Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
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Amber Joanne S. Abaigar, BSN, RN

Amber Joanne S. Abaigar, BSN, RN

Long Island City,NY

Summary

Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level position. Ready to help team achieve company goals. Offering natural intrapersonal strengths, abilities and compasssion. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support.

Overview

13
13
years of professional experience

Work History

Registered Nurse (Covid Acute Rehab Unit)

Carillon Nursing And Rehabillation Center
08.2022 - Current
  • Administers medications.
  • Evaluated patient histories, complaints, and current symptoms.
  • Managed patients recovering from medical or surgical procedures.
  • Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
  • Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies.
  • Educated family members and caregivers on patient care instructions.
  • Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
  • Monitored patient reactions after administering medications and IV therapies.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
  • Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
  • Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.

Utilization Review Nurse/RN Case Manager

Humana /Aetna / Unum (via Outsource EXL Services)
01.2018 - 04.2021
  • Utilized clinical criteria such as DRG, MCG (Milliman Care Guidelines), Interqual guidelines, medicare, etc. to assess health insurance coverage
  • Review patient records daily in order to assess appropriateness of admission and ongoing medical care
  • Review claims according to HIPPA guidelines
  • Process prospective, concurrent, retrospective Utilization Management (UM) medical requests and 1st level appeals
  • Performed prior authorization review of services requiring notification.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services and medical necessity.
  • Submitted cases for criteria failures and helped facilitate resolutions and approvals.
  • Obtained authorizations from multiple insurance carriers for various levels of care.
  • Served as subject matter resource, providing information related to medical necessity guidelines.

IRB Administrator (Institutional Review Board)

Makati Medical Center
06.2012 - 12.2017
  • Analyze and review applications for the IRB to ensure completeness and compliance with appropriate federal and state laws, institutional policies, and hospital IRB guidelines;
  • Determine whether research projects are exempt from further review, review and approve certain research projects on behalf of the IRB as a designated reviewer;
  • Correspond with researchers, articulating required modifications to study documentation, including informed consent forms, in order to secure IRB approval, and requesting additional information needed before approval can be considered;
  • Prepare documents for deliberation at IRB meetings, attend IRB meetings, prepare meeting minutes, and communicate IRB determinations and actions to researchers;
  • Develop and participate in training and educational activities on human research protections that are presented to researchers and administrators;
  • Provide guidance to researchers and administrators on the use of the submissions system used by the institution to manage applications for review and drafts correspondence;
  • Conduct monitoring of hospital approved human research projects;
  • Maintain active knowledge of evolving laws, regulations, policies, and ethical norms that are applicable to human research activities through continuous professional development;
  • Monitors safety adverse events related to clinical trials in the hospital

Junior Nursing Lecturer

Tatualla Nursing Review Center For Nurses
09.2010 - 10.2011
  • Teaches different subjects in nursing: Leadership Management, Childhood Illness, and Contagious Diseases
  • Contributed educational and clinical expertise to help optimize training courses and boost student learning.


Education

Bachelor of Science - Nursing

Manila Doctors College
Philippines
03.2010

High School Diploma -

St. Scholastica’s College
Manila
03.2006

Skills

  • Update Electronic Charts
  • 3-year work background on insurance claims
  • 4-year work background on IRB clinical trials
  • Patient Care Oversight
  • IV Administration

Additional Information

  • GOVERNMENT EXAM TAKEN , Philippine Nursing Licensure Exam (July 2010) - PASSED NCLEX (New York State) – PASSED License: Basic Life Support-Cardiopulmonary Resuscitation with AED Licensed Intravenous Therapist

Timeline

Registered Nurse (Covid Acute Rehab Unit)

Carillon Nursing And Rehabillation Center
08.2022 - Current

Utilization Review Nurse/RN Case Manager

Humana /Aetna / Unum (via Outsource EXL Services)
01.2018 - 04.2021

IRB Administrator (Institutional Review Board)

Makati Medical Center
06.2012 - 12.2017

Junior Nursing Lecturer

Tatualla Nursing Review Center For Nurses
09.2010 - 10.2011

Bachelor of Science - Nursing

Manila Doctors College

High School Diploma -

St. Scholastica’s College

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Amber Joanne S. Abaigar, BSN, RN