JOAN DELA CRUZ
Palmetto,GA
Summary
Bachelor of Science in Nursing degree holder. Licensed Professional Registered Nurse. Fifteen years of work experience in Healthcare industry both on clinical and corporate setting. Experienced Compliance and Regulatory Affairs Specialist with a thorough understanding of regulatory standards and compliance procedures. Ensured consistent adherence to industry guidelines in previous roles, demonstrating strong analytical skills and the ability to effectively interpret and implement policies. Strengths include risk assessment, process improvement, and collaboration with cross-functional teams to promote operational efficiency.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Regulatory Affairs Specialist
Cognizant Technology Solutions, CTS
Palmetto, GA
01.2024 - Current
- Collaborated closely with cross-functional teams on product design, manufacturing processes, quality assurance.
- Provided guidance on interpretation of applicable laws and regulations governing product development activities.
- Reviewed and compiled regulatory documents to ensure compliance with international regulations.
- Facilitated communication between internal departments and external stakeholders.
- Maintained records of all regulatory filings and correspondence.
- Interpreted regulatory guidelines from multiple jurisdictions and provided advice accordingly.
- Performed periodic reviews of existing products to ensure ongoing compliance with applicable laws and regulations.
- Monitored changes in legislation related to medical device regulation, labeling, and marketing claims.
- Established and oversaw and regulatory procedures.
- Organized and maintained all files related to regulatory actions.
- Monitored regulatory change required by new and revised laws and regulations, communicating complex protocols and determining operational impacts.
- Managed regulatory change required by new and revised laws and regulations, communicating complex requirements and identifying operational impacts.
REGISTERED NURSE
PruittHealth
, GA
02.2023 - 01.2024
- Applies the nursing process to plan and implement the care of patients, including patient and family education and continuum of care planning. Effectively communicates pertinent patient/family information to the health care team. Collaborates in establishing patient goals and evaluates progress to ensure effective outcomes.
- Key Responsibilities
Collaborates in establishing the plan of care, coordinates and implements care delivery while anticipating patient care needs across the continuum
Analyzes comprehensive information pertinent to the patient's care and management to determine nursing diagnosis
Continually utilizes the nursing process to evaluate patient's progress towards goals and applies appropriate interventions to ensure effective outcomes
Employs strategies to promote health and a safe and healthy environment
Technical Capabilities
Care Planning
Nursing Patient Education
Nursing Patient Assessment & Evaluation
Evidence-Based Practice
HEALTHCARE REGULATORY COMPLIANCE TEAM MANAGER
Cognizant Technology Solutions
Manila, Philippines
05.2019 - 02.2023
- Coordinate and implement compliance requirements throughout the organization to ensure that applicable federal, state and contractual requirements are effectuated appropriately
- Seek to implement systems to help with the overall administration of its compliance program
- Systemic solutions are required for the following processes:
- Intake and tracking of Regulatory Guidance changes
- Assignment of Regulatory Guidance to applicable to internal departments
- Reporting on operational monitoring results
HEALTHCARE REGULATORY COMPLIANCE AUDITOR
Convey Health Solutions
02.2018 - 05.2019
- Assist Compliance Manager in assessing Medicare program guidelines
- Evaluate internal and external processes and policies to ensure compliance with regulatory guidelines
- Act as an internal resource and subject matter expert on Medicare guidelines, providing regulatory guidance and interpretation to business owners to ensure ongoing compliance and consistency
- Conduct internal risk assessments to examine Compliance Program Effectiveness and assess specific processes to measure existing controls, identify potential risk areas and gaps, implement a corrective action plan as well as identify priority areas
- Perform regular as well as unscheduled internal compliance audits on operational departments to ensure compliance with business practices and regulatory guidelines
- Monitor calls for compliance and develop internal reports as well as action or corrective action plans
- Prepare and participate in internal/external compliance audits but not limited to: documenting all findings, tracking deficiencies until remediated, trending and gathering supporting documentation
- Participate in regular meetings with business owners
- Review reports or other documents to identify issues and trends
- Participate in the development of any applicable compliance training, education, communication or audit
- Review training, education and communications developed by other departments from compliance perspective
- Maintain a working knowledge of relevant issues, laws and regulations
- Perform regulatory research related to company operations
- Conduct Clean Desk Audit to ensure HIPAA guidelines are followed within the company
Operational Trainer Level 2 (Customer Services)
OPTUM GLOBAL SOLUTIONS (UNITED HEALTHGROUP, INC.)
