MARGINE LOU TALAMOR-ANOTADO
Detroit,MI
Summary
Healthcare professional with solid background in providing high-quality bedside patient care and experienced Nurse Medical Management reviewer. Recognized for collaborative teamwork and results-driven approach, consistently adapting to changing medical needs and priorities. Skilled in patient assessment, medication administration, and maintaining accurate medical records.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Labor and Delivery Nurse/ Family Center Maternity Care
Henry Ford Health System-Detroit Main Campus
05.2024 - Current
- Admission of antepartum
- Acts as delivery nurse and responsible for both Normal delivery and Cesarean section delivery.
- Handles both mother and baby during recovery and post partum period
Nurse Medical Management-Utilization Review
Legato Health Technologies Inc./Anthem Health Insurance
03.2020 - 04.2024
- Collaborates with healthcare providers and members in promoting quality member outcomes, optimizing member benefits and to promote effective use of resources.
- Provides proper medical assessment related to outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and clinical guidelines, accurately interpreting benefits and managed care products and steering members to appropriate providers, programs or community resources.
- Works with medical directors in interpreting appropriateness of care.
- Carelon Global Solutions Philippines
Staff nurse, NICU
Qualimed Hospital
09.2018 - 08.2019
- Staff Nurse (August- December 2019- ON CALL nurse)
- A secondary private hospital with 100 bed capacity
Staff nurse, OB-GYNE
Al Ahli Hospital
04.2015 - 04.2018
- Accredited by the Australian Council on Healthcare Standards International
- Carry out responsibilities of an OB-GYNE nurse by assisting in antenatal, intrapartal and postnatal care in both Normal deliveries and Cesarean sections.
- Handled gynecological cases both minor and major surgeries
- Responsible for accepting overflow in-patient census from Medical-Surgical ward for female cases.
- A private hospital with 250 bed capacity
Senior nurse, OB/NICU
Iloilo Mission Hospital
11.2009 - 04.2015
- Job Description and Responsibilities:
- OBSTETRICS
- Assisted in obtaining physical assessments and health history taking on pregnant women during prenatal checkups
- Care includes prepartum, intrapartum, postpartum monitoring of patients
- Monitor patient in all stages of labor and delivery by preparing delivery rooms, prepping patients, preparing instruments,and drug administration
- Administers blood and blood products , IV and oral medications
- Caring for babies immediately after birth and explaining afterbirth care to new parents such as bathing and assisting mothers with breastfeeding.
- Teaching consists of providing instruction in child care, breast feedings, self-care to mothers, encouraging infant and parent bonding, performing discharge procedures for patient and child, and providing phone consultation regarding general advice and concerns for new mothers and soon-to-be mothers
- NICU
- Responsible for the immediate and special care to infants or newborns
- Take care of healthy born babies after childbirth and cater to the needs of the ill newborns or those who have had a premature birth by taking the baby's temperature, changing the baby's diaper, feeding it milk, giving medicines at the right time in right quantities as prescribed by the doctors. Also helps in the task of feeding the babies by the means of a gavage tube at a time when they are too small. Blood Extractions, blood transfusion, and inserting IV's and changing them at the right time, supplying oxygen and ensuring proper use of incubators.
- Assists during insertion of umbilical venous catheter, lumbar puncture, ROP evaluation, and in intubation/extubation
- Cases Handled:
- Pregnancy Complications such as hypertension brought by labor, premature rupture of the membrane, premature labor, women with diabetes, hemorrhage, blood transfusion, prolapsed cord, forceps extraction, precipitous delivery and induction of labor.
- Assists during Painless Labor or Epidural Analgesia
- Close monitoring of post Cesarean Section mothers
- Gynecological and Obstetric Surgery (Dilatation and Curettage, Suction and Fractional Curettage, Marsupialation of Bartholin’s Cyst, Vaginal Hysterectomy with Anterior and Posterior Colporrhaphy, Pelvic Laparoscopy,Salphingo-Oophorectomy, Total Abdominal Hysterectomy, Laparoscopic Hyterestomy/ Cystectomy, Cesaran Section, Vaginal Exploration)
- Meconium Aspiration, Infant of Diabetic mother, Cleft lip and palate feeding, Down syndrome, etc.
- Special Equipment/Machines Operated
- Electronic Fetal Monitor/ Cardiotocograph, Electrocardiogarm machine, Patient-Controlled Analgesia Machine, Infusion pump, Syringe pump, Blood warmer, Cardiac Monitor , Capillary Blood Sugar machine, Pneumatic pump, Defibrillator, Suction machine
- A Private Tertiary Training and Teaching Hospital with 230 bed capacity
Education
Bachelor of Science - Nursing
Central Philippine University
Jaro, Iloilo City, Philippines01-2007
Skills
- Utilization Management : Extensive experience as an Outpatient Pre-Authorization review for upcoming procedures, durable medical equipment, some medications
- Medical necessity Criteria: Applying industry standards such MCG Guidelines, CG, Ompta
- Medical Coding Literacy: Referencing ICD-10 and CPT codes to evaluate treatment relevance
- Utilize EPIC clinical database, operating Microsoft Office suite, Microsoft Team, and secure VPN networks
- Acute hospital experience
- Labor management and related surgical procedures
- Breastfeeding support
Certification
- Licensing Body : State of Michigan Board of Nursing, USA
Professional Status : RN
License No.: 4704403236
Registration Date : 2023-08-03- 2027-08-03
- Licensing Body : Philippine Regulatory Commission
Professional Status :RN
License No.: 0490879
Registration Date: 2026-05 -2029-03
- Licensing Body : Colorado State Nursing Board , USA
License No.: 1674211
Registration Date : 2021-05-21- 2025-09-30
- Licensing Body : State of New Mexico Board of Nursing, USA
License No.: 61623
Registration Date : 2020-09-28- 2022-03-31
- Licensing Body : Qatar Council for Health Practitioner
License No.: N6082
Validity Date : 2019-10-31
Timeline
Labor and Delivery Nurse/ Family Center Maternity Care
Henry Ford Health System-Detroit Main Campus
05.2024 - Current
Nurse Medical Management-Utilization Review
Legato Health Technologies Inc./Anthem Health Insurance
03.2020 - 04.2024
Staff nurse, NICU
Qualimed Hospital
09.2018 - 08.2019
Staff nurse, OB-GYNE
Al Ahli Hospital
04.2015 - 04.2018
Senior nurse, OB/NICU
Iloilo Mission Hospital
11.2009 - 04.2015
Bachelor of Science - Nursing
Central Philippine University
TRAININGS ATTENDED
- Neonatal Resuscitation Program
September 10, 2024- September 2026
Henry Ford Hospital, Detroit campus
Basic Life Support
American Heart Association
May 2026- May 2028
2023 Top Performer for Outpatient Utilization Review Management
Annual Outpatient Authorization- Clincal