Bachelor of Science in Nursing obtained in 2008, with Illinois Registered Nurse license 041419314 and NCLEX RN certification achieved in 2010. Over 15 years of diverse nursing experience across medical surgical, emergency, surgery, obstetrics, pediatrics, home health, case management, and health insurance. Expertise in negative pressure wound therapy, complex wound care, intravenous access, IV infusion, catheters, and ostomies. Proficient in electronic health records (EHRs) and healthcare software, ensuring efficient patient care and documentation.
Overview
17
17
years of professional experience
Work History
Case Manager Registered Nurse
CARELINK HOME HEALTH
Schaumburg, IL
02.2018 - Current
Makes home visits, performs comprehensive nursing assessments for admission process, evaluates patient’s needs and collaborates with physicians/nurse practitioners to develop a plan of care.
Coordinates multidisciplinary care team including physical therapy, occupational therapy, speech therapy, nursing aide, medical social worker and plans for patient care outcomes with other team members to provide effective & efficient patient care.
Performs medication teaching including oral, intramuscular, subcutaneous and intravenous medications as prescribed by the patient’s physicians.
Obtains specimens for testing including wound, blood, urine, stool as ordered by the physician and reports results promptly.
Establishes & maintains working relationships & communication with personnel from physicians’ offices, hospital & clinics to assure flow of information, referrals for service & continuity of care.
Performs high skilled nursing interventions including negative pressure wound therapy, complex wound care, intravenous infusion and access care, catheters and ostomy care.
Educates/trains newly hired nurses of abovementioned nursing skills and develops/adjusts training programs as updates in healthcare become available.
Case Manager Registered Nurse
BOWES IN HOME CARE
Schaumburg, IL
01.2022 - Current
Makes home visits, performs comprehensive nursing assessments for admission process, evaluates patient’s needs and collaborates with physicians/nurse practitioners to develop a plan of care.
Coordinates multidisciplinary care team including physical therapy, occupational therapy, speech therapy, nursing aide, medical social worker and plans for patient care outcomes with other team members to provide effective & efficient patient care.
Performs medication teaching including oral, intramuscular, subcutaneous and intravenous medications as prescribed by the patient’s physicians.
Obtains specimens for testing including wound, blood, urine, stool as ordered by the physician and reports results promptly.
Establishes & maintains working relationships & communication with personnel from physicians’ offices, hospital & clinics to assure flow of information, referrals for service & continuity of care.
Performs high skilled nursing interventions including negative pressure wound therapy, complex wound care, intravenous infusion and access care, catheters and ostomy care.
Registered Nurse
HOME HEALTH ADVANTAGE
Oakbrook, IL
03.2018 - 03.2019
Makes home visits, performs comprehensive nursing assessments for admission process, evaluates patient’s needs and collaborates with physicians/nurse practitioners to develop a plan of care.
Coordinates multidisciplinary care team including physical therapy, occupational therapy, speech therapy, nursing aide, medical social worker and plans for patient care outcomes with other team members to provide effective & efficient patient care.
Performs medication teaching including oral, intramuscular, subcutaneous and intravenous medications as prescribed by the patient’s physicians.
Obtains specimens for testing including wound, blood, urine, stool as ordered by the physician and reports results promptly.
Establishes & maintains working relationships & communication with personnel from physicians’ offices, hospital & clinics to assure flow of information, referrals for service & continuity of care.
Performs high skilled nursing interventions including negative pressure wound therapy, complex wound care, intravenous infusion and access care, catheters and ostomy care.
Registered Nurse
VITAL WELLNESS HOME HEALTH/INTRINSICARE HOME HEALTH
Lisle
12.2017 - 03.2018
Makes home visits, performs physical assessments, evaluates patient’s needs and consults with physicians to develop a plan of care. Documents appropriately and timely.
Coordinates multidisciplinary care team & plans for patient care outcomes with other team members to provide effective & efficient patient care & documents appropriately.
Administer medication and treatment as prescribed by the patient’s physician or podiatrist.
Performs lab tests as ordered by the physician and reports results promptly.
Establishes & maintains working relationships & communication with personnel from physicians’ offices, hospital & clinics to assure flow of information, referrals for service & continuity of care.
Reviews and evaluates patient’s medical records applying utilization review criteria to determine need for admission and continued stay in the convalescent center.
Analyze and study convalescent center policies and procedures.
Reviews Quality Assurance Standards.
Select specific topics for review such as problem procedures, drugs, high volume cases, high risk cases or other factors.
Develop a chart audit program to monitor compliance with federal, state and local JCAHO and corporate guidelines as well as assure the delivery of high standards of care.
QA Case Manager
VITAL WELLNESS HOME HEALTH
Lisle
04.2017 - 10.2017
Act as the Team Leader for each POD or office. Assists the Clinical Manager in overseeing the field nurses, therapists and home health aides to fulfill their responsibilities. Oversees Case Coordination.
Ensure accuracy of clinical record for each patient receiving care within his/her POD.
Responsible for the patients within his/her POD including care loads, productivity and utilization of field visits by nurses.
Be accountable for timely completion of Start of Care (SOC), Recertification, Transfer, Resumption of Care (ROC), Follow-Up and Discharge OASIS.
Act as the coordinator of the health team in order to maintain the proper linkages within a continuum of care. Initiates transition of Home Health/ Skilled patents in providing Private Duty needs. Coordinate with the Private Duty Team when needs arise.
Select specific topics for review such as problem procedures, drugs, high volume cases, high risk cases or other factors.
Develop a chart audit program to monitor compliance with federal, state and local JCAHO and corporate guidelines as well as assure the delivery of high standards of care.
