Elaine Bella-Nuyda
BSN RN
Chula Vista,CA
Summary
Registered Nurse with strong background in patient care and medical support. Known for collaborative work with medical teams to deliver high-quality care and adapt to evolving patient needs. Expertise in patient assessment and medication administration, along with compassionate care and reliability. Works well with diverse populations and fosters trusting relationship to improve outcomes.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Pre Op /PACU Registered Nurse
California Retina Associates
09.2024 - Current
- Monitored patient vital signs and recovery progress post-anesthesia to ensure optimal outcomes.
- Assisted in the management of pain control protocols tailored to individual patient needs.
- Collaborated with surgical teams to facilitate smooth transitions from surgery to recovery.
- Educated patients and families on post-operative care and recovery expectations for improved compliance.
- Implemented infection control measures, enhancing safety standards within recovery unit.
- Analyzed recovery patterns to recommend process improvements, enhancing overall efficiency of PACU operations.
- Enhanced patient safety by diligently monitoring vital signs and administering medications postsurgery.
- Maintained accurate records of medication administration, vital signs monitoring, and other critical data points for proper evaluation of patients'' progress during recovery.
- Mentored new PACU nurses, sharing best practices for efficient patient turnover and discharge processes.
- Improved patient satisfaction by providing compassionate care and maintaining open communication with patients and families.
- Promoted teamwork among nursing staff, fostering a supportive environment conducive to high-quality patient care.
- Assisted in maintaining a clean and organized work environment, adhering to infection control standards for optimal patient health.
- Increased patient comfort during recovery by addressing anxiety and concerns about surgery results.
- Managed challenging cases effectively by utilizing clinical judgment, problem-solving skills, and prioritization techniques in dynamic situations.
- Conducted regular equipment checks to ensure all devices were functioning correctly, thus reducing the risk of complications and enhancing patient safety.
- Prevented potential adverse reactions by carefully screening patients'' allergies before administering medications or performing interventions.
QUALITY ASSURANCE ANALYST NURSE
EXL SERVICE INC
06.2016 - 12.2019
- Mentored and coached team members on QA topics and strategies.
- Participated in regular meetings with cross-functional teams to discuss progress updates, communicate concerns or challenges, and ensure alignment of project goals.
- Reported progress, test metrics and results to project stakeholders.
- Maintained comprehensive knowledge of relevant industry regulations and standards, ensuring compliance throughout the QA process.
- Performed in updating and improving process guidelines/process flows for the claims review nurses,
- Assisted teammates in developing skills necessary to grasp application concepts and tool suite.
- Organized and maintained work environment to allow for maximum productivity.
- Championed quality assurance initiatives within the organization by promoting a culture of continuous improvement and striving for excellence in all aspects of product development.
- Supported company in maintaining work environment focused on quality, communication, collaboration, integration, and teamwork.
- Conducted training sessions for junior QA analysts, enhancing their skills and knowledge of industry best practices.
- Evaluated new tools and techniques to stay current on market trends, incorporating innovative approaches into the QA process when applicable.
- Fixed identified issues to increase productivity and boost workflows.
PROCESS TRAINER
EXL SERVICE INC.
06.2014 - 12.2018
- Give newly hired nurses a walkthrough about the process - introduction, terms used in health insurance claims, and the process flow.
- Provided subject matter expertise on all company offerings.
- Delivered robust training courses via classroom and e-learning programs.
- Created unique materials to support training programs.
- Created engaging learning experiences by incorporating real-world examples and case studies into the curriculum.
- Enhanced process efficiency by identifying areas of improvement and implementing necessary changes.
- Collaborated with cross-functional teams for seamless integration of new processes and systems.
- Facilitated post-training evaluations, using feedback gathered to further refine future iterations of course materials and delivery methods.
- Delivered high-quality training sessions, leading to increased productivity among team members.
- Implemented continuous improvement initiatives to optimize process efficiency and effectiveness.
- Evaluated the effectiveness of various training methods, making data-driven decisions to improve program delivery moving forward.
- Conducted thorough assessments of trainee progress, ensuring timely feedback for performance improvement.
- Streamlined training modules for increased trainee comprehension and retention.
- Ensured alignment between training objectives and company goals, resulting in better overall business outcomes.
