REMEDIOS ADARNA
Fargo,ND
Summary
- Dedicated and compassionate Registered Nurse (RN) with a progressive career history in direct patient care and care coordination in a fast-paced environment. Proven to remain calm under pressure and skillfully handle complex patients and high-stress situations.
- Analytical and strategic Utilization Management (UM) Review RN with excellent problem-solving and time management skills. Organized, efficient, and always willing to go the extra mile to meet expectations.
- Consistently developing strong collaborative relationships with other departments and a respectful attitude in high-stress situations.
- An organized and dependable candidate who successfully manages multiple priorities with a positive attitude. Willing to take on added responsibilities to meet team goals.
- Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
20
20
years of professional experience
Work History
Post Anesthesia Care Unit Nurse
Sanford Medical Center Fargo
06.2018 - Current
- .PRN PACU RN (11/2020-Present)
- Full time PACU RN (6/2018–11/2020)
- Monitor patient's vital signs as they wake from anesthesia.
- Treat pain, nausea, and other patient post-op symptoms and any side effects of anesthesia
- Comfort patients who awaken scared or confused after surgery
- Work with the interdisciplinary medical team
- Document and keep the team informed of the patient’s progress
- Educate patients and their families on post-surgery care.
- Enhanced patient recovery by administering post-operative care and monitoring vital signs.
- Reduced post-surgical complications by swiftly identifying and addressing potential risks.
Utilization Management (UM) Reviewer RN I
Blue Cross Blue Shield, BCBSND
11.2020 - Current
- Oversees the approval or denial of medical necessity and the appropriateness of procedures and tests.
- Consist of medical health services that review pre-certification reviews, concurrent reviews, discharge reviews, retrospective reviews (post-service), and crisis interventions.
- Utilizes clinically appropriate alternative levels of care.
- Documents clinical review findings, actions, and outcomes in accordance with policies, regulatory, and accreditation requirements.
- Facilitates appropriate use of benefits.
Post Anesthesia Care Unit Nurse
CHI St Alexius Health Williston Medical Center, CHI St Alexius Health -Williston Medical, Mercy Medical Center
05.2015 - 05.2018
- Managed patients recovering from surgical procedures.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Enhanced patient recovery by administering post-operative care and monitoring vital signs.
Post Anesthesia Care Unit Nurse
KAMC-Central Region National Guard Health Affairs
05.2012 - 03.2015
- Provides direct patient care utilizing the nursing process within established hospital, divisional and unit-specific policies and procedures, standards, protocols
- Demonstrates knowledge and clinical assessment skills appropriate to the clinical area
- Takes direct and appropriate action in urgent and emergency situations
- Documents all assessments, interventions, and other pertinent information in the patient’s health care record in a timely and ongoing manner
- Promotes continuity of patient care through oral and written communication
- Demonstrates effective communication and collaboration skills when interacting with patients/families, other healthcare team members, and staff of other departments.
- Complies with hospital infection control and safety protocols
- Managed patients recovering from surgical procedures.
- Lead teams in driving successful patient outcomes by prioritizing standard care and best practices.
PACU Staff Nurse
Dallah Hospital
01.2010 - 01.2012
- Provides nursing care through a process of assessment, planning, implementation and evaluation
- Collaborate with medical and support services for provision of care and a safe environment
- Coordinate patient activities and communicates with multiple services
- Assists with the provision of information to patients in the preoperative holding area
- Transfers patient back to the unit only after criteria for safe discharged from recovery is met
- Patient to be discharged should reach the criteria needed for discharge (Aldrete Score)
- Anesthesiologist assigned for the patient should give the order for discharge and sign it.
Utilization Review Nurse
MediCall Philippines Incorporated
06.2008 - 12.2010
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Performed admission reviews based for medical necessity based upon certain specification.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Post Anesthesia Care Unit Nurse
Capitol Medical Center, Scout Magbanua
12.2005 - 01.2007
- Provided exceptional care to high-acute patients needing complex care
- Managed patients recovering from surgical procedures.
- Assessed patient incision site, monitored body temperature, and tracked other indicators of stability or complications.
