Bold Profile
SUMMARY
Accomplished Clinical Nurse with a
robust background at Duke
University Hospital and Adventist
Medical Center Manila, with
practice in Medical, Surgical,
Pediatric, OB-Gyn Unit, and Skilled
nursing facility, showcasing
exceptional analytical ability and
communication skills. With
experience in utilization
management and clinical review.
Diligent Utilization Review Nurse,
ensuring that patients receive the
appropriate level of medical care.
Proven expertise in enhancing
patient care through
comprehensive clinical judgment
and effective team leadership.
Excels in maintaining
professionalism and confidentiality,
with a strong foundation in the
nursing process and patient
education. Demonstrates a
commitment to professional
development and collaborative
healthcare delivery.
Overview
21
21
years of professional experience
1
1
Language
Work History
RN Senior Care Partner Pruitthealth
Don Manuel Lopez Memorial Hospital, Sta. Rosa Community Hospital, Dona Marta Community Hospital, Silang Community
02.2023 - 02.2024
Clinical Nurse II
Duke University Hospital
02.2024 - Current
Clinical Program Nurse III
Broadspire Philippines, INC
12.2021 - 01.2023
Utilization Review RN) Crawford &, Independently plan, provide, supervise and document professional
nursing care utilizing the nursing process for patients in accordance with
physician orders and established policies and procedures
Performing daily care tasks like monitoring vital signs, administering
medicine or performing treatments and admission
Use professional nursing judgement to individualize the plan of care
based on assessment of the patient's baseline needs and response to
care
Delegate tasks and supervise the activities of other licensed and
unlicensed care providers
Assist other nursing personnel in the delivery of nursing care and act as
team leader or charge nurse for a group of patients or an entire unit as
assigned
Monitor and initiate corrective action to maintain the environment of care
including equipment and material resources
Participate in own professional development by maintaining required
competencies, identifying learning needs and seeking appropriate
assistance or educational offerings
Act as preceptor and support the development of other staff and formal
learners
Participate in the identification of clinical or operational performance
improvement opportunities and in performance improvement activities
Performing daily care tasks like monitoring vital signs, administering
medicine or performing treatments and admission
Recording patient updates and condition
Creating patient care plans
Coordinating with other healthcare providers
Counseling patients and families
Managing individual patient cases
Demonstrates clinical expertise in the care provided to aging adults
Assisting individuals affected by chronic illness and disability to
maximize their health through health restoration, maintenance and
promotion
Assessing the injured worker and the severity of the injury by gathering
relevant data
Planning for resolution of barriers (problems or issues) which enhance
client outcomes
Coordinating effective medical treatment and services to speed healing
Maintains high degree of
professionalism
Confidentiality
Ability to multitask
Prioritize
Manage time effectively
Interpersonal skills
Spreadsheet software proficiency,
document editing, and formatting
in a common text editor, and file
management, Matrix and EPIC (
Maestro Care)
Knowledge of the scope of the
RN, LPN, and unlicensed staff
Knowledge and appropriate
application of the nursing process
Knowledge of professional theory,
practice, and procedure
Ability to independently seek out
resources and work
collaboratively, establish and
maintain effective working
relationships, and communicate
clearly with patients, families,
visitors, healthcare team
members, physicians,
administrators, leadership, and
others
Ability to use sensory and
cognitive functions to process
and prioritize information,
treatment, and follow-up, use fine
motor skills, and teach patients
and families in accordance with
the nursing plan of care
Ability to record activities,
document assessments, plan of
care, interventions, evaluation of
patient status, and use of
computers and learn new
software programs
Competent in BLS, non-violent
crisis intervention, and/or other
specialized life support
requirements designated by the
work area
Clinical Program Nurse II
RN, Crawford, Broadspire Philippines, INC
10.2018 - 12.2021
Clinical Program Nurse
Crawford & Company/ Broadspire, Philippines, INC
05.2017 - 10.2018
Appointment Setter Redemption Research Assoc
06.2015 - 03.2017
Customer Service Representative
West Contact Services Inc
03.2010 - 01.2014
And recovery; thereby streamlining the healthcare delivery process and
eliminating unnecessary steps
Recommending and creating options for release/return to work,
preferably working closely and effectively with the employer
Evaluating treatment outcomes and the prognosis for recovery utilizing
evidenced based guidelines
Outlining the functional requirements of the job
Determining light duty or alternate job options
Obtaining the release to return to work from the physician
Documentation of all contacts and formulating an action plan
Reviews medication that is appropriate and medically necessary for the
patient's injury
Pre-authorization review of medication (Worker's Compensation)
Coordinating effective medical treatment and services to speed healing
and recovery; thereby streamlining the healthcare delivery process and
eliminating unnecessary steps
Standardized, pre-established criteria are applied to cases in order to
assess the medical necessity, appropriateness and efficiency of health
care services for purposes of making a recommendation on whether to
approve services rendered or proposed by the provider
Create files by entering information into the system
Consistently maintains a high level of customer satisfaction by
demonstrating a helpful, considerate attitude and a pro-active customer
service approach
Reviewing medical reports and create a brief summary and send it back
to the peer reviewer
Utilized existing software applications to manage schedules, track
progress, and maintain records of client interactions
Made phone calls and sent emails to establish leads.
