John Michael Espinoza
Babylon,NY
Summary
Organized, compassionate, competitive, and accomplished Registered Nurse with Bachelors Degree in Nursing experience working as an RN, Utilization Review/Management, and Triage Nurse. Extensive background with medical records, and computer-based systems. Able to work well in an interdisciplinary team environment, coordinating physicians, and other healthcare staff.
Overview
12
12
years of professional experience
Work History
Registered Nurse
EASTNECK NURSING & REHABILITATION CENTER
02.2022 - Current
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- 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.
TELEPHONIC TRIAGE NURSE /Utilization Review Nurse
CONDUENT PHILIPPINES
06.2019 - 02.2022
- Contributed to a positive work environment by mentoring new hires on department procedures and effective telephonic communication techniques.
- Promoted preventive care through proactive health education during telephonic consultations, decreasing the need for hospitalization.
- Demonstrated adaptability during periods of high call volume or staffing shortages while maintaining consistent quality of care.
- Assisted in refining triage protocols based on emerging best practices, enhancing the overall effectiveness of the department.
Utilization Review Nurse
SHEARWATER HEALTH ADVISORS INC.
03.2018 - 06.2019
- Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
- Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
- Maintained professional competence by staying current on industry trends, best practices, and regulatory requirements specific to utilization review nursing.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Performed prior authorization review of services requiring notification.
- Mitigated potential legal issues related to improper admission or discharge decisions by consulting with physicians regarding complex cases that required further clarification.
- Improved patient care quality by conducting thorough utilization reviews and making recommendations for optimal treatment plans.
Utilization Management Nurse
Cognizant Technology Solutions, CTS
06.2016 - 12.2017
- Reduced hospital readmissions through effective discharge planning and coordination of post-discharge care.
- Promoted a positive work environment by mentoring new nurses and serving as a resource for clinical questions and concerns.
- Applied critical thinking skills to assess complex medical cases and determine appropriate levels of care in accordance with industry benchmarks.
- Provided exceptional patient advocacy through active listening, empathy, and support during challenging situations.
- Participated in quality improvement initiatives to enhance the overall standard of care within the organization.
- Increased efficiency in case management documentation by maintaining organized records and utilizing electronic medical record systems.
- Contributed to team success by consistently meeting productivity goals while maintaining high-quality standards in job performance.
Utilization Management Nurse
EXL Service Phil
06.2015 - 06.2016
- Supported cost containment efforts by identifying overutilization trends and recommending strategies for improvement.
- Increased efficiency in case management documentation by maintaining organized records and utilizing electronic medical record systems.
- Streamlined utilization review processes by collaborating with interdisciplinary teams to develop individualized care plans.
- Coordinated seamless transitions of care across multiple settings including acute care hospitals, rehabilitation facilities, and home care services.
Registered Nurse, Medical-Surgical Unit
Vicente Gullas Memorial Hospital
06.2012 - 12.2014
- Collaborated with interdisciplinary teams for optimal patient care, ensuring seamless communication between healthcare providers.
- Consistently maintained accurate documentation of patient assessments, interventions, and outcomes in accordance with regulatory requirements.
- Skillfully performed venipuncture, IV insertion, and catheterizations, ensuring proper technique and adherence to infection control standards.
- Provided health education to patients and families regarding discharge instructions and plans of care.
- Advocated for and strived to protect health, safety, and rights of patient.
- Developed strong rapport with patients and families through active listening, empathy, and clear communication during challenging situations.
- Managed caseload of [Number] patients simultaneously by providing bedside care, treatments, IV therapy, and wound care.
Education
Bachelor of Science - Nursing
University of Cebu - Banilad
Cebu, Philippine04.2010
Skills
- Medication Administration
- Direct Patient Care
- Patient Assessments
- Documentation and Charting
- Strong Clinical Judgment
- Patient education and counseling
- Patient and family advocacy
- Clinical judgment
Timeline
Registered Nurse
EASTNECK NURSING & REHABILITATION CENTER
02.2022 - Current
TELEPHONIC TRIAGE NURSE /Utilization Review Nurse
CONDUENT PHILIPPINES
06.2019 - 02.2022
Utilization Review Nurse
SHEARWATER HEALTH ADVISORS INC.
03.2018 - 06.2019
Utilization Management Nurse
Cognizant Technology Solutions, CTS
06.2016 - 12.2017
Utilization Management Nurse
EXL Service Phil
06.2015 - 06.2016
Registered Nurse, Medical-Surgical Unit
Vicente Gullas Memorial Hospital
06.2012 - 12.2014
Bachelor of Science - Nursing
University of Cebu - Banilad