Jahzeel Shem Villamor
Amarillo,TX
Summary
Experienced healthcare professional skilled in patient care, critical thinking, and communication. Strong focus on team collaboration and achieving optimal patient outcomes. Reliable and adaptable, ensuring efficient and compassionate care in dynamic environments. Equipped with expertise in medical procedures, patient assessments, and care coordination.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Registered Nurse
BSA Hospital
04.2025 - Current
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
Registered Nurse/Charge Nurse
Rehabilitation Center of South Georgia
04.2024 - 03.2025
- Provide compassionate care to patients, ensuring their comfort and well-being. Collaborate with multidisciplinary teams to develop and implement effective treatment plans.
- Assess patient conditions, interpret diagnostic tests, and administer medications accurately. Monitor vital signs and maintain detailed medical records for optimal care.
- Foster strong relationships with doctors, therapists, and support staff. Participate in interdisciplinary meetings to ensure comprehensive patient care and treatment coordination.
- Facilitate seamless interdisciplinary communication, optimizing patient care through effective coordination with doctors, therapists, and support staff.
- Ensure precise medication administration and maintain comprehensive medical records, contributing to high-quality, continuous patient care.
RN Case Manager
Memorial Hermann Hospital Systems (Shearwater)
04.2022 - 03.2024
- Engage patient, family, and caregivers telephonically to assure that a well-coordinated action plan is established and continually assess health status
- Identify patient needs, close health care gaps, develop action plan and prioritize goals
- Conducts a transition discharge assessment onsite and/or telephonically to identify member needs at time of transition to a lower level of care
- Utilize motivational interviewing techniques to understand cause and effect, gather or review health history for clinical symptoms, and determine health literacy using the social determinants of health.
- Collaborates effectively with Interdisciplinary Care Team to establish an individualized transition plan and/or action plan for patients
- Conduct discharge assessments, ensuring seamless transitions and addressing care gaps.
- Collaborate with care teams to develop personalized patient action plans.
- Apply motivational interviewing to evaluate health literacy and clinical symptoms.
- Identify patient needs and prioritize goals, achieving measurable health improvements.
Aetna Case Management Nurse
AETNA (EXL Service Philippines)
02.2016 - 11.2021
- Receive/assess cases directly from IQA (Inbound Queue Associates)/customer service and task them accordingly to the type of cases they were requested for.
- Collaborate directly with UM nurse reviewer to reach decisions or determination in a timely manner
- Check and review clinical information sent by providers and send them to specific reviewers
- Identifying Urgent cases firsthand to address them in a timely manner
- Responsible in following up clinical information from providers or in cases needing additional information to make a determination
- Assessed and prioritized cases from IQA/customer service, ensuring timely task assignment.
- Collaborated with UM nurse reviewers for prompt decision-making and case determinations.
- Referred complex cases to Medical Directors, ensuring accurate final determinations.
- Identified urgent cases promptly, enhancing response times and case resolution.
- Fostered seamless communication between providers, Medical Directors, and internal teams. Facilitated complex case resolutions through effective coordination.
Aetna Utilization Management Nurse
AETNA (EXL Service Philippines)
11.2021 - 04.2021
- Utilize independent scope of practice to identify, evaluate, and provide utilization review services for patients and analyze information supplied by physicians or other clinical staff to make timely review determinations, based on appropriate criteria and standards.
- Proactively refer cases to the physician advisor for medical necessity reviews, peer-to-peer reviews, and denial avoidance.
- Responsible for performing a variety of pre-admission, concurrent UM related reviews and functions.
- Assess assigned patient population for medical necessity, level of care, and appropriateness of setting and services.
- Conducted utilization reviews to ensure adherence to clinical standards, enhancing patient care.
- Referred complex cases for peer review, effectively reducing denial rates.
- Performed pre-admission and concurrent reviews, optimizing resource allocation.
- Assessed medical necessity, improving patient outcomes through appropriate care.
- Collaborated with physician advisors to streamline complex case management.
Aetna Precert (Nurse Associate)
AETNA (EXL Service Philippines)
11.2013 - 02.2016
- Scheduled surgeries, ensuring accurate CPT and ICD 10 codes
- Strictly adhered to HIPAA guidelines, enhancing compliance
- Communicated plan benefits, improving provider satisfaction
- Optimized provider call handling, reducing wait times and enhancing overall customer satisfaction in surgery and procedure scheduling.
- Meticulously managed plan benefit details, minimizing errors and providing clear, concise information to healthcare providers and patients.
- Fostered strong relationships with healthcare providers, facilitating smooth communication and expediting the precertification process for surgeries and procedures.
Registered Nurse
Zanorte Medical Center
08.2011 - 01.2013
- Delivered patient care in ER, wards, and OR, ensuring adherence to medical protocols.
- Executed doctors’ orders, enhancing patient recovery and satisfaction.
- Administered medications accurately, reducing errors and improving patient outcomes.
- Conducted health education sessions, promoting patient understanding and compliance.
- Utilized BLS, ACLS, and ECG skills, improving emergency response efficiency.
- Streamlined medication administration processes, ensuring accurate and timely delivery. Conducted targeted health education sessions, improving patient outcomes and satisfaction.
- Fostered interdisciplinary teamwork in surgical and medical wards, optimizing patient care coordination. Contributed to ECG reading accuracy, supporting precise diagnoses.
Registered Nurse
Balamban Provincial Hospital
11.2010 - 07.2011
- Delivered patient care across hospital units, enhancing assessment precision and emergency response.
- Collaborated with teams to elevate emergency care, optimizing patient outcomes and satisfaction.
- Supported diverse patient needs using nursing skills, achieving notable improvements in care quality.
- Rotated through various hospital units, adapting quickly to team dynamics and contributing to seamless patient care across departments.
- Streamlined patient intake process in Emergency Room, reducing wait times and improving overall patient satisfaction.
Education
Bachelor of Science - Nursing
Dipolog Medical Center
Dipolog City, Philippines03-2010
Skills
- BLS/CPR (Experienced), PointClick Care (Experienced), Cerner (Experienced), Case management, Utilization review, Patient care, Communication, Problem-solving, Adaptability, Teamwork, BLS, ACLS, HIPAA compliance, Attention to detail, Quick learner, Independent work, ECG
- Medication and IV administration
- Patient assessments
- Direct patient care
- Infection control measures
- Compassion and empathy
Certification
- Nursing Licenses
- Texas Board of Nursing:
- Registered Nurse
- License Number: 1083910
- New Mexico Board of Nursing
- License Number: 66102
- PHRN License Number: 0661507
- Professionals Regulation Commissions
- Philippine Registered Nurse
- License Number: 0661507
- Basic Life Support
- American Heart Association
LANGUAGES
English, Tagalog.
Timeline
Registered Nurse
BSA Hospital
04.2025 - Current
Registered Nurse/Charge Nurse
Rehabilitation Center of South Georgia
04.2024 - 03.2025
RN Case Manager
Memorial Hermann Hospital Systems (Shearwater)
04.2022 - 03.2024
Aetna Utilization Management Nurse
AETNA (EXL Service Philippines)
11.2021 - 04.2021
Aetna Case Management Nurse
AETNA (EXL Service Philippines)
02.2016 - 11.2021
Aetna Precert (Nurse Associate)
AETNA (EXL Service Philippines)
11.2013 - 02.2016
Registered Nurse
Zanorte Medical Center
08.2011 - 01.2013
Registered Nurse
Balamban Provincial Hospital
11.2010 - 07.2011
Bachelor of Science - Nursing
Dipolog Medical Center
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