Medical professional seeking Utilization Review Nurse position with a company utilizing problem solving, critical thinking, and communication skills, as well as nursing background.
Overview
8
8
years of professional experience
Work History
Charge RN
Townhouse Extended Care Facility
08.2016 - 11.2020
Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols
Implemented quality patient care techniques to align with safety, health, and organizational regulations
Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift
Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments
Charge RN (Per Diem)
Sapphire Center For Nursing And Rehabilitation
07.2016 - 10.2016
Charge RN
Cypress Garden Center For Nursing & Rehabilitation
02.2016 - 08.2016
Senior Executive UM Nurse
EXL Service Philippines, Inc
08.2012 - 03.2015
Responsible for obtaining complete and accurate insurance information, benefit verification.
Reviewing patient clinical information for medication (specialty drugs) and dialysis visit requests including number of services, authorization and drug/treatment codes, re-authorization and continued visit necessary for ongoing treatment.
Responsible for obtaining Physician Prescription for drug requests and clinical information for evaluation.
Assisted with entering pertinent patient information into electronic medical record, verifying insurance eligibility, and proper documentation.
Education
Bachelor of Science - Nursing
Ecumenical Christian College
Matatalaib, Tarlac City, Philippines
04.2009
CA LICENSE NUMBER:
RN95362409
NY License Number:
648339-1
Character Reference
Will be provided per request.
Timeline
Charge RN
Townhouse Extended Care Facility
08.2016 - 11.2020
Charge RN (Per Diem)
Sapphire Center For Nursing And Rehabilitation
07.2016 - 10.2016
Charge RN
Cypress Garden Center For Nursing & Rehabilitation