Maria Divina Gracia Somera
Registered Nurse - BSN
Westminster,CA
Summary
Dynamic RN Clinical Consultant at Sedgwick Inc., skilled in patient management and emergency response. Enhanced patient care through effective care planning and critical assessments, leading to improved treatment outcomes. Recognized for implementing workflow automation that increased efficiency and reduced resource waste, while fostering compassionate communication with patients and families.
Overview
17
17
years of professional experience
1
1
Certification
1
1
Language
Work History
RN Clinical Consultant
Sedgwick Inc
08.2023 - Current
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
- Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
- Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Improved workflow automation to reduce wasted time and resources.
Utilization Management Lead Nurse
Medmgr
03.2024 - 03.2026
- Provided compassionate care to patients through effective communication and active listening skills, enhancing overall patient satisfaction rates.
- Led a team of nurses in providing high-quality care to patients while maintaining a professional working environment.
- Oversaw the successful integration of advanced technology systems into daily workflows, increasing efficiency within the unit without compromising quality standards.
- Collaborated with healthcare professionals to develop comprehensive care plans addressing each patient''s unique needs and goals.
- Implemented quality improvement initiatives that reduced medication errors and improved patient safety measures.
- Ensured compliance with all relevant regulatory guidelines through diligent monitoring efforts and proactive policy development.
- Streamlined nursing processes for efficiency, allowing for optimal patient care and time management.
- Utilized data-driven decision-making techniques to optimize resource allocation, improving overall performance metrics within the department.
- Mentored new nursing staff, fostering a supportive and educational atmosphere for growth and development.
RN School Special ED Nurse
SASED
03.2023 - 04.2024
- Educated family members and caregivers on patient care instructions.
- Monitored patient reactions after administering medications and IV therapies.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Recorded details regarding therapies to keep patient charts updated.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Managed multiple high-acuity patients simultaneously under fast-paced conditions without compromising quality of care.
- Developed rapport with patients from diverse backgrounds by demonstrating cultural sensitivity and effective communication skills.
Registered Nurse
Symphony Hanover Park
08.2022 - 08.2023
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
- Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
- Recorded details regarding therapies to keep patient charts updated.
RN Quality Auditor
Shearwater Health - Philippines
06.2021 - 08.2022
- Educated and oriented employees to improve compliance with quality control protocols.
- Identified issues of non-compliance and elevated reports to senior personnel.
- Completed timely quality reports highlighting deficiencies and recommending corrective actions.
- Developed comprehensive audit reports, providing valuable insights into areas requiring improvement.
- Participated in compliance inquiries and provided interpretation of data to guide investigators in creation of Corrective and Preventive Actions.
- Gathered and reviewed current data to determine areas in need of improvement.
Utilization Management Nurse Consultant
Accenture, Inc.
06.2017 - 06.2021
- Increased efficiency within the department by implementing new workflow processes to improve productivity and reduce turnaround times for case reviews.
- Enhanced patient care by conducting thorough reviews of medical records and assessing appropriate utilization of services.
- Leveraged clinical expertise to provide guidance and support for nursing staff in addressing complex patient care issues requiring utilization management intervention.
- Ensured compliance with regulatory requirements through consistent adherence to established policies and procedures for utilization management nursing practice.
- Optimized resource allocation by evaluating medical necessity for inpatient admissions and outpatient procedures.
Registered Nurse
AL MALAZ MEDICAL GROUP:
12.2012 - 03.2017
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
Registered Nurse
Tarlac Provincial Hospital
01.2012 - 06.2012
- Skilled at working independently and collaboratively in a team environment.
- Worked well in a team setting, providing support and guidance.
- Passionate about learning and committed to continual improvement.
- Managed time efficiently in order to complete all tasks within deadlines.
- Proven ability to learn quickly and adapt to new situations.
Registered Nurse - Dental
Gulf Dental Center
07.2010 - 10.2011
- Maintained a clean and sterile work environment to prevent cross-contamination and infection.
- Cleaned and sanitized dental tools and equipment, straightened treatment rooms, and restocked supplies to prep for next patient and maintain health and safety practices.
- Prepared and arranged instruments, medications, and required materials for dental procedures.
- Actively contributed to a positive work environment by fostering open communication, teamwork, and mutual respect among dental team members.
- Collaborated with dental team members to develop customized care plans for optimum patient results.
- Maintained detailed patient records accurately, ensuring data privacy regulations compliance and facilitating seamless coordination among dental staff.
- Demonstrated commitment to patient safety by adhering strictly to established protocols and guidelines for infection control, radiation exposure minimization, and hazardous materials handling.
- Taught patients oral hygiene strategies and offered nutritional counseling to maintain oral health.
- Utilized knowledge of established professional nursing concepts and principles of practices to determine and assess medical needs of patients.
- Coordinated nursing care with pre-operative team to achieve defined patient outcomes.
Nurse Volunteer
Ramos General Hospital
05.2009 - 10.2009
- Assisted in the development of comprehensive care plans by gathering relevant patient data during initial assessments and communicating findings to healthcare team members.
- Strengthened patient satisfaction scores by consistently delivering compassionate care tailored to individual needs.
- Enhanced recovery rates for patients with personalized care plans and thorough patient education.
- Reduced hospital readmissions by educating patients on preventive measures, medication management, and self-care techniques.
- Ensured compliance with infection control protocols by diligently maintaining a clean and safe environment for patients, staff, and visitors alike.
- Supported efficient workflow in the nursing unit through proficient documentation of patient information in electronic health records systems.
Education
Bachelor of Science - Nursing
Far Eastern University
Philippines04-2007
Skills
Patient management
Medication and IV administration
Emergency response
Care planning
Critical care
Medical assessment
IV setup
Chart updating
Data collection
Medication administration
Intake and discharge
Certification
Licensed [Job Title] - [Timeframe]
Timeline
Utilization Management Lead Nurse
Medmgr
03.2024 - 03.2026
RN Clinical Consultant
Sedgwick Inc
08.2023 - Current
RN School Special ED Nurse
SASED
03.2023 - 04.2024
Registered Nurse
Symphony Hanover Park
08.2022 - 08.2023
RN Quality Auditor
Shearwater Health - Philippines
06.2021 - 08.2022
Utilization Management Nurse Consultant
Accenture, Inc.
06.2017 - 06.2021
Registered Nurse
AL MALAZ MEDICAL GROUP:
12.2012 - 03.2017
Registered Nurse
Tarlac Provincial Hospital
01.2012 - 06.2012
Registered Nurse - Dental
Gulf Dental Center
07.2010 - 10.2011
Nurse Volunteer
Ramos General Hospital
05.2009 - 10.2009
Bachelor of Science - Nursing
Far Eastern University
RN Licenses
I have 12 current active licenses in the following states:
AK, CA, GUAM, IL, HI, NY, MA, WA, OR, MN, Washington DC and NV.