08.2015 - 01.2018
- Develop a schedule to assess training needs
- Conduct employee surveys and interviews
- Consult with other trainers, managers, and leadership
- Conceptualize training materials based on data and research
- Communicate training needs and online resources
- Create training strategies, initiatives, and materials
- Contact and utilize outside vendors and resources for instructional technology
- Test and review created materials
- Maintain a database of all training materials
- Instruct employee training and onboarding
- Conduct training through new materials
- Review employee performance and learning
- Coordinate and monitor enrollment, schedules, costs, and equipment
- Assist in nesting to production
- Conduct workshops, coaching and refresher with production as the need arises
Subject Matter Expert (Clinical Department)
OPTUM GLOBAL SOLUTIONS (UNITED HEALTHGROUP, INC.)
11.2013 - 08.2015
- Provide specialized knowledge in the Clinical Department in carrying out Inpatient Care Coordinator tasks such as but not limited to inpatient discharge monitoring, accurate entry of ICD-10 codes and healthcare providers in the system and coordination with the Inpatient Care Managers in ensuring patients meet quality healthcare
Inpatient Care Coordinator (Census Data Unit)
OPTUM GLOBAL SOLUTIONS (UNITED HEALTHGROUP, INC.)
08.2011 - 11.2013
- Monitor inpatient care discharge status, enter accurate ICD-10 codes and provider in the system and coordinate with the Inpatient Care Managers in providing quality healthcare to members/patients
CUSTOMER CARE SPECIALIST
Maxicare Healthcare Corporation
07.2009 - 07.2011
- Provide customer care services to HMO/health card holders
REGISTERED NURSE
PruittHealth Christian City Skilled Nursing and Rehabilitation Center
02.2023
- Applies the nursing process to plan and implement the care of patients, including patient and family education and continuum of care planning
- Effectively communicates pertinent patient/family information to the health care team
- Collaborates in establishing patient goals and evaluates progress to ensure effective outcomes
- Collaborates in establishing the plan of care, coordinates and implements care delivery while anticipating patient care needs across the continuum
- Analyzes comprehensive information pertinent to the patient's care and management to determine nursing diagnosis
- Continually utilizes the nursing process to evaluate patient's progress towards goals and applies appropriate interventions to ensure effective outcomes
- Employs strategies to promote health and a safe and healthy environment
Education
Bachelor of Science - Nursing
Dr. Carlos S. Lanting College
Manila, Philippines10-2003
Skills
- Technical Guidance
- Information Verification
- International Regulations
- Impact Assessment
- Regulatory Submissions
- Stakeholder Communication
- Technical Documentation
- Tableau
- Policy analysis
- Document Control
Certification
National Council of State Boards of Nursing
Registered Nurse, Georgia, RN320583 (multistate)
Registered Nurse, New York, 843574
References
References available upon request.
Timeline
Regulatory Affairs Specialist
Cognizant Technology Solutions, CTS
01.2024 - Current
REGISTERED NURSE
PruittHealth
02.2023 - 01.2024
REGISTERED NURSE
PruittHealth Christian City Skilled Nursing and Rehabilitation Center
02.2023
HEALTHCARE REGULATORY COMPLIANCE TEAM MANAGER
Cognizant Technology Solutions
05.2019 - 02.2023
HEALTHCARE REGULATORY COMPLIANCE AUDITOR
Convey Health Solutions
02.2018 - 05.2019
Operational Trainer Level 2 (Customer Services)
OPTUM GLOBAL SOLUTIONS (UNITED HEALTHGROUP, INC.)
08.2015 - 01.2018
Subject Matter Expert (Clinical Department)
OPTUM GLOBAL SOLUTIONS (UNITED HEALTHGROUP, INC.)
11.2013 - 08.2015
Inpatient Care Coordinator (Census Data Unit)
OPTUM GLOBAL SOLUTIONS (UNITED HEALTHGROUP, INC.)
08.2011 - 11.2013
CUSTOMER CARE SPECIALIST
Maxicare Healthcare Corporation
07.2009 - 07.2011
Bachelor of Science - Nursing
Dr. Carlos S. Lanting College