Assessed records for any medical history and symptoms to use it in approving the case or sending it to a higher-level reviewer
Evaluated the appropriateness of health care and health services provided to patients covered under the plan ensuring that the quality for such care and services meets and exceeds medically accepted standards
Reviewed the appropriate use of specific ICD-10 and CPT codes
Nurse Utilization and Clinical Advisor Services Analyst II
CONDUENT
Manila, Philippines
07.2022 - 02.2023
Assessed non-emergent, work-related injuries and assigned patients to an appropriate care setting
Documented reports of work-related injuries
Arranged transport of patient to the facility when needed
Nurse II
TONDO MEDICAL CENTER
Manila, Philippines
03.2016 - 07.2022
Area assigned: Labor Room/Delivery Room; Operating Room/Recovery Room
Assisted the physician during examination, delivery, treatment and surgical procedures
Monitored contraction and fetal heart rate for abnormalities and communicated them to physician on duty
Administered medications related to labor, delivery, and the care of newborns
Modified treatment plan based on patient’s response and condition
Provided pre-, intra-, and post-operative care to patients undergoing C-section and Curettage
Nurse I
TONDO MEDICAL CENTER
Manila, Philippines
04.2013 - 03.2016
Area assigned: Operating Room
Performed pre-operative assessment and provided care to patients in the operating room
Prepared operating rooms for surgery by setting up instruments, supplies and equipment
Maintained accurate patient records and updated patient charts in accordance with hospital protocols
Administered medication and provided treatments as ordered
Assisted surgeons during operations as scrub or circulating nurse
Contractual Nurse
TONDO MEDICAL CENTER
Manila, Philippines
11.2011 - 12.2012
Area assigned: Emergency Room
Assessed patients’ conditions, prioritized care based on their needs and urgency
Monitored patients closely, documenting detailed reports for accurate record-keeping
Collaborated with families and other healthcare professionals to enhance nursing process and improve patient outcome
Education
BACHELOR OF SCIENCE - NURSING
Metropolitan Medical Center College of Arts, Science and Technology
03.2011
SECONDARY EDUCATION -
Maranatha Christian Academy
03.2007
Master of Arts - Nursing
Pamantasan Ng Lungsod Ng Maynila
Manila, Philippines
Personal Information
License: Texas (Compact License)
Title: Registered Nurse
Timeline
Clinical Review RN
OPTUM
03.2023 - 01.2024
Nurse Utilization and Clinical Advisor Services Analyst II
CONDUENT
07.2022 - 02.2023
Nurse II
TONDO MEDICAL CENTER
03.2016 - 07.2022
Nurse I
TONDO MEDICAL CENTER
04.2013 - 03.2016
Contractual Nurse
TONDO MEDICAL CENTER
11.2011 - 12.2012
BACHELOR OF SCIENCE - NURSING
Metropolitan Medical Center College of Arts, Science and Technology