Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Claire Layugan

Oshkosh,Wisconsin

Summary

Hardworking nursing professional bringing 9+ years of experience delivering exceptional care to geriatric, pediatrics, emergent and vulnerable patients. Knowledgeable about nursing process and skilled at maximizing patient comfort and safety while meeting strict cost control standards. Well-organized and forward-thinking in managing patient needs. Well-versed and with significant background with utilization review and case management including different system (EPIC, Interqual, MCG, etc.)

Overview

8
8
years of professional experience
1
1
Certification

Work History

STAFF NURSE

EVERGREEN RETIREMENT COMMUNITY
Oshkosh, Wisconsin
11.2022 - Current
  • Implements role of a charge nurse overlooking patients, staff scheduling and staff supervision
  • Assessment in patient’s overall condition and referral to providers if deemed necessary
  • Skin assessment and wound care, wound vac
  • Medication administration (IV, IM, SQ and oral)
  • Starting IV line, blood extraction, nursing procedures (inserting suprapubic catheter, foley catheter, PEG tube feeding).

Utilization Management Nurse / Pre-authorization Nurse

UnitedHealth Group, Optum
05.2019 - 07.2022
  • Well-versed with EPIC, MCG and Interqual system
  • Initial and concurrent review of patients’ clinical chart determines if they are medically necessary for an acute care hospital setting
  • Coordinates with the medical doctors or social workers regarding patient’s discharge planning needs
  • Effective use of clinical judgment, critical thinking, and skills to deliver quality care and enhanced quality of life.
  • Established processes to ensure efficient workflow throughout the organization.
  • Trained employees on additional job positions to maintain coverage of roles.

Medical-Surgical Nurse

Laoag City General Hospital
Laoag City, Philippines
06.2021 - 01.2022
  • Assessing, planning, implementing, and evaluating patient care plans in consultation with healthcare professionals such as doctors & midwives
  • Checking patient s/p surgery
  • Insert foley catheters, start IV medications per doctor’s order
  • Maintain and update patient files, medical charts, and health records and reports to the doctors any abnormal findings/complaints.

Nurse II

Department of Health
, Philippines
07.2018 - 12.2018
  • Community health nursing
  • Assists in the implementation of various health programs of the local government unit in accordance with the program goals and objectives of the DOH and the health sector
  • Provides technical assistance in the implementation of the health programs
  • Assists in the conduct of disease surveillance
  • Conducts health education and training
  • Assists in the conduct of regular monitoring and evaluation of the various health programs for the community.

PEDIATRIC STAFF NURSE

Duquez Children’s Hospital
ILOCOS NORTE, Philippines
11.2016 - 06.2018
  • Triage pediatric patients
  • Patient assessment and referral to doctors
  • Starting intravenous line, blood extraction and admission
  • Newborn Screening
  • Patient monitoring until discharge.

Education

Bachelor of Science - Nursing

Mariano Marcos State University
04-2015

High School Diploma -

Batac National High School
04-2011

Skills

  • Patient assessment
  • Intravenous therapy
  • Phlebotomy
  • Patient Education
  • Case Management
  • Wound Care
  • Geriatric Nursing
  • Hospice Care
  • Leadership
  • Clinical Documentation
  • Nursing procedures
  • Discharge Planning
  • Utilization Management
  • Medicaid knowledge
  • Prior Authorization
  • Managed Care
  • Milliman Guidelines
  • Telephonic Nursing
  • InterQual Criteria

Certification

  • Registered Nurse, Philippines, 0875425, 01/09/25
  • Registered Nurse, California, 95337281, 02/28/25
  • Registered Nurse, Texas, 954600, 01/31/25
  • Registered Nurse, Wisconsin, 1103112, 03/01/26
  • Registered Nurse, Illinois, 041514451, 02/28/25
  • Basic Life Support (BLS), 05/2025

Timeline

STAFF NURSE

EVERGREEN RETIREMENT COMMUNITY
11.2022 - Current

Medical-Surgical Nurse

Laoag City General Hospital
06.2021 - 01.2022

Utilization Management Nurse / Pre-authorization Nurse

UnitedHealth Group, Optum
05.2019 - 07.2022

Nurse II

Department of Health
07.2018 - 12.2018

PEDIATRIC STAFF NURSE

Duquez Children’s Hospital
11.2016 - 06.2018

Bachelor of Science - Nursing

Mariano Marcos State University

High School Diploma -

Batac National High School

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Claire Layugan