Experienced with strategic planning and project management. Utilizes leadership skills to drive team performance and operational excellence. Track record of delivering high-impact results through innovative problem-solving and effective communication.
Work History
Clinical Reimbursement Director
1 Month
Life Care Services | 05.2026 - Current
Led strategic initiatives to enhance resident care quality and operational efficiency for efficient and timely submission of assessments and claims.
Developed and implemented staff training programs to improve service delivery standards.
Fostered interdisciplinary collaboration to optimize care coordination across departments.
Streamlined processes for regulatory compliance, ensuring adherence to industry standards.
Utilization and Case Management role-Adhere timely submission of clinical documents for review for Managed Care Insurance.
Assist Nursing department as needed.
Planview
3 Years 8 Months
Medical Data System | 09.2022 - 05.2026
Hours per week: 40
Duties, Accomplishments and Related Skills:
1. Assessments and Submit Payment for Medicare and Managed Care insurance
2. Case management duties for Managed Care
3. Assist and support Nursing Department as needed
Supervisor: Danny Davis (7277246800)
Okay to contact this Supervisor: Yes
Life Care Services
3 Years 1 Month
Medical Data System/Nurse Manager | 08.2019 - 09.2022
Hours per week: 40
Duties, Accomplishments and Related Skills:
Currently function as Medical Data System/Nurse Manager for busy skilled unit. Oversee the daily nursing department tasks for rehab and long term care in collaboration with other interdepartmental team. Started with the company 15yrs, as floor nurse, nurse supervisor, nurse manager, Assistant Dir of Nursing, Director of Nursing, now MDS/RAIC/ Nurse Manager for skilled unit
Supervisor: Bernie Balderian (7273199199)
Okay to contact this Supervisor: Yes
Education
Bachelor of Science in Nursing/Registered Nurse - Philippines
Baguio City | 01-1994
Bachelor's degree
Credits Earned: Semester Hours
Skills
Relationship building
Strategic planning
Verbal and written communication
Decision-making
Language Skills
Tagalog
Spoken Advanced
Written Advanced
Read Advanced
Availability
Work Schedule: Full-time, Part-time
Timeline
Clinical Reimbursement Director
Life Care Services
05.2026 - CurrentRead More
Planview
Medical Data System
09.2022 - 05.2026Read More
Life Care Services
Medical Data System/Nurse Manager
08.2019 - 09.2022Read More
Baguio City
Bachelor of Science in Nursing/Registered Nurse from Philippines
Clinical Reimbursement Director at Rehabilitation and Healthcare Center of TampaClinical Reimbursement Director at Rehabilitation and Healthcare Center of Tampa