TOM SUMALIPAO
Show Low,United States
Summary
Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Utilization Review Nurse
iCare Health Solutions
10.2022 - 05.2023
- Reviewed health plan participants in acute care facilities daily and communicated with health plan primary care provider and RN case manager to achieve efficient and appropriate discharge planning.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Improved patient care quality by conducting thorough utilization reviews and making recommendations for optimal treatment plans.
- Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Able to do 30 cases a day, and maximum of 100 cases.
Registered Nurse
Concentrics Healthcare Staffing
05.2021 - 08.2022
- Educated patients on preventive care and lifestyle choices to improve overall health.
- Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
Registered Nurse, Skilled Nursing Facility
Horizon Post-Acute and Rehabilitation
12.2020 - 05.2021
- Educated patients on preventive care and lifestyle choices to improve overall health.
- Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
Customer Service Cashier
Lowe's Home Improvement
05.2020 - 09.2020
- Verified product pricing using electronic systems or associate assistance.
- Met customer service goals and exceeded customer expectations.
- Maintained a clean and organized workspace, promoting a welcoming environment for customers.
- Enhanced customer satisfaction by efficiently handling transactions and addressing inquiries.
- Maintained accurate records of customer transactions for reporting purposes.
- Promoted a positive shopping experience by greeting customers warmly upon entry and providing assistance as needed.
- Counted money in drawers at beginning and end of each shift.
- Utilized POS system to handle customer cash and credit card transactions.
- Maintained customer satisfaction with quick and professional handling of product returns.
- Processed returns and exchanges with care, adhering to store policies while prioritizing customer satisfaction.
Education
Master of Science -
Walden University
MinnesotaBachelor of Science - Nursing
Misamis University
Philippines03.2019
Skills
- HIPAA Compliance
- Clinical assessment
- Medicaid knowledge
- Utilization review
- Records analysis
- Healthcare regulations
- Inpatient Care
- Palliative Care
- Discharge Planning
Awards
- Orientation and Leadership Training Certificate - NSLS
- Advanced Leadership Certification - NSLS
- Foundations of Leadership Certificate - NSLS
Certification
- Registered Nurse License - Arizona (Compact License)
- Registered Nurse License - New York
- Registered Nurse License - Philippines
- BLS Training - 2024
Timeline
Utilization Review Nurse
iCare Health Solutions
10.2022 - 05.2023
Registered Nurse
Concentrics Healthcare Staffing
05.2021 - 08.2022
Registered Nurse, Skilled Nursing Facility
Horizon Post-Acute and Rehabilitation
12.2020 - 05.2021
Customer Service Cashier
Lowe's Home Improvement
05.2020 - 09.2020
Master of Science -
Walden University
Bachelor of Science - Nursing
Misamis University
- Registered Nurse License - Arizona (Compact License)
- Registered Nurse License - New York
- Registered Nurse License - Philippines
- BLS Training - 2024
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