Healthcare professional with solid background in providing high-quality patient care and clinical support. Recognized for collaborative teamwork and results-driven approach, consistently adapting to changing medical needs and priorities. Skilled in patient assessment, medication administration, and maintaining accurate medical records.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Nurse
PruittHealth Decatur LLC
04.2024 - Current
Company Overview: Skilled Nursing Facility
Collaborate with healthcare providers and pharmacists to ensure medication accuracy and appropriateness
Administer medications and treatments using EMAR (Electronic medication administration reco
Explaining the procedure in collecting urine sample to patient, administration of enema, and assisting the individual before, during and after the procedure
Blood draws, sugar monitoring and injections
Intravenous or intramuscular injection of drugs, administered at a frequency of every eight hours or more frequently
Initiation of intravenous (TPN) feeding
Initiation of G-tube (gastrostomy tube) feeding
Treatment of decubitus ulcers or other complicated wound care requiring multiple dressing changes within a twenty-four-hour period
Initial care of urinary catheters (suprapubic or 'in and out' catheterization)
Assess patient, take appropriate nursing measures and document accurately
Inform family members of any changes in the patient’s condition and confer with them regarding alterations to the patient’s medication or other treatment needs
Write progress notes, including focused observation and SBAR (Situation, Background, Assessment, Recommendation)
Promoted a safe and comfortable healing environment by addressing patient concerns promptly and professionally.
Remained calm during high-stress, critical situations, demonstrating sustained focus and problem-solving in real-time.
Utilized strong clinical judgment in prioritizing patient needs during high-stress situations, ensuring optimal outcomes.
Utilization Review Nurse
Cognizant Technology Solution / ShearWater Health
08.2019 - 02.2023
Review pre-certification request for medical necessity, referring to the Medical Director those that require additional expertise
Perform Utilization Management (UM) reviews: prospective/concurrent/retrospective for inpatient/outpatient services in accordance with federal state mandated regulation, according to URAC standards, and client requirements
Performed clinical review of request requiring medical review and entering authorizations into the system; like Citrix, Jiva, Siebel, Diamond, IMT, Guidewell, One note, Tracker, IMT
Provides clear and accurate documentation on rational for approving request or reason for sending to Medical Director for additional review
Review medical records with billing knowledge to review, evaluate and denial related to the care provided to the hospitalized patient
Provide appropriate consultation and referral to Case Management personnel
Review clinical information for concurrent review, extending or approving the length of stay for inpatients as appropriate
Use effective relationship management, coordination of service, education, patient advocacy and interventions to promote improve quality of care and/or life
Prevent hospitalization when possible and appropriate
Provide continuity of care
Promote decreased lengths of stays when appropriate
Promote cost effective medical outcomes
Maintain accurate records of all communications and interventions
Established effective rapport with other employees, professional support services staff, customers, clients, patients, families and physicians
Plan and participate in interdisciplinary care conferences
Assign, delegate, and supervise nursing team members
Educate clients and staff; act as client advocates
Make client referrals; ensure continuity of care
Contribute to the evaluation of patient outcomes
Summarizes or abstracts information from patient files key data and passes it on to the doctors or nurses
Work with patient records, analyzing them for trends that can improve the standard of care and diagnostics, while staying ahead of the latest advances in medical technology
Perform reviews of clinical care practices, analyze data and reviews from customer feedback and health care facility records
Conduct risk assessments for current and future health care practices
Implement and promote new health care initiatives to improve quality of care
Hotel Nurse
One & Only Royal Mirage Hotel
02.2008 - 12.2009
Responding to medical and emergency calls to provide basic medical care to ill or injured patients
Practicing confidentiality of patients and their medical records at all times
Developing and implementing health and safety programs
Providing emergency treatment in the workplace
Administering over-the-counter medication to employees
Creating a clean, and comfortable sickbay area
Promoting healthy eating and wellness programs
Nurse Staff
Dra. Gloria D. Lacson Gen. Hospital
09.2005 - 11.2007
Company Overview: 150 Bed capacity
Assessing, planning, implementing, and evaluating patient care plans in consultation with healthcare professionals
Providing direct and individualized bedside nursing care to pre and post-surgery patients
Educating patients on what to expect and how to prepare for pre and post-surgery
Treating incisions, monitoring vital signs, and educating patients on home care
Monitoring and managing patients’ conditions, administering medications, and providing education and support to patients and their families
Performed accurate documentation of patient assessments, interventions, and outcomes in compliance with regulatory standards.
Administered medications via oral, IV, and intramuscular injections and monitored responses.
Performed routine wound care and dressing changes on schedule.
Promoted a safe and comfortable healing environment by addressing patient concerns promptly and professionally.
Collaborated with interdisciplinary teams for optimized patient treatment plans and outcomes.
Physical Therapy Staff
Pro Care Rehabilitation Clinic
02.2002 - 10.2002
Consulting with patients to learn about their physical condition
Assessing and interpreting patient evaluations and test results
Developing treatment plans using a variety of treatment techniques
Creating personalized fitness-oriented health care programs for patients
Administering medically prescribed physical therapy treatments to relieve pain and improve mobility
Restoring patient’s function, alleviating pain, and preventing disabilities by planning and administering medically prescribed physical therapy
Providing quality care by assessing and interpreting evaluations and test results
Determining physical therapy treatment plans in consultation with physicians or by prescription
Passionate about learning and committed to continual improvement.
Paid attention to detail while completing assignments.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Education
Bachelors of Science - Nursing
College of Immaculate Conception
03.2005
Bachelors of Science - Physical Therapy
Fatima Medical Science Foundation Inc.
Valenzuela, Metro Manila
11.2001
SECONDARY LEVEL -
Wesleyan University Philippines
03.1994
ELEMENTARY -
Gabaldon Central School
03.1990
Skills
Medication administration
Medication and IV administration
Direct patient care
Clinical documentation
Patient care
Patient assessment
Compassionate care
Utilization Management Nurse
Licensed RN
Trainings
Basic Life Support (BLS), American Heart Association, Makati City, NCR, Philippines, 05/01/25
Bio – Medical Research & Prevention Health Care, Wesleyan University Philippines, 07/30/03
Effective Career Management Colloquium, Sampaloc Manila, 02/07/02
Internship
Paulino J. Garcia (PJG) Hospital
Orthopedic Hospital
San Lazaro Hospital
Mental Hospital
Ward Attended
Medical Surgical Ward
Medical Ward
OB Ward
Neonatal Intensive Care Unit (NICU)
Orthopedic Ward
Cases Assisted in OR
Cesarean
Appendectomy
Total Abdominal Hysterectomy and Bilateral Salpingo Oophorectomy
Program Manager of Residential Services at Genesis Alliance For Mental Wellness Llc | DecaturProgram Manager of Residential Services at Genesis Alliance For Mental Wellness Llc | Decatur