Mylene Mariano
Panorama City
Summary
Healthcare professional with extensive experience in providing high-quality patient care and ensuring compliance with clinical standards. Committed to fostering collaborative environment and achieving optimal patient outcomes. Reliable team player with strong adaptability and excellent communication skills.
Experienced with conducting thorough utilization reviews to ensure effective resource use and patient care. Utilizes clinical judgment to assess and recommend appropriate treatment plans. Track record of ensuring compliance with healthcare regulations and improving patient outcomes.
Experienced with patient care management, delivering compassionate and efficient nursing services. Utilizes critical thinking skills to make informed decisions in fast-paced environments. Track record of effective communication and collaboration with healthcare teams.
Professional nurse with extensive experience in utilization review. Skilled in analyzing patient care and ensuring compliance with healthcare regulations. Strong focus on team collaboration and achieving optimal patient outcomes. Adaptable and reliable, excelling in dynamic environments requiring precise decision-making and effective communication.
Professional healthcare provider with significant experience in delivering patient care and ensuring high standards of practice. Skilled in clinical procedures, patient assessment, and care planning. Strong focus on team collaboration and achieving optimal patient outcomes. Known for adaptability and reliability in fast-paced environments.
Healthcare professional with substantial experience in utilization review and patient care management. Known for precision in evaluating patient treatment plans and making critical decisions to optimize resource use. Valued team collaborator with focus on achieving impactful results and adapting to dynamic healthcare environments.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Private Caretaker
Private Duty
Granada Hills, CA
06.2025 - Current
- Provided daily personal care and assistance, ensuring comfort and well-being of family members.
- Maintained clean and organized living spaces, enhancing overall home environment.
- Assisted with meal preparation, adhering to dietary needs and preferences of family members.
- Monitored health conditions, documenting changes for timely communication with healthcare providers.
- Developed positive relationships with family members, fostering trust and open communication.
- Implemented safety measures within the home, ensuring a secure living space for all residents.
- Trained new caretakers on best practices for personal care and household management techniques.
- Monitored client health status closely, identifying changes in condition or needs that warranted additional medical attention or intervention.
- Developed strong rapport with clients'' families while maintaining clear boundaries around professional responsibilities.
- Improved client mobility through regular exercise routines and physical therapy support.
- Collaborated effectively with interdisciplinary teams involved in the care management process of each client.
- Implemented strategies for managing challenging behaviors in clients with cognitive impairments or mental health challenges.
- Facilitated communication between clients, family members, and healthcare professionals to ensure continuity of care.
- Maintained a safe and comfortable environment for clients by performing light housekeeping duties and addressing any safety concerns.
- Managed medications for clients to ensure proper administration and adherence to prescribed schedules.
- Provided compassionate companionship to clients, fostering positive relationships and emotional wellbeing.
- Ensured timely communication with clients'' families regarding any significant changes in health or wellbeing.
- Educated family members on best practices for supporting their loved ones in various stages of health decline.
- Prepared nutritious meals tailored to individual dietary needs and preferences of each client.
- Assisted clients with personal hygiene tasks, such as bathing, grooming, and dressing, preserving their dignity and comfort.
- Organized client records efficiently for easy access during consultations with healthcare professionals.
- Accompanied clients to medical appointments, ensuring they received timely care and understood treatment plans provided by healthcare professionals.
- Demonstrated adaptability in response to changing client needs or preferences, adjusting care plans accordingly to optimize outcomes.
- Monitored and maintained cleanliness, sanitation, and organization of assigned station and service areas.
Caregiver
One Heart Healthcare
California City, CA
02.2025 - 06.2025
- Assisted clients with daily living activities, ensuring comfort and safety.
- Monitored patients' health status, reporting changes to healthcare professionals.
- Provided medication reminders and support for adherence to care plans.
- Maintained cleanliness and organization in living spaces to promote well-being.
Clinical Utilization Management Reviewer
ADEC INNOVATION INC.HEALTHCARE/rwjbarnabashealthcare
Muntinlupa City, Philippines
12.2020 - 03.2024
- Performs Utilization Management (UM) reviews in accordance with U.S. State/Federal and other mandated regulations. Maintains compliance with regulatory changes affecting UM.
- Performs UM reviews (prospective/concurrent/retrospective) for inpatient and outpatient services according to the prescribed standards and client requirements and/or policies.
- Reviews UM requests for services against established clinical review criteria, referring cases not meeting criteria to a physician reviewer or prescribed escalation protocol.
- Coordinates physician reviewer referral as needed and follows up timely to obtain and deliver those results.
- Works closely with the management team in the ongoing development and implementation of UM programs.
- Certifies reviews that meet clinical review criteria/guidelines.
- Adheres to quality standards and State UM guidelines.
- Maintains all required UM review documentation in the UM software in a timely manner.
- Serves as first level contact for customer complaint resolution.
- Managed competing deadlines with efficiency.
- Conducted comprehensive market research to identify emerging trends, enabling more informed decision-making.
- Knowledge of MCG,InterQual ,Epic cerner
Staff Nurse
BINAN Doctors Hospital
Biñan City, Laguna
03.2017 - 10.2020
- Administered medications and treatments as prescribed, ensuring patient safety and comfort.
- Monitored vital signs and documented changes to inform care decisions.
- Educated patients and families on health management and post-discharge care instructions.
- Assisted in training new nursing staff on protocols and best practices to enhance team performance.
- Implemented infection control measures, contributing to a safe healthcare environment for patients.
- Conducted patient assessments to identify needs and respond effectively to evolving conditions.
- Streamlined documentation processes, improving efficiency in patient record management.
- Maintained accurate and detailed records of patient assessments, treatments, and progress notes for seamless continuity of care.
Staff Nurse
The Medical City South Luzon
Santa Rosa City
01.2016 - 10.2016
- In patient nurse trainee pediatrics
Education
B.S - Nursing
University of Perpetual Help
Binan city, Laguna03.2015
High School Diploma -
Sta Catalina College
Legarda Manila Phillipines 03.1992
Primary -
Malabon Cultural Institute
Malabon Metro Manila Philippines 03.1988
Skills
- Compassionate caregiving
- Dementia care
- Emotional support
- Alzheimer's care
- Meal preparation
- Mobility assistance
- Recreational activities
- Elderly assistance
- Nutrition management
- Physical therapy support
- Personal hygiene support
- Fall prevention
- Personal care
- Safety awareness
- Medication reminders
- Companionship skills
- Medication distribution
- Personal hygiene maintenance
- Preventive Maintenance
- Mobility support
- Patient assistance
Certification
USRN April 8 2026-present
PHRN June 2016 - present
- Home Health Aid (HHA)
Seminar and Training
- BLS provider
- First aid
- CODE OF PRACTICE IN EMERGENCY NURSING - april 27, 2024
- Newborn screening seminar - Oct 23-24 2018
Languages
English
Timeline
Private Caretaker
Private Duty
06.2025 - Current
Caregiver
One Heart Healthcare
02.2025 - 06.2025
Clinical Utilization Management Reviewer
ADEC INNOVATION INC.HEALTHCARE/rwjbarnabashealthcare
12.2020 - 03.2024
Staff Nurse
BINAN Doctors Hospital
03.2017 - 10.2020
Staff Nurse
The Medical City South Luzon
01.2016 - 10.2016
B.S - Nursing
University of Perpetual Help
High School Diploma -
Sta Catalina College
Primary -
Malabon Cultural Institute