Summary
Overview
Work History
Education
Skills
Certification
Personal Information
Training
Timeline
Generic
Rose-Anne Aposaga

Rose-Anne Aposaga

Edinboro,PA

Summary

Registered nurse with high dedication in serving other people; has ample experience in basic communication and healthcare delivery system. Trained to be flexible and has an ample interest in healthcare and passion in rendering care for people. Acquired various trainings and specializations that will be of assistance in delivering nursing care.

Overview

15
15
years of professional experience
1
1
Certification

Work History

Registered Nurse/Charge Nurse

Edinboro Manor
08.2022 - Current
  • Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
  • Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.

Clinical Case Manager (SNF)

Optum Global Solutions (Philippines)
02.2019 - 08.2022
  • Enhance care coordination for patients with complex medical needs through effective communication and collaboration with multidisciplinary teams.
  • Conducts review of skilled patients' weekly progress, medical conditions, and comorbidities.
  • Collaborates with SNF on discharge planning for safe discharge of the patients back to the community.


Inpatient Case Manager

Optum Global Solutions (Philippines)
04.2017 - 02.2019
  • Self-motivated, with a strong sense of personal responsibility.
  • Conducts reviews of inpatient SNF patients, and managed coverage of inpatient stay based on skilled needs and guidelines
  • Collaboration with Medical Director as appropriate and deem necessary for level of care.
  • Skilled at working independently and collaboratively in a team environment.
  • Worked effectively in fast-paced environments.
  • Demonstrated respect, friendliness and willingness to help wherever needed.

Hedis Abstractor

Shearwater (HCCA-Health Connections)
01.2013 - 06.2015
  • Subject Matter Expert for Hedis 2014-2015 season, handling measures such as CIS, IMA, ABA, FPC, PPC, CBP and etc.
  • Assisted in the training of new team members, sharing expertise in abstracting best practices and procedures.
  • Maintained strict compliance with industry regulations and guidelines while performing comprehensive reviews.

Medical Coder -Risk Adjustment

Shearwater (HCCA-Health Connections)
01.2016 - 04.2017
  • Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.

Emergency Nurse

General Trias Maternity and Pediatrics Hospital
02.2010 - 01.2013
  • Work as an emergency nurse for a year and, with following roles; Assesses patients for admission, giving primary healthcare and delivery system
  • Handles different cases from simple cases like fever both pediatric and adult up to life threatening conditions requiring extensive care, from all ages
  • Also manages trauma cases like MVA, GSW and the like
  • Initiate intravenous fluids; perform basic ER procedures such as CPR, First aid, ABC of life and etc
  • Facilitates suctioning, insertion of nasogastric tubes and the like, and most likely other invasive procedures which are clinically required to provide and sustain patient's life
  • Administers medications in different routes such as per orem, subcutaneously, intramuscular, intradermal, thru intravenous access and other more.

Ward Nurse

General Trias Maternity and Pediatrics Hospital
04.2009 - 02.2010
  • Demonstrated strong clinical judgment when prioritizing patient care tasks, ensuring that the most critical needs were addressed first during busy shifts.
  • Proper nursing documentations like planning, assessment and evaluations.
  • Collaborated with multidisciplinary teams to develop comprehensive care plans tailored to individual patient needs.
  • Contributed to higher recovery rates by closely monitoring patients'' vital signs and reporting any abnormalities to medical staff.
  • Implemented evidence-based practices that improved overall quality of care within the ward setting.
  • Educated patients on their conditions and provided guidance on self-care at home after discharge.


UR Lister

Shearwater (HCCA-Health Connections)
  • Medical sorter and preparatory for Danestret

Intensive Care Unit Nurse/ Nurse Supervisor

General Trias Maternity and Pediatrics Hospital
12.2011
  • As SUPERVISOR, do supervisory rounds and checks staff-patient relations
  • Do montly updates and reports on staff performances
  • Evaluates nursing interactions towards patient to establish plans for better service
  • Evaluates nurses from time to time
  • Do schedules and reports needed for nurses.

Hedis Abstractor

Shearwater (HCCA-Health Connections)
01.2013 - 05.2017
  • Reviewer for Hedis 2013 and 2015 seasons, under the measures such as CIS, IMA, LSC, ABA, etc.

Case Manager (CM/DM)

Optum Global Solutions (US RN Academy)
01.2017 - Current
  • Outreach call to members to help and partner in managing health through telephonic nursing
  • Handles any cases from General conditions, Diabetes, and/or Post discharged members needing follow up for health teaching and assistance
  • Work as coordinator, advocate and educator of health.

STARS (Medical Reviewer)

Shearwater (HCCA-Health Connections)
06.2013 - 01.2014

Education

BS Nursing -

Dela Salle Health Sciences Institute
Dasmariñas, Cavite

Skills

  • Basic knowledge on basic computer application and healthcare delivery system
  • Experienced coder and medical abstractor/reviewer
  • Possessed flexibility and intense will to learn new things
  • Resourceful in doing jobs and efficient in multi-tasking
  • High willingness to cope with advancement
  • Has a positive outlook in life, and takes negative feedback a working ground for improvement
  • Possess dedication to work
  • Demonstrated good rapport with other people
  • Recognized for reliability and responsibility

Certification

  • Philippine Registered Nurse
  • US Registered Nurse (Active: Texas and PA, Inactive: NMI, and CT)
  • Active BLS provider

Personal Information

Title: Registered Nurse

Training

  • Basic Life Support - Cardiopulmonary Resuscitation, Philippine National Red Cross - Muntinlupa Chapter, 2007-12-01
  • Standard First Aid, Philippine National Red Cross - Muntinlupa Chapter, 2007-12-01
  • Intravenous Therapy Training, University of Perpetual Help Medical Center - Las Piñas City, 2007-09-01
  • Refresher course : IVT updates, Medical Center Imus - Imus, Cavite, 2011-12-01
  • Advance Cardiac Life Support (AHA guidelines), Inurse Training Center - Quezon, City, 2012-09-01

Timeline

Registered Nurse/Charge Nurse

Edinboro Manor
08.2022 - Current

Clinical Case Manager (SNF)

Optum Global Solutions (Philippines)
02.2019 - 08.2022

Inpatient Case Manager

Optum Global Solutions (Philippines)
04.2017 - 02.2019

Case Manager (CM/DM)

Optum Global Solutions (US RN Academy)
01.2017 - Current

Medical Coder -Risk Adjustment

Shearwater (HCCA-Health Connections)
01.2016 - 04.2017

STARS (Medical Reviewer)

Shearwater (HCCA-Health Connections)
06.2013 - 01.2014

Hedis Abstractor

Shearwater (HCCA-Health Connections)
01.2013 - 06.2015

Hedis Abstractor

Shearwater (HCCA-Health Connections)
01.2013 - 05.2017

Intensive Care Unit Nurse/ Nurse Supervisor

General Trias Maternity and Pediatrics Hospital
12.2011

Emergency Nurse

General Trias Maternity and Pediatrics Hospital
02.2010 - 01.2013

Ward Nurse

General Trias Maternity and Pediatrics Hospital
04.2009 - 02.2010

UR Lister

Shearwater (HCCA-Health Connections)

BS Nursing -

Dela Salle Health Sciences Institute

Similar Profiles

CREATE PROFILE
Rose-Anne Aposaga