Rafael Dacpano, BSN, RN
Red Lion,PA
Summary
Organized and knowledgeable Registered Nurse experienced in treating and caring for patients. Successful in providing fast and accurate assessments and working calmly under pressure. Recognized for collaborating well with doctors to maintain top-notch healthcare practices.
Overview
18
18
years of professional experience
4
4
years of post-secondary education
1
1
Certification
Work History
Registered Nurse
Pleasant Acres Nursing And Rehabilitation Center
York, Pennsylvania
07.2024 - Current
- Monitored patient vital signs and communicated significant changes to healthcare team to facilitate timely interventions.
- Administered medications and treatments following healthcare provider instructions to ensure patient safety and adherence to care plans.
- Assisted in patient assessments and developed care plans with nursing staff.
- Collaborated with interdisciplinary teams to coordinate patient care effectively.
- Provided education to patients and families on health management and recovery processes to enhance understanding and promote adherence.
- Provided direct patient care in a skilled nursing facility environment.
Utilization Review Nurse
Cognizant Technology Solutions, CTS
, Philippines
08.2021 - 06.2024
- Conducted comprehensive reviews of patient records, ensuring medical necessity and adherence to healthcare standards.
- Reviewed patient records for compliance with utilization review criteria, facilitating informed decision-making.
- Applied medical criteria and clinical judgement to evaluate and establish determinations on researched cases.
- Analyzed clinical data to identify potential areas for cost reduction and efficiency.
Utilization Review Nurse
HGS - Hinduja Global Solutions
, Philippines
11.2019 - 08.2021
- Performed pre-certification, concurrent, and retrospective reviews of inpatient and outpatient services.
- Conducted comprehensive reviews of patient records for medical necessity and compliance with healthcare standards, supporting effective utilization management.
- Reviewed patient records for compliance with utilization review criteria, enhancing quality of care.
Clinical Intake Specialist
HGS - Hinduja Global Solutions
, Philippines
03.2011 - 11.2019
- Conducted initial assessments to determine patient eligibility and streamline intake process.
- Collaborated with healthcare providers to efficiently gather and verify necessary patient information.
- Utilized electronic health record systems to document intake data accurately.
- Verified eligibility and coverage information with insurance carriers via telephone or online portals.
- Monitored incoming faxes for completed referral forms and documents to ensure timely processing of patient intake.
- Maintained confidential patient files in accordance with HIPAA regulations.
- Responded promptly to inquiries from patients or family members regarding clinical services provided by the facility.
Public Health Nurse
Department Of Labor And Employment
, Philippines
10.2009 - 04.2010
- Provided public health nursing care to clients in their homes and in the community.
- Conducted community health assessments to identify and address public health needs.
- Provided immunization services and education, improving health awareness among diverse populations.
- Collaborated with local agencies to enhance public health initiatives.
- Educated individuals on disease prevention and healthy lifestyle choices, fostering healthier community practices.
Registered Nurse
Ludovice General Hospital
, Philippines
04.2008 - 08.2009
- Assessed clinical situations quickly and accurately using critical thinking skills to support timely patient care.
- Collaborated with multidisciplinary healthcare team to develop and implement individualized treatment plans, enhancing patient outcomes.
- Administered medications following established protocols and safety guidelines.
- Monitored vital signs and reported changes to healthcare team members.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
- Ensured a safe environment for patients by rigorously adhering to infection control policies and procedures.
Education
Bachelor of Science - Nursing
University of Santo Tomas Legazpi
Legazpi City, Philippines 06.2002 - 04.2006
Skills
- Direct patient care
- Medication administration
- Administering immunizations
- Patient assessment
- Health education
- Long-term care
- Electronic health records
- Utilization review
- Critical thinking
- Effective communication
Certification
- Registered Nurse, Pennsylvania
- Registered Nurse, California
- Registered Nurse, Illinois
- BLS provider, American Heart Association
- Basic IV Therapy, Advanced PICC Specialists, Inc
Timeline
Registered Nurse
Pleasant Acres Nursing And Rehabilitation Center
07.2024 - Current
Utilization Review Nurse
Cognizant Technology Solutions, CTS
08.2021 - 06.2024
Utilization Review Nurse
HGS - Hinduja Global Solutions
11.2019 - 08.2021
Clinical Intake Specialist
HGS - Hinduja Global Solutions
03.2011 - 11.2019
Public Health Nurse
Department Of Labor And Employment
10.2009 - 04.2010
Registered Nurse
Ludovice General Hospital
04.2008 - 08.2009
Bachelor of Science - Nursing
University of Santo Tomas Legazpi
06.2002 - 04.2006