DEERYL ROSOLADA
St Louis,Missouri
Summary
Patient-oriented Nurse with 17 years of diverse experience in direct patient care, staff supervision and department operations. Skilled at multitasking and prioritizing patient needs and daily assignments. Proven expertise in developing and implementing individualized care plans, collaborating with interdisciplinary teams, and ensuring compliance with regulatory standards. Adept at managing complex patient needs, including geriatric and post-acute care, with a strong commitment to improving patient outcomes and quality of life. Licensed in Missouri (Compact State) and New York, with additional certifications in wound care, virtual nursing, and data analysis.
Overview
17
17
years of professional experience
1
1
Certification
Work History
RN - SNF - Rehab
Bethesda Health Group
02.2023 - Current
- Assessed, planned, implemented, and evaluated individualized care plans for patients in collaboration with interdisciplinary teams, ensuring alignment with their rehabilitation goals
- Administered medications, treatments, and therapies as prescribed, while closely monitoring patients’ progress and adjusting care plans as needed
- Educated patients and their families on post-discharge care, including medication management, wound care, and lifestyle modifications, to promote long-term recovery and independence
- Collaborated with physical, occupational, and speech therapists to provide holistic care and support patients in achieving their maximum functional abilities
- Maintained accurate and timely documentation in electronic medical records (EMR) systems, ensuring compliance with state and federal regulations
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
Inpatient Concurrent Review Nurse
Cognizant Technology Solutions
07.2022 - 01.2023
- Conducted real-time reviews of inpatient medical records to ensure compliance with clinical criteria, payer guidelines, and regulatory standards
- Collaborated with physicians, case managers, and interdisciplinary teams to validate the medical necessity of inpatient admissions and continued stays
- Utilized evidence-based guidelines (e.g., InterQual, MCG) to assess the appropriateness of care, level of care, and patient progression toward discharge goals
- Identified potential delays in care or barriers to discharge and facilitated timely interventions to improve patient outcomes and reduce length of stay
- Documented findings and communicated recommendations to healthcare teams, ensuring alignment with treatment plans and payer requirements
- Monitored and tracked denials, appeals, and documentation gaps, providing education to staff to improve compliance and reduce denials
- Participated in utilization review meetings and provided data-driven insights to support quality improvement initiatives
- Maintained up-to-date knowledge of Medicare, Medicaid, and commercial payer regulations, as well as state and federal healthcare policies
- Ensured accurate and timely documentation in electronic health records (EHR) and utilization management systems
- Improved patient outcomes by conducting thorough concurrent reviews and recommending appropriate care plans.
Demand Response Specialist | Data Analyst
VirtualRns
01.2022 - 12.2022
- Analyzed data and prepared demand letters for unpaid insurance (Part B) claims
- Responsible for ensuring daily targets and quality are met
- Runs report for multiple provider accounts financial analysis (healthcare insurance claims) using the following software (Practice Fusion, Contomed, Kareo, Advance MD, NuMD, Clinic Source, Practice Panther, etc.)
- Followed all company policies and procedures to deliver quality work.
- Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
- Collaborated with cross-functional teams to achieve project goals on time and within budget.
HEDIS DATA ABSTRACTOR WCC
Cognizant Technology Solutions
01.2022 - 05.2022
- Assesses children and adolescents 3-17 years of age who had an outpatient visit with a primary care practitioner or OB/GYN during the measurement year and had evidence of: Body mass index (BMI) percentile documentation
- Counseling for nutrition
- Counseling for physical activity
- Because BMI norms for youth vary with age and gender, this measure evaluates whether the BMI percentile is assessed, rather than an absolute BMI value
- I was also trained and certified for abstraction of the following measures Childhood Immunization Status, Immunizations for Adolescents, Colorectal Cancer Screening, Controlling High Blood Pressure, Hemoglobin A1c Control for Patients with Diabetes
- Prioritized tasks effectively to manage competing priorities without compromising work quality or missing deadlines.
- Regularly communicated with project stakeholders regarding progress updates, challenges encountered, and proposed solutions for any identified issues.
Team Lead
Cognizant Technology Solutions
01.2016 - 12.2020
- Company Overview: Global Medical Device Vigilance - Post Market Surveillance
- Provide leadership, guidance, and support to a group of patient safety and quality associates
- Responsible for quality delivery and overall service and program performance for daily communication with client counterparts
- Lead the initiative and implementation of process improvement opportunities
- Identifying and prioritizing tasks based on the client/process needs
- Global Medical Device Vigilance - Post Market Surveillance
- Trained new team members by relaying information on company procedures and safety requirements.
- Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
Quality Analyst
Wipro BPS
01.2012 - 12.2016
- Company Overview: Global Device Vigilance
- Review medical device complaints received from the global source and assess for regulatory compliance, reportability, and potential impact on patient safety and business operation
- Global Device Vigilance
General Hospital Nurse
Our Lady of Rule Maternity and General Hospital
01.2008 - 12.2012
- Provided comprehensive nursing care across Obstetrics, Pediatrics, Emergency, and Medical-Surgical units, ensuring high-quality, patient-centered care in a fast-paced hospital environment.
- Conducted thorough patient assessments and developed individualized care plans, administering medications and treatments while adhering to the “Five Rights” of medication administration.
- Monitored and documented patients’ vital signs, symptoms, and responses to treatments, promptly reporting changes to the healthcare team.
- Obstetrics: Assisted in labor and delivery, monitored fetal and maternal conditions, and educated new mothers on postpartum care.
- Pediatrics: Delivered compassionate care to infants and adolescents, administered vaccinations, and collaborated with families on health education.
- Emergency: Responded to trauma, cardiac arrests, and acute illnesses, providing life-saving interventions such as CPR, and wound management.
- Medical-Surgical: Managed post-operative and chronic care patients, including wound care, pain management, and discharge education.
- Maintained accurate documentation in compliance with Philippine Nursing Act (RA 9173) and hospital policies, ensuring a safe and infection-controlled environment.
- Participated in continuing education to stay updated on nursing best practices and advancements.
Education
Bachelor of Science - Nursing
University of Bohol
Tagbilaran City, Bohol, Philippines01.2007
Skills
- Patient-Centered Care Geriatric and Post-Acute Care Rehabilitation Nursing
- Interdisciplinary Collaboration Care Plan Development Patient and Family Education
- Wound Care Management Medication Administration Emergency Response
- Electronic Medical Records (EMR) Data Analysis Regulatory Compliance
Certification
- USRN – New York
- USRN – Missouri - Compact State
- Philippines Registered Nurse
- Completed Virtual RN certification
- Data Storytelling
- Excel Intermediate Certification
- Wound Care (Wound Skin Ostomy Management)
Credentials
- RN
- BSN
Timeline
RN - SNF - Rehab
Bethesda Health Group
02.2023 - Current
Inpatient Concurrent Review Nurse
Cognizant Technology Solutions
07.2022 - 01.2023
Demand Response Specialist | Data Analyst
VirtualRns
01.2022 - 12.2022
HEDIS DATA ABSTRACTOR WCC
Cognizant Technology Solutions
01.2022 - 05.2022
Team Lead
Cognizant Technology Solutions
01.2016 - 12.2020
Quality Analyst
Wipro BPS
01.2012 - 12.2016
General Hospital Nurse
Our Lady of Rule Maternity and General Hospital
01.2008 - 12.2012
- USRN – New York
- USRN – Missouri - Compact State
- Philippines Registered Nurse
- Completed Virtual RN certification
- Data Storytelling
- Excel Intermediate Certification
- Wound Care (Wound Skin Ostomy Management)
Bachelor of Science - Nursing
University of Bohol
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