KATHRENE B. CALARA
Yonkers
Summary
Registered Nurse with 12 years in acute hospital care and utilization management, specializing in patient assessment and care coordination. Expertise in reviewing medical records for medical necessity and ensuring compliance with payer guidelines. Collaborates effectively with interdisciplinary teams to enhance patient outcomes and resource utilization. Balances quality care delivery with cost-effective practices in inpatient and administrative settings.
Overview
16
16
years of professional experience
Work History
Registered Nurse
Bainbridge Nursing and Rehabilitation Center
Bronx
07.2025 - 12.2025
- Collaborate with residents/families and members of the healthcare team when planning, implementing and evaluating care.
- Perform treatments and therapies as ordered by physician appropriately and in a timely fashion.
- Administer medications safely and accurately according to facility policies and established nursing standards.
- Perform resident assessment for new admits and ongoing assessments as dictated by residents condition.
- Identify individual needs and creates a plan of care to meet those needs.
- Developed maintains good relationship and customer service with the residents and their families.
- Resolve and communicate any issues or changes in the residents condition to the other team members.
- Perform direct resident care as dictated by condition, nursing process and in accordance with the facility policies and procedures.
- Initiate emergency measures according to resuscitation protocols and policy and procedures.
- Communicate and reports change in resident condition to physician and or management, as appropriate.
Quality Analyst for Utilization Management
Cognizant Philippines
07.2024 - 06.2025
- Ensure that the company’s & client Quality assurance standards and procedure are met.
- Review standards, policies & procedure.
- Act as a subject matter expert by articulating and implementing Utilization Management Review best practices.
- Centene - Concurrent Review
Staff Nurse (Laser)
Solaris Medical Center
10.2023 - 01.2024
- Conduct thorough consultations with clients to understand their specific needs, skin conditions, and treatment goals.
- Administer laser treatments, including hair removal, skin rejuvenation, tattoo removal, and other cosmetic procedures, in accordance with established protocols and safety guidelines.
- Ensure strict adherence to safety protocols, infection control procedures, and compliance with all relevant regulations and industry best practices.
- Perform skin analyses to recommend appropriate laser treatments and skincare regimens & provide clients with realistic expectations and post-treatment care instructions.
- Maintain accurate client records, treatment notes, and consent forms & keep detailed records of treatment progress and any adverse reactions.
Staff Nurse (Laser)
Hub Medical Centre
01.2023 - 10.2023
- Performed skin analysis and evaluation to determine laser treatments.
- Administering laser procedures, which include but not limited to, Hair Removal, Skin Rejuvenation.
- Ensured clients safety during the procedure.
- Educated clients on pre- and post-treatment care instructions.
- Provided advice to clients about self-care in between visits.
Covid 19 Nurse
Aspen Medical
Ajman
04.2020 - 11.2022
- Worked as Primary nurse for COVID patient (SKMCA-Muhammad Bin Zayed Field Hospital).
- Provides direct, professional nursing care to COVID patients in an inpatient settings. Performed proper assessment and nursing diagnosis of the condition of the patients, carry out doctor’s order upon admission, discharge, transfer, diagnostic procedures, surgery medications and treatment of the patients.
- Prepares equipment and assists physicians during examinations and treatments.
- Monitoring, recording and reporting patients or changes in patient conditions.
- Administer prescribed medication (Oral, Intravenous, Intramuscular, Subcutaneous), performs phlebotomy, ECG, and monitor vital signs, PCR swab, Capillary Glucose monitoring, wound dressing, suctioning, NGT and PEG feeding.
- Ensures efficacy of treatments through monitoring of treatment regimens.
- Monitoring all aspects of patient care including diet and physical activity.
- May perform specialized nursing procedures related to the unique needs of a particular patients.
- Perform miscellaneous job-related duties as assigned such as ensuring operation of medical equipment by completing preventive maintenance requirements, maintain nursing supplies inventory.
- Collaborates with physicians and multidisciplinary team members.
- Provides physical, emotional and psychological support to patients.
- Protect patients and colleague by adhering to infection control policies and protocols; medication administration and storage procedures; and controlled substance regulations.
- Performed PCR testing in special mission.
- Performed vaccination under SEHA facilities.
