LOVELY JOY C. FRIAS
Cedar Rapids,USA
Summary
Batch 2019 BSN Graduate
November 2019 Philippine Nurse Licensure Exam Passer and December 2021 NCLEX Passer.
A registered nurse deeply committed to providing quality and compassionate patient care.
A devoted professional seeking for a nursing position in your institution, motivated to render holistic service to patients of all ages, race, economic status and needs.
Overview
6
6
years of professional experience
1
1
Certification
Work History
RN, Medical-Surgical Orthopedic
St. Lukes UnityPoint Health
Cedar Rapids, IA
06.2025 - 12.2025
- Prioritized critical thinking skills in assessing patient conditions, leading to timely interventions that prevented complications or deterioration of health status.
- Enhanced patient satisfaction by providing compassionate and attentive care to a diverse population of patients.
- Utilized critical thinking skills to recognize early signs of complications, allowing for timely interventions and preventing adverse outcomes.
- Contributed to a positive work environment through effective communication and collaboration with colleagues and supervisors.
Clinical Claim Review Nurse
Optum Global Solutions (Philippines) Inc.
05.2023 - 05.2025
- Investigating and appealing insurance denials
- Examining medical records for appropriate determination while optimizing reimbursements by assessing the treatment’s appropriateness, effectiveness, timing and setting.
- Examining treatment plans with a clinical eye, ensuring the patient receives the best care while determining what level of treatment is necessary following guidelines, protocols and available resources.
- Coordinating health care services by collaborating with other nurses or physicians while searching for essential information to confirm the patient’s insurer authorizes services rendered.
- Identifying areas to improve the cost-effectiveness of care while maintaining quality of services and care like reviewing the length of stay, medications, therapies, and diagnostic tests.
- Ensuring compliance to clear and accurate documentation.
- Department: UMR Appeals Post-Appeals
Medical Surgical Registered Nurse
Ilocos Training and Regional Medical Center
La Union, Philippines
06.2020 - 04.2023
- Maintains rapport with patients for better communication and health outcome.
- Serves as an advocate for the patient’s rights.
- Accurate nursing assessment, diagnosis and interventions accompanied with proper and timely referral to other health team members for any changes or improvements on the patient’s status.
- Carrying out of doctor’s orders for the patient’s care such as diagnostic test requests, operation schedules, facilitating procedures, IVF orders and medication administration.
- Management and monitoring of drains/contraptions (ifc, ngt, jp drain, hemovac, penrose, colostomy, wound vacuum, epidural catheter, mechanical ventilator, cardiac monitor, ecg, ctt, nephrostomy tube, cystoclysis, infusion/syringe pump).
- Facilitates discharge as per doctor’s order.
- Bed capacity: 800 bed capacity certified by ISO and JCI
- Unit/area: Surgery Complex
Education
Bachelor of Science - Nursing
Lorma Colleges
La Union, Philippines05.2019
Skills
- Orthopedic/Medical surgical Nurse, Cedar Rapids, IA (5 months)
- Utilization Management Nurse (2 years)
- Medical surgical Nurse, Philippines (2 years and 11 months)
Certification
- NCLEX: PASSED
- IELTS (US English Exam): PASSED
- PH Board Exam: PASSED
- CGFNS: PASSED
- BLS: MARCH 12, 2025
- ACLS: MARCH 30-31, 2023
- Nova Glucometer Training: August 13, 2025
- BD Alaris IV Pump Training: August 13, 2025
- State of licensure: Texas- Valid Until: 12/31/2025; Iowa- Valid Until 12/15/2027
- PH Board of Nursing Valid Until: 12/14/2025
- Texas License Number: 1060233
- Iowa License Number: 184986
- PH License Number: 0920287
PERSONAL INFORMATION
- Date of Birth: December 14, 1997
- Birth Place: San Fernando City, La Union, Philippines
- Gender: Female
- Marital status: Single
- Emergency contact person: Elberto Frias (Father)
- Contact Number: +63 962 236 2320
Timeline
RN, Medical-Surgical Orthopedic
St. Lukes UnityPoint Health
06.2025 - 12.2025
Clinical Claim Review Nurse
Optum Global Solutions (Philippines) Inc.
05.2023 - 05.2025
Medical Surgical Registered Nurse
Ilocos Training and Regional Medical Center
06.2020 - 04.2023
Bachelor of Science - Nursing
Lorma Colleges