Dynamic Registered Nurse with extensive experience at LECOM at the Village Square, excelling in patient assessments and medication administration. Proven ability to enhance patient care through critical clinical judgment and compassionate advocacy, implementing evidence-based practices that significantly reduced patient falls. Committed to fostering a collaborative healthcare environment.
Overview
16
16
years of professional experience
Work History
Registered Nurse
LECOM at the Village Square
02.2024 - Current
Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
Implemented evidence-based fall prevention strategies, resulting in a significant decrease in patient falls within the unit.
Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Monitored patient reactions after administering medications and IV therapies.
Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
Utilization Management Nurse Consultant
EXL Service Philippines
10.2018 - 01.2024
Championed a collaborative approach to problem-solving, fostering strong relationships with peers and interdisciplinary teams within the organization.
Assisted with the development of performance metrics to track success rates within the Utilization Management department, driving continuous improvement efforts.
Supervised and maintained all utilization review documentation through Medcompass.
Optimized resource allocation by evaluating medical necessity for inpatient admissions and outpatient procedures.
Performed admission reviews based for medical necessity based upon Milliman Care Guidelines (MCG) specification.
Enhanced patient care by conducting thorough reviews of medical records and assessing appropriate utilization of services.
Improved interdisciplinary communication by effectively collaborating with physicians, case managers, and other healthcare professionals.
Demonstrated flexibility in adapting to evolving organizational needs while maintaining focus on achieving key objectives related to cost containment and quality improvement measures.
Supported evidence-based decision making through research and application of current industry guidelines for utilization management.
Increased efficiency within the department by implementing new workflow processes to improve productivity and reduce turnaround times for case reviews.
Reduced healthcare costs by identifying potential overuse and misuse of medical resources.
Minimized readmissions by providing comprehensive discharge planning and coordinating post-acute care services for high-risk patients.
Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Obtained authorizations from multiple insurance carriers for various levels of care.
Performed prior authorization review of services requiring notification.
Care Management Associate
EXL Service Philippines
08.2015 - 10.2018
Worked with insurance carriers to obtain authorization approvals for medications, supplies and equipment.
Coordinated post-discharge care by communicating with outpatient clinics, community resources, agencies and families around patients' transitional care.
Contributed to a positive work environment by participating in team building activities and sharing best practices in care management techniques.
Streamlined care management processes for increased efficiency and better resource allocation.
Liaised with relevant clinical groups to develop linkages between areas.
Result by conducting thorough risk assessments that accurately identified individuals requiring additional support or services.
Arranged transportation and documented details of discharge transition plans.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Performed various administrative tasks by filing, copying and faxing documents.
School Nurse
Westfield Science-Oriented School
01.2014 - 06.2015
Administered medication to students as prescribed by physicians to provide necessary treatment and manage health conditions.
Monitored ongoing medical conditions such as asthma or diabetes, adjusting care plans accordingly to maintain optimal student wellness levels.
Supported students with special needs by coordinating individualized healthcare plans and working closely with the interdisciplinary team.
Managed immunization compliance within the school population to prevent the spread of communicable diseases.
Served as liaison between families, school personnel, and other healthcare providers on behalf of students.
Assessed students'' physical and emotional well-being during daily clinic visits, providing appropriate care or referrals as needed.
Assessed student health and identified potential health concerns to provide appropriate care.
Implemented emergency protocols in medical emergencies to promote safety for students and staff.
Contributed to a positive school culture by serving as an advocate for student health and wellness, empowering them to make informed decisions about their wellbeing.
Staff Nurse, Emergency Department
Ospital Ng Paranaque
03.2009 - 06.2011
Streamlined patient flow by coordinating admissions, transfers, discharges, and further diagnostic testing as needed.
Followed facility policies, OSHA safety rules and HIPAA regulations to maintain legal compliance.
Participated in ongoing educational opportunities relating to emergency nursing, maintaining a high level of competency and staying informed on the latest evidence-based practices.
Developed strong assessment skills through rapid evaluation of diverse patient populations presenting with various illnesses or injuries.
Provided compassionate care and support to patients and families during high-stress situations, promoting a positive healthcare experience.
Monitored and continually recorded progress for up to 20 patients per shift.
Utilized advanced nursing skills such as IV insertion, wound care management, EKG interpretation, splinting/casting application among others to provide exceptional patient-centered care.
Enhanced patient care by efficiently triaging, assessing, and prioritizing emergency department patients.
Demonstrated ability to remain calm under pressure while managing multiple tasks concurrently in an unpredictable and fast-paced environment.
Prevented medication errors through meticulous attention to detail when administering medications and verifying orders.
Facilitated patient education regarding their medical conditions, discharge instructions, and follow-up care arrangements as needed to promote better health outcomes.
Educated patients and families on diagnosis and treatment.
Prepared, administered, and documented medications and intravenous infusions on physician orders.
Assessed vital signs, collected detailed patient history and noted other signs of patient health to make rapid, informed decisions regarding next steps in patient care.
Mentored newly-hired nurses, assisting them in acclimating to the fast-paced emergency department environment.
Reduced wait times for critical interventions by swiftly implementing life-saving treatments according to established protocols.
Built rapport with patients and families to increase comfort level and enhance quality of medical history and relevant personal information.
Administered medications via oral, IV, and intramuscular injections and monitored responses.
Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
Answered codes quickly and orchestrated efficient, skilled medical care.
Delivered important IV and venous medications to control symptoms and provide effective treatments.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
Evaluated patient histories, complaints, and current symptoms.
Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.