Quality Assurance Coordinator RN
VITAL WELLNESS HOME HEALTH
Naperville, IL
10.2014 - 04.2017
Assess needs of the department and personnel, plans evaluate services to meet stated goals in the health care facility.
Reviews Quality Assurance Standards.
Analyze and study convalescent center policies and procedures.
Interviews convalescent center personnel and patients to evaluate the effectiveness of quality assurance program and monitor the cost effectiveness of services and recommend corrective measures.
Develop a chart audit program to monitor compliance with federal, state and local JCAHO and corporate guidelines as well as assure the delivery of high standards of care.
Reviews and evaluates patient’s medical records applying utilization review criteria to determine need for admission and continued stay in the convalescent center.
Select specific topics for review such as problem procedures, drugs, high volume cases, high risk cases or other factors.
Coordinates multidisciplinary care team & plans for patient care outcomes with other team members to provide cost effective & efficient patient care & documents appropriately.
Performs lab tests as ordered by the physician and reports results promptly.
Establishes & maintains working relationships & communication with personnel from physicians’ offices, hospital & clinics to assure flow of information, referrals for service & continuity of care.
Prior Authorization Nurse – Cigna
HINDUJA GLOBAL SOLUTIONS / CIGNA
Quezon City, Philippines
04.2014 - 09.2014
Conducts pre-service, concurrent/continued stay, retrospective, out-of-network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Utilization or medical management review activities which require the review of clinical information against client specific criteria but excludes denial determinations.
Ensures member access to medically necessary, quality healthcare in a cost effective setting according to contract.
Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management process.
Collaborates with providers to assess members' needs for early identification of and proactive planning for discharge planning.
Prior Authorization Nurse
ACCENTURE - WELLPOINT/BLUE CROSS BLUE SHIELD
Makati, Philippines
05.2011 - 06.2013
Conducts pre-service, concurrent/continued stay, retrospective, out-of-network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Utilization or medical management review activities which require the review of clinical information against client specific criteria but excludes denial determinations.
Ensures member access to medically necessary, quality healthcare in a cost effective setting according to contract.
Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management process.
Collaborates with providers to assess members' needs for early identification of and proactive planning for discharge planning.
Community Health Staff Nurse
SAN MATEO MUNICIPAL HEALTH OFFICE
San Mateo, Philippines
03.2008 - 04.2013
Identifies the needs and concerns of individuals, groups, families, and the community.
Formulates health plans, especially in the absence of a community physician.
Interprets and implements nursing plans and programs.
Assists other health team members in implementing health programs in the setting.
Acts as resource speaker on health and health related services.
Advocates health programs in the community through dissemination of community health education and teaching about early detection and prevention of community diseases.
Renders direct care to various clients with different needs, may it be at home, in school, clinics or work settings.
Involves the family in the care of the sick or dependent individual, i.e. sick child.
Monitors and detects presence of health concerns in the community through contacts or home visits.
Operating Room Staff Nurse
ST MATTHEUS MEDICAL HOSPITAL
Banaba, Philippines
11.2008 - 11.2010
Provide surgical patient care by assessing, planning, and implementing the nursing care patients receive before, during and after surgery.
Assesses, creates, and maintains sterile and safe surgical environment.
Pre- and post-operative patient education.
Monitoring the patient’s physical and emotional well-being, and integrating and coordinating patient care throughout the surgical care continuum.
Hemodialysis RN trainee
PHILIPPINE KIDNEY DIALYSIS FOUNDATION
Diliman, Philippines
Primes dialyzer and bloodlines.
Records patients’ medical information and vital signs.
Readies dialysis equipment.
Oversees the dialysis treatment from start to finish.
Cannulates accesses.
Demonstrates the ability to remove femoral shealths & administer medications, including thrombolytics.
Cleans and dresses permanent and temporary catheters.
Monitors patient and adjusts specialized equipment used on patients, and interprets and records information.
Identifies irregular dialysis reactions and notifies appropriate medical team members.
Secures blood works.
Teaches patients and significant others how to manage their illness, by explaining: post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication, if needed.
Education
Bachelor of Science - Nursing
Our Lady of Fatima University
Quezon City, Philippines
01.2008
Skills
Care coordination
Medication administration
Patient assessment
Quality assurance
Wound care
Clinical documentation
References
Available upon request
Timeline
Case Manager Registered Nurse
BOWES IN HOME CARE
01.2022 - Current
Registered Nurse
HOME HEALTH ADVANTAGE
03.2018 - 03.2019
Case Manager Registered Nurse
CARELINK HOME HEALTH
02.2018 - Current
Registered Nurse
VITAL WELLNESS HOME HEALTH/INTRINSICARE HOME HEALTH
12.2017 - 03.2018
QA Case Manager
VITAL WELLNESS HOME HEALTH
04.2017 - 10.2017
Quality Assurance Coordinator RN
VITAL WELLNESS HOME HEALTH
10.2014 - 04.2017
Prior Authorization Nurse – Cigna
HINDUJA GLOBAL SOLUTIONS / CIGNA
04.2014 - 09.2014
Prior Authorization Nurse
ACCENTURE - WELLPOINT/BLUE CROSS BLUE SHIELD
05.2011 - 06.2013
Operating Room Staff Nurse
ST MATTHEUS MEDICAL HOSPITAL
11.2008 - 11.2010
Community Health Staff Nurse
SAN MATEO MUNICIPAL HEALTH OFFICE
03.2008 - 04.2013
Hemodialysis RN trainee
PHILIPPINE KIDNEY DIALYSIS FOUNDATION
Bachelor of Science - Nursing
Our Lady of Fatima University
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