Hi, I’m
Supinee Pisitchaiyakul
Summary
Compassionate Registered Nurse with a Bachelor of Science in Nursing and California Public Health Nurse Certificate. Completed 950 clinical hours across medical surgical, pediatrics, maternal newborn, behavioral health, critical care, and community health settings. Expertise in clinical judgment, patient education, and interdisciplinary collaboration, complemented by experience in utilization management for effective care coordination. Committed to ongoing education as a Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner.
Overview
6
years of professional experience
1
Certification
Work History
Regal Medical Group
Prior Authorization Specialist
01.2020 - 11.2023
Job overview
- Collaborate with physicians, nurses, health plans, and interdisciplinary teams to coordinate timely patient care and referral authorizations.
- Process and manage prior authorizations, including approvals, denials, deferrals, and follow-up, while maintaining regulatory and organizational compliance.
- Coordinate utilization management activities to facilitate appropriate care in the right setting at the right time.
- Maintain accurate documentation, patient notifications, and electronic records using REA and internal healthcare systems.
- Prioritize multiple cases while consistently meeting turnaround time and quality standards in a fast-paced healthcare environment.
Regal Medical Group
Prior Authorization Coordinator
09.2018 - 01.2020
Job overview
- Verified insurance eligibility and benefits for durable medical equipment (DME), home health services, and specialty referrals to support timely authorization decisions.
- Processed prior authorization requests, including pending, approved, and denied cases, ensuring accurate documentation and timely resolution.
- Collaborated with nurses, physicians, medical directors, and provider offices to coordinate referrals and facilitate continuity of patient care.
- Identified referral processing trends and worked with internal teams to improve workflow efficiency and maintain organizational performance standards.
Asian Pacific Health Care Venture,
Clinic Operation
07.2017 - 09.2018
Job overview
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
Education
Azusa Pacific University
Bachelor of Science from Nursing (BSN)
12-2026
University Overview
- GPA: 3.80
- California Public Health Nurse (PHN) Certificate
- Class Representative, Entry-Level Master's in Nursing Cohort 154
- Graduated with 950 clinical hours in diverse acute care and community healthcare settings
Humboldt State University
Bachelor of Arts from Psychology
07-2010
University Overview
Leadership & Research Experience
- Undergraduate Research Assistant, Psychology Laboratory (2009–2011)
- Laboratory Co-Coordinator, Psychology Research Lab (2008–2010)
- Teaching Assistant, Introduction to Psychology
- Teaching Assistant, Sensation and Perception
Skills
- Claims Analysis
- Benefit Verification
- Patient Advocacy
- Customer Service
- Patient Assessment
- Case Management
- Medical terminology
- Care Coordination
- Electronic Health Records
- NextGen
- Microsoft Office
- Therapeutic Communication
- Health Insurance Terms
- Appeals Management
- REA
Certification
- California Registered Nurse License
- California Public Health Nurse Certificate
- Basic Life Support (BLS), American Heart Association
- First Aid Certification
Languages
Thai
Volunteer work
Huntington Hospital, Pasadena, CA
Medical Telemetry Unit Volunteer | Current
- Support nursing staff with non-clinical patient care activities and unit operations.
- Assist with patient comfort, transport, stocking supplies, and maintaining a safe, organized care environment.
- Observe interdisciplinary collaboration and gain experience in acute care nursing workflows.
- Promote a positive patient experience through compassionate communication and service.
General Surgery Department Volunteer | 2015
- Assisted staff with patient transport, unit organization, and preparation of patient care areas.
- Restocked supplies and supported daily operations to promote efficient patient care.
- Provided assistance to patients and families while maintaining a welcoming and professional environment.
- Gained exposure to perioperative and postoperative patient care in a surgical setting.
Clinical Experience
- USC Arcadia Hospital – Medical Surgical (90 hrs)
- Queen of the Valley Hospital – Pediatrics (92 hrs)
- Pomona Valley Hospital Medical Center – Maternal & Newborn (90 hrs)
- Las Encinas Hospital – Behavioral Health (90 hrs)
- PIH Health Hospital – Medical Surgical (132 hrs)
- Foothill Presbyterian Hospital – Critical Care Unit (139 hrs)
- CASA Treatment Center & FUCI – Community Health Nursing (135 hrs)
- Huntington Hospital - Medical Surgical (190 hrs)
Languages
5
Timeline
Prior Authorization Specialist
Regal Medical Group
01.2020 - 11.2023
Prior Authorization Coordinator
Regal Medical Group
09.2018 - 01.2020
Clinic Operation
Asian Pacific Health Care Venture,
07.2017 - 09.2018
Azusa Pacific University
Bachelor of Science from Nursing (BSN)
Humboldt State University
Bachelor of Arts from Psychology