EMERSON ULPINDO
Hewlett
Summary
Registered Nurse with extensive experience in emergency care, surgical nursing, and clinical review across hospital and healthcare settings. Skilled in pre-operative and post operative care, patient assessment, and acute care interventions. Experienced in working with multidisciplinary teams to deliver safe, high-quality patient care. Strong background in ENT surgery, trauma care, and utilization review. Committed to improving patient outcomes and maintaining high standards of clinical excellence.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Clinical Claim Review Nurse
Optum Global Solutions, Inc.
02.2025 - 11.2025
- Conducted utilization review and medical necessity evaluations for inpatient and outpatient cases
- Reviewed provider documentation and treatment plans for compliance with payer guidelines
- Applied clinical criteria (InterQual, MCG, UnitedHealthcare guidelines) to determine appropriate level of care
- Collaborated with physicians and case managers to support accurate clinical decisions
- Identified gaps in care and escalated complex cases as needed
- Maintained accurate and compliant clinical documentation
Healthcare Virtual Assistant / Pod Coordinator
HelloRache (Psychiatry Practice)
06.2019 - 02.2025
- Coordinated patient care, scheduling, and provider workflows in a virtual healthcare setting
- Performed insurance verification, prior authorizations, and billing support
- Managed patient communication and administrative tasks to ensure continuity of care
- Maintained accurate patient records and documentation
- Supported providers in daily clinical and operational activities
Emergency Room Nurse
PLTC Inc., Lusi A. Tiam Medical Center
05.2018 - 06.2019
- Performed rapid assessment and prioritization of patients based on clinical condition and acuity
- Managed patients with trauma, cardiac emergencies, respiratory distress, and acute conditions
- Conducted comprehensive assessments including neurological status, vital signs, and pain evaluation
- Administered emergency medications, IV fluids, and life-saving interventions
- Assisted in procedures including CPR, intubation, defibrillation, and ACLS protocols
- Monitored cardiac rhythms and responded to changes in patient condition
- Collaborated with the emergency team to deliver timely and effective care
- Provided patient and family education in high-stress situations
- Ensured compliance with infection control and patient safety standards
Staff Nurse, Surgical Ward
King Abdulaziz University Hospital, KSA
11.2014 - 02.2018
- Delivered specialized nursing care for patients undergoing ENT surgeries, including but not limited to Nasal surgeries, ear surgeries, thyroidectomy, tonsillectomy, tracheostomy, and tumor resections
- Conducted comprehensive pre-operative medical evaluations, including patient history review and assessment
- Prepared patients for surgery, ensuring completion of consents, diagnostics, and pre-op protocols
- Monitored post-operative patients with focus on airway stability, respiratory function, and early detection of complications
- Provided tracheostomy care, including suctioning, airway maintenance, and patient education
- Administered medications, IV therapies, and post-surgical treatments
- Performed wound care and dressing changes using sterile technique
- Collaborated with surgeons, anesthesiologists, and multidisciplinary teams
- Educated patients and families on post-surgical care and recovery
- Managed multiple patients, prioritizing care based on acuity
Staff Nurse, Surgical Ward
Royal Commission Health Services Program, KSA
03.2011 - 01.2014
- Provided bedside nursing care for patients in general surgery, orthopedic, neurosurgery, vascular, and ENT
- Assisted with pre-operative preparation and supported post-operative recovery
- Monitored vital signs, neurological status, and patient response to treatment
- Supported patient mobility, rehabilitation, and activities of daily living (ADLs)
- Administered medications and IV therapy
- Observed for complications and reported changes in patient condition promptly
- Educated patients and families on recovery and safety measures
- Maintained accurate documentation and followed infection control protocols
Education
Bachelor of Science - Nursing
Saint Mary’s University
Skills
- Emergency & Acute Care Nursing
- Medical-Surgical Nursing
- Pre-operative & Post-operative Care
- Airway Management & Tracheostomy Care
- Patient Assessment & Monitoring
- Wound Care & Infection Control
- Medication Administration & IV Therapy
- Clinical Documentation
- Patient & Family Education
- Interdisciplinary Collaboration
- HIPAA Compliance
Certification
- NCLEX- Registered Nurse
- Saudi Commission for Health Specialties – Registered Nurse
- Philippine Nursing Licensure Exam (NLE) – Registered Nurse
TRAININGS & CERTIFICATIONS
- AHA Basic Life Support for providers
- InterQual Criteria Training
- American Society of Addiction Medicine (ASAM) Criteria
- HIPAA Certification
- Healthcare Virtual Assistant Training
- Cultural Competency
- Business Writing
ADDITIONAL INFORMATION
- Authorized to work in the United States
- Available for day, evening, or night shifts
Timeline
Clinical Claim Review Nurse
Optum Global Solutions, Inc.
02.2025 - 11.2025
Healthcare Virtual Assistant / Pod Coordinator
HelloRache (Psychiatry Practice)
06.2019 - 02.2025
Emergency Room Nurse
PLTC Inc., Lusi A. Tiam Medical Center
05.2018 - 06.2019
Staff Nurse, Surgical Ward
King Abdulaziz University Hospital, KSA
11.2014 - 02.2018
Staff Nurse, Surgical Ward
Royal Commission Health Services Program, KSA
03.2011 - 01.2014
Bachelor of Science - Nursing
Saint Mary’s University