- Covid 19 Response
Homecare Nurse
Safe Care Health Services LLC
09.2019 - 03.2020
- Perform nursing assessment, routine monitoring of V/S, I & O and CBG level and Medication administration, coordinate patient care with other health provider.
Quality Analyst for Utilization Review Nurse
EXL Service Philippines
01.2016 - 06.2019
- Ensure that the company’s & client Quality assurance standards and procedure are met.
- Review standards, policies & procedure.
- Act as a subject matter expert by articulating and implementing Utilization Review best practices.
- Zurich
Utilization Review Nurse
EXL Service Philippines
12.2013 - 01.2016
- Determined appropriateness and medical necessity of hospitalization and requested treatment(s) based on plan's guidelines, policies, and medical director review, if needed. Also, includes observation status.
- Reviewed high volume case load of patient charts to determine medical necessity based on nursing knowledge and state mandated guidelines.
- Evaluated and authorized medical necessity of services.
- The Hartford
Nurse Trainee
Paranaque Doctors Hospital
06.2013 - 11.2013
- Provide direct quality care to patients including daily monitoring, recording and evaluating of medical conditions of up to 8-10 patients per day.
- Monitor Vital signs.
- Provide safe & compassionate care.
- Assist physician in post-operative incision care (wound care & measuring drainage).
- Handled medication administration including chemotherapy drugs through IV/via infusion pump, oral and intramuscular injection.
- Assess patients and provide necessary and prescribes treatment for stabilizations.
- Built trust and rapport with staff, patients and family members to enable effective communication of instruction and other information pertinent to the patients wellbeing and care.
Desktop Technical Support
Teletech
10.2009 - 08.2012
- Responsible for providing telephone support and troubleshooting to end-users and analyze computer related issues as well as determining appropriate course of action.
- Trouble shooting and configuring popular email clients and web browsers.
- Hewlett Packard
Education
Bachelor of Science - Nursing
University of Perpetual Help Rizal
Philippines04.2007
Bachelor Of Science - Computer Science
STI College Makati
Philippines05.2002
Skills
- Patient assessment
- Acute and rehabilitative care
- Wound care
- Precepting
- Excellent oral and written communication
- Infection control
- Critical thinking
- Medication and IV administration
- Quality assurance
- Adept at prioritizing and managing deadlines
- Supervision and mentoring
- High-level autonomy
- Proficient organizational skills
- Strong clinical judgment
- Acute care experience
- Team collaboration
- Clinical documentation
- Regulatory compliance
- Customer service
- Experienced in applying MCG, InterQual, ODG, and California MTUS/ACOEM guidelines for medical necessity and level of care determination
Personal Information
- Date of Birth: 03/12/81
- Gender: Female
- Marital Status: Single
- Place of Birth: Makati, Philippines
Professional Qualifications
Professional License
- PH Board of Nursing
o License Number: 0438126
o Valid Until: 3/12/2028
-Health Authority of Abu Dhabi
o License Number :GN42083
-NY Board of Nursing
o License Number: 815276
o Valid Until: 2/28/2027
-TX Board of Nursing
o License Number: 879663
o Valid Until: 3/31/2027
** IQCER Certified(InterQual Certified Expert Resource Program
Timeline
Registered Nurse
Bainbridge Nursing and Rehabilitation Center
07.2025 - 12.2025
Quality Analyst for Utilization Management
Cognizant Philippines
07.2024 - 06.2025
Staff Nurse (Laser)
Solaris Medical Center
10.2023 - 01.2024
Staff Nurse (Laser)
Hub Medical Centre
01.2023 - 10.2023
Covid 19 Nurse
Aspen Medical
04.2020 - 11.2022
Homecare Nurse
Safe Care Health Services LLC
09.2019 - 03.2020
Quality Analyst for Utilization Review Nurse
EXL Service Philippines
01.2016 - 06.2019
Utilization Review Nurse
EXL Service Philippines
12.2013 - 01.2016
Nurse Trainee
Paranaque Doctors Hospital
06.2013 - 11.2013
Desktop Technical Support
Teletech
10.2009 - 08.2012
Bachelor of Science - Nursing
University of Perpetual Help Rizal
Bachelor Of Science - Computer Science
STI College Makati