Summary
Overview
Work History
Education
Skills
Accomplishments
References
Timeline
Generic

Lucille Juanillo

Murfreesboro,TN

Summary

Dynamic Registered Nurse with a proven track record at National Healthcare Corp and Optum Global Philippines, adept at critical thinking and time management. Demonstrated ability to enhance production efficiency through process improvements and cross-training. Strong communicator with expertise in clinical judgment and a background in medical coding, currently pursuing CPC certification.

Overview

12
12
years of professional experience

Work History

Registered Nurse

National Healthcare Corp- Adams Place
Murfreesboro, TN
10.2022 - Current
  • Delivered patient care to 20-25 individuals during 12-hour shifts.
  • Utilized critical thinking for swift assessment of clinical conditions.
  • Cross-trained as Admission and Wound Care nurse to support staffing needs.
  • Provided patient and family health education focusing on self-management, prevention and wellness.

Quality Team- People Manager

Optum Global- Philippines
Taguig, Philippines
01.2015 - 10.2022
  • Managed team of auditors for case reviews, including prior authorization, appeals and coverage reviews.
  • Cross-trained on over 10 processes for Individual, C&S, and Medicare/Medicaid accounts.
  • Collaborated with UHC Clinical Operations- Philippines to drive process improvements.
  • Analyzed diverse data sources to pinpoint opportunities for enhancement.
  • Executed lean project that generated savings through improved production efficiency.

Quality Auditor

Optum Philippines
Taguig, Philippines
12.2013 - 10.2022
  • Evaluated effectiveness and accuracy for Diabetes Health Navigator program as auditor.
  • Achieved production rate exceeding 100% by processing 21 or more cases.
  • Maintained compliance accuracy metrics with scores above 98%.
  • Submitted Bright Ideas to drive quality process improvements.

Registered Nurse

Ramos General Hospital
Quezon City, Philippines
04.2022 - 09.2022
  • Delivered patient care to six to eight individuals in medical-surgical ward.
  • Coordinated discharge planning, including follow-up appointments and referrals.
  • Utilized critical thinking for rapid, precise clinical assessments.
  • Assisted in emergency and outpatient departments as required.

Education

Bachelor of Science - Nursing

OUR LADY OF FATIMA UNIVERSITY
Quezon City- Philippines
04-2006

Skills

  • Adaptability in fast-paced environments
  • Effective written and verbal communication
  • Critical thinking and problem-solving
  • Clinical nursing judgment application
  • Cross-training in prior authorization processes including M&R (Medicare and Retirement)
  • Knowledge in Claims review and Appeals
  • Knowledge in multiples platforms such as ISET and HSR/ICUE
  • Multitasking across multiple systems
  • Proficiency in Microsoft Office applications
  • Time management and task completion
  • Medical coding knowledge and certification pursuit

Accomplishments

  • 2016 UHG/Optum Service Hero Awardee

References

References available upon request.

Timeline

Registered Nurse

National Healthcare Corp- Adams Place
10.2022 - Current

Registered Nurse

Ramos General Hospital
04.2022 - 09.2022

Quality Team- People Manager

Optum Global- Philippines
01.2015 - 10.2022

Quality Auditor

Optum Philippines
12.2013 - 10.2022

Bachelor of Science - Nursing

OUR LADY OF FATIMA UNIVERSITY

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