedservices. Provideeducational in-services,audits,fieldstaff counselingwhen
necessary.

Sheri Cain,RN Page 3
1-2010 - May-2011 RN Case Manager
TrinityCare ExtendedCare Home Health,MontereyPark,California
Supervise Fieldemployeesandcoordinate directpatientcare andcontractedservices. Provide
educational in-services,audits,fieldstaff counselingwhennecessary.
12-2008 - 11-2010 RN Staff Nurse
DowneyRegional Medical Center,Downey,California
Provide care to criticallyill patientswhile performingappropriate interventionsfortreatmentplan
ordered. Workcollaborativelywithmedical teamandauxiliarystaff toimplementappropriate care and
addressconcernsof the patients. Performclinical taskaccordingtohospital policy.
06-2006 - 12-2008 Nurse Case Manager
AlliedProfessional NursingServices,Upland,California
Provide age appropriate care andeducationtopatientandfamilymembers,onthe diseaseprocessof
the pediatricpatient,alongwithmedical andclinical managementservicesprovidedbythe home health
care team. Make evaluationvisitstopatients'home toensure qualitycare.
03-2005 - 05-2006 EmergencyRoomNurse
CaliforniaHospital Medical Center,LosAngeles,California
Provide emergencycare toan average of 30 criticallyill patientspershiftwithinabusy
Emergency/Traumafacility. Ensure the provisionsof Emergencymedical care topatientsrequiring
treatmentinaccordance withphysicianorders,hospitalpolicy,andstandingnursingpractices.
01- 2004 - 05-2005 Emergency/Trauma RoomNursing
LA CountyKingDrewMedical Center Los Angeles,California
WorkedER nurse, Telemetry, Step-Downunit