Sorted incoming mail and directed to correct personnel each day.
Scheduled appointments for customers based on their availability.
Excelled in exceeding daily credit card application goals.
Conferred with customers by telephone or in person to provide
information about products or services and take orders
Updated system with order specifics and customer details, preferences,
and billing information
Monitored customer satisfaction levels through surveys and feedback
forms
Identified opportunities for upselling additional products or services
Financial Customer Service Representative
Sykes Asia, Inc
07.2006 - 01.2010
US
Autoparts, RX pharmacy online
based on customer needs
Resolved customer complaints promptly and efficiently.
Maintained a high level of professionalism when dealing with difficult
customers
Provided accurate information about products and services to
customers
Used approved scripts to de-escalate angry customers during telephone
interactions
Answered incoming calls and emails, providing frontline customer
support or assistance with product and service transactions
Promoted available products and services to customers during service,
account management and order calls
Provided detailed information regarding products, services and account
status
Mentored junior team members and managed employee relationships.
Kept records of customer interactions or transactions, thoroughly
recording details of inquiries
Assisted customers with inquiries and resolving financial issues.
NURSE TRAINEE/ORIENTEE
Manila Adventist Medical Center, Emilio Aguinaldo Memorial Hospital
01.2004 - 01.2006
( Bed Capacity: 200 beds) University
Main Hospital, San Lazaro Hospital (Gov't Hospital for CD)
Philippine Orthopedic Center
Manila Center for Mental Health
AFP Medical Center
Mandaluyong Medical Center
General, -General Trias, Cavite
Ospital ng Muntinlupa
Education
Bachelor of Science - Nursing
Adventist University of the Philippines
March 2006
High - undefined
Princesa City National Science High School
March 2002
BSN - undefined
Duke University
2024
SEMINARS - undefined
Duke University Hospital
12
Nonviolent Crisis Intervention Training with both disengagement and - undefined
Duke University Hospital
12.04
undefined
Hospital
03.01
IV Therapy Training - undefined
Adventist Medical Center
08.2011
Bachelor of Science - Nursing, Puting
Adventist University of the Philippines, Kahoy Silang Cavite
03.01/06
undefined
Puerto Princesa City National Science High School
03.01/02
Skills
Good communication skills
Analytical ability
Accomplishments
Professional Regulation Commission, Republic of the Philippines
The New York State Education Department, Office of the Professions
North Carolina Board of Nursing
American Heart Association
eCard code: 245416328215
Training Center ID : NC05353
Blue Card NC13BDD3B6
Registered Nurse License No 0617867
Registered Nurse License No 834722-01
Registered Nurse License No 354149
Basic Life Support
CPI Non-Violent Crisis Intervention
Timeline
Clinical Nurse II
Duke University Hospital
02.2024 - Current
RN Senior Care Partner Pruitthealth
Don Manuel Lopez Memorial Hospital, Sta. Rosa Community Hospital, Dona Marta Community Hospital, Silang Community
02.2023 - 02.2024
Clinical Program Nurse III
Broadspire Philippines, INC
12.2021 - 01.2023
Clinical Program Nurse II
RN, Crawford, Broadspire Philippines, INC
10.2018 - 12.2021
Clinical Program Nurse
Crawford & Company/ Broadspire, Philippines, INC
05.2017 - 10.2018
Appointment Setter Redemption Research Assoc
06.2015 - 03.2017
Customer Service Representative
West Contact Services Inc
03.2010 - 01.2014
Financial Customer Service Representative
Sykes Asia, Inc
07.2006 - 01.2010
NURSE TRAINEE/ORIENTEE
Manila Adventist Medical Center, Emilio Aguinaldo Memorial Hospital
01.2004 - 01.2006
Bachelor of Science - Nursing
Adventist University of the Philippines
High - undefined
Princesa City National Science High School
BSN - undefined
Duke University
SEMINARS - undefined
Duke University Hospital
Nonviolent Crisis Intervention Training with both disengagement and - undefined
Duke University Hospital
undefined
Hospital
IV Therapy Training - undefined
Adventist Medical Center
Bachelor of Science - Nursing, Puting
Adventist University of the Philippines, Kahoy Silang Cavite