JAMIE VILLACERAN
Summary
Compassionate and dedicated professional with over 8 years of nursing experience in various healthcare settings-bedside and non bedside alike. Proven ability to deliver high-quality patient care, manage complex cases, and collaborate effectively with interdisciplinary teams. Seeking to leverage expertise in a challenging nursing role to enhance patient outcomes.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Staff nurse
Pruitthealth Austell
03.2023 - Current
- Facilitate post-hospitalization care for optimal patient outcomes
- Coordinate with clinical professionals to execute patient-focused solutions
- Maintained accurate records of patient progress notes, medications administered and other relevant data.
- Engages effectively with patients, families, and medical staff.
- Manages multiple tasks simultaneously while maintaining quality standards of care.
Medical Evidence Specialist
Globaltek Ph - Trajector Medical
06.2022 - 02.2023
- Developed medical documentation for veterans' compensation claims
- Facilitated proper acquisition of VA ratings based on assessments
- Assisted in developing strategies to increase customer satisfaction levels.
Utilization Review Nurse
Hinduja Global Solutions - The Cigna Group
03.2019 - 01.2022
- Evaluated clinical documentation for accuracy and completeness in order to make decisions about coverage determinations.
- Reviewed denial letters issued by insurance companies to ensure that they were appropriate and timely.
- Monitored pre-authorization requests to ensure that all necessary information was received prior to approval or denial of services using company policies, MCG, EviCore among other guidelines.
Care Associate
Hinduja Global Solutions - The Cigna Group
11.2017 - 03.2019
- Assisted in navigating healthcare benefits utilization
- Oversaw inbound, outbound, and offline duties to boost patient engagement
Staff nurse
Victor R. Potenciano Medical Center
04.2015 - 08.2017
- Provided comprehensive bedside nursing care in both medical and surgical wards.
- Worked alongside medical teams to deliver holistic patient care.
- Evaluated the effectiveness of nursing interventions and modified plans as needed.
- Implemented infection control measures to reduce the spread of contagious diseases.
- Provided direct patient care including wound dressing, administering medication and IV therapy.
Education
Bachelor of Science in Nursing -
Southeast Asian College Inc.
01.2011
Skills
- Patient Advocacy
- Clinical Assessment
- Care Plan Development
- Team Collaboration
- Proficient Interpersonal Communication
- Medication and IV administration
- Cultural competence
- Patient Management
- Medical Evidence Formulation
- Knowledgeable in Utilization Review Standards
Certification
- GA License holder - active
- Multistate License holder - active
Accomplishments
- Pruitthealth Austell Employee of the month in August 2023
- Helium CPAN Top performer award on two different occasions
- Care Associate Wave 7 Quality Champion award
- Helium Care Associate Wave 7 Top performer award
References
- Beverly, Strachan, Unit Manager, Beverly.Strachan@pruitthealth.com, 9172955756, Pruitthealth Austell
- Beverly, Dayson, Nurse, 6303102350, Asperion Care
- Carissa, Zamora, Shift Manager, Carissa.Zamora@hgshealthcare.com, +639173224616, Betaine Ph
Timeline
Staff nurse
Pruitthealth Austell
03.2023 - Current
Medical Evidence Specialist
Globaltek Ph - Trajector Medical
06.2022 - 02.2023
Utilization Review Nurse
Hinduja Global Solutions - The Cigna Group
03.2019 - 01.2022
Care Associate
Hinduja Global Solutions - The Cigna Group
11.2017 - 03.2019
Staff nurse
Victor R. Potenciano Medical Center
04.2015 - 08.2017
Bachelor of Science in Nursing -
Southeast Asian College Inc.