- Lead teams in driving successful patient outcomes by prioritizing standard care and best practices.
- Comforted and reassured patients and family members, patiently answered questions, and conveyed important care information.
Staff Nurse
Capitol Medical Center, Scout Magbanua Corner
06.2005 - 12.2005
- Provides direct and indirect patient care activities and professional nursing services required in the nursing care of the patient
- Utilizes the nursing process to admit patients
- Identify nursing care priorities.
- Assess patients appropriately
- Evaluates patient's response to medical and nursing intervention.
- Observes patients: Remain continuously aware of patient’s conditions
- Reports and records observations, symptoms and pertinent information to the physician and to appropriate nursing personnel
- Institute appropriate measures in emergency and crises
- Administer and record medication, be cognizant of reactions, and report harmful effects to the physician.
- Adheres to nursing services, policies and procedures in the performance of patient care activities
- Documents in the patient chart nursing observations and case provided according to problem-oriented record system
- Participate in continuing medical education programs and research for the improvement of patient’s case whenever opportunities are present.
- Act as a role model and maintain a professional demeanor.
- Maintains interpersonal relationships with patients, visitors, and other hospital personnel
- Assist physicians in the treatment or administering of highly specialized therapy, utilizing sophisticated equipment and invasive treatment.
- Performs other job-related duties as directed.
Volunteer Nurse
Municipal Health Center of Sta. Catalina
05.2004 - 06.2005
- Do health history with the patient as well as the relatives of the patient
- Reported patient requests, concerns, and other observations to staff.
- Completed paperwork and evaluation forms to document patient interactions.
- Transported patients and helped with discharge procedures.
- Take vital signs and do assessment findings
- Initiate health care teachings to the patient as well as to their families.
Education
Master of Science - Nursing Leadership And Management
University of Mary
Bismarck, ND04.2024
Bachelor of Science - Nursing
Silliman University
Dumaguete City, Negros Oriental, Philippines03.2004
Bachelor of Science - Biology
Silliman University
Dumaguete City, Negros Oriental Philippines03.2000
Skills
- Determine Medical Necessity
- Policy and Procedure Compliance
- Microsoft Office
- Delegation and Motivation
- Review Processes
- Direct Patient Care
- Benefits Guidelines
- InterQual Criteria
- Utilization Review
- Operational Procedures
- Office Support
- Skilled in Microsoft Office, Excel, Teams
- Interpersonal and Written Communication
- Patient Education
- Medication and IV administration
- Patient Assessment
Additional Information
- LICENSES AND CERTIFICATIONS License/Certification License/Certification No. , Expiry Date Certified Post Anesthesia Nurse (CPAN) 1812572743 Apr 30, 2024 North Dakota RN License R41778
Affiliations
- American Society of PeriAnesthesia Nurses (ASPAN)
- Minnesota-Dakota Society of PeriAnesthesia Nurses (MNDAKSPAN)
Timeline
Utilization Management (UM) Reviewer RN I
Blue Cross Blue Shield, BCBSND
11.2020 - Current
Post Anesthesia Care Unit Nurse
Sanford Medical Center Fargo
06.2018 - Current
Post Anesthesia Care Unit Nurse
CHI St Alexius Health Williston Medical Center, CHI St Alexius Health -Williston Medical, Mercy Medical Center
05.2015 - 05.2018
Post Anesthesia Care Unit Nurse
KAMC-Central Region National Guard Health Affairs
05.2012 - 03.2015
PACU Staff Nurse
Dallah Hospital
01.2010 - 01.2012
Utilization Review Nurse
MediCall Philippines Incorporated
06.2008 - 12.2010
Post Anesthesia Care Unit Nurse
Capitol Medical Center, Scout Magbanua
12.2005 - 01.2007
Staff Nurse
Capitol Medical Center, Scout Magbanua Corner
06.2005 - 12.2005
Volunteer Nurse
Municipal Health Center of Sta. Catalina
05.2004 - 06.2005
Master of Science - Nursing Leadership And Management
University of Mary
Bachelor of Science - Nursing
Silliman University
Bachelor of Science - Biology
Silliman University
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