- Provided coaching and mentoring to employees.
- Established and maintained quality control standards.
- Analyzed and evaluated training effectiveness and program outcomes.
- Facilitated virtual, in-person and blended learning sessions.
CLINICAL CLAIMS REVIEW / UTILIZATION REVIEW NURSE
EXL SERVICE INC
12.2013 - 06.2014
- Performed retro authorization review for Humana insurance cases for denied claims that needed RMD review or check if guidelines were met through criteria.
- Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
- Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
- Maintained professional competence by staying current on industry trends, best practices, and regulatory requirements specific to utilization review nursing.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Mitigated potential legal issues related to improper admission or discharge decisions by consulting with physicians regarding complex cases that required further clarification.
- Performed retro authorization review of services requiring notification.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Contributed to organizational success by providing expert advice on medical necessity criteria and evidence-based practices in utilization review nursing.
- Enhanced patient satisfaction by collaborating with interdisciplinary teams to develop individualized care plans, ensuring appropriate level of care.
- Promoted positive outcomes with proactive assessment of patients'' needs and development of targeted interventions to address identified barriers to recovery.
- Utilizes CGX, CCP and Outlook office in reviewing claims that needs determination within appropriate time frame.
OCCUPATION HEALTH AND SAFETY NURSE
MA TECHNOLOGY INC
12.2010 - 12.2013
- 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.
- First line in department of safety for all employees,
- Refer patients to hospitals for further medical management.
- Provide first aid in case of accidents.
- Lead the department for annual physical examinations, health programs such as vaccinations and health prevetions.
Registered Nurse (General)
Kawit Maternity And Pediatric Hospital
02.2008 - 08.2008
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Managed care from admission to discharge.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- 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.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
- Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Promoted a culture of safety within the healthcare facility by participating in quality improvement initiatives, identifying potential hazards, and advocating for best practices in nursing care delivery.
- Organized and managed care of patients undergoing various therapies and procedures.
- Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
- Streamlined medication administration processes for increased safety and accuracy during busy shifts.
- Educated family members and caregivers on patient care instructions.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Managed patients recovering from medical or surgical procedures.
- Evaluated patient histories, complaints, and current symptoms.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Monitored patient reactions after administering medications and IV therapies.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Education
Bachelor of Science - Nursing
Saint Joseph College
Philippines03.2007
Skills
- Labor and delivery Nurse
- Medication and IV administration
- Occupation and Safety Health nurse
- Quality Assurance
- Quality processes
- Compassion and empathy
- Professional bedside manner
- Patient discharge
- EMR systems
- Intake and discharge
- Maintaining privacy
- Relationship building
- Quality management knowledge
- Critical thinking abilities
- Group Presentations
- Process Implementation
- Documentation and Charting
- Patient Assessment
- Strong Clinical Judgment
- Patient education and counseling
- Patient and family advocacy
- Direct patient care
- Care Plan Development
- Patient Management
- Family Education
- Taking vitals
- Chart updating
- Treatment Planning
- HIPAA Education
- Health screening
- Case Management
- Feeding pumps understanding
- Preventive health
- Evaluations
Accomplishments
Awarded as top QCA every quarter with perfect audit onshore score
Certification
- California Licensed Registered Nurse
- Advanced Cardiac Life Support Healthcare Provider
- Basic Life Support (CPR/AED) Healthcare Provider
- Pediatric Advanced Cardiac Life Support Provider
Languages
English
Professional Working
Tagalog
Native or Bilingual
Timeline
Pre Op /PACU Registered Nurse
California Retina Associates
09.2024 - Current
QUALITY ASSURANCE ANALYST NURSE
EXL SERVICE INC
06.2016 - 12.2019
PROCESS TRAINER
EXL SERVICE INC.
06.2014 - 12.2018
CLINICAL CLAIMS REVIEW / UTILIZATION REVIEW NURSE
EXL SERVICE INC
12.2013 - 06.2014
OCCUPATION HEALTH AND SAFETY NURSE
MA TECHNOLOGY INC
12.2010 - 12.2013
Registered Nurse (General)
Kawit Maternity And Pediatric Hospital
02.2008 - 08.2008
Bachelor of Science - Nursing
Saint Joseph College
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