Zenra Mae Lerit
Registered Nurse
The Bronx,NY
Summary
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Team Leader Health Care Managers
Sagility Health Philippines
10.2023 - 10.2024
- Set performance expectations for the team, monitoring progress towards goals and providing constructive feedback as needed.
- Coordinated resources effectively to meet project deadlines and achieve desired results.
- Empowered team members by delegating responsibilities according to individual strengths and areas of expertise.
- Managed conflict resolution among team members, fostering a positive and collaborative work environment.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Collaborated with other department leaders to establish shared goals and ensure alignment across teams.
- Enhanced team productivity by implementing efficient work processes and regularly reviewing performance metrics.
Utilization Management Nurse
Cognizant Philippines
09.2022 - 09.2023
- Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations
- Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings
- Collaborate with various staff within provider networks and discharge planning team electronically, telephonically, or onsite to coordinate member care
- Conduct discharge planning
- Correspondence with patient families-to keep all loved ones informed on a patient's health and on the status of the appeals process
- Report creation and submission of an appeal-complete with all necessary details to inform insurance carriers of a patients continued needs
- Research into current healthcare regulations and stipulations-to form the basis for any necessary appeal
- Investigation into a patients history treatment-to better warrant their need for continual care
Utilization Management Nurse
Shearwater Health Philippines
12.2021 - 08.2022
- Monitoring reviews to ensure patients receive care in a timely and cost-effective manner
- Consulting with physicians and other professionals to improve utilization of services
- Concurrent review of patient's clinical information for efficiency
Utilization Management Nurse
EXL Services
02.2015 - 07.2021
- Responsible for the review and evaluation of clinical information and documentation
- Responsible for reporting on outcomes as well as providing timely and accurate information and status updates to clients
- Provides strategic recommendations on new opportunities, assesses client needs and builds driven business plans
- Create and execute upon an annual business plan that aligns with achieving monthly, quarterly, annual quota and goals
Private Duty Nurse
University of Santo Tomas Hospital
01.2014 - 06.2014
- Responding to patient request, and assisting staff with the task taking patient temperatures and blood pressure
- Preparation of rooms and equipments for patient intake
- Check the fasting blood sugar, changing IV
Medical Surgical Nurse
Maghari Medical Center
01.2009 - 12.2013
- Delivers a high standard of holistic care to patients, promoting their equality, privacy and dignity at all times
- Administers medication as per doctors order
- Change dressings, monitor vital signs, keep records and provides patients with support and education
- Operate medical equipment
- Collaborate with teams to plans patients care
Education
Bachelor of Science - Nursing
SKEI
Tacurong Sultan Kudarat04-2008
Skills
- Teamwork and collaboration
- Problem-solving
- Attention to detail
- Team motivation
- People management
- Coaching and mentoring
- Documentation and reporting
- Goal setting
- Analytical thinking
- Leading team meetings
- Coaching
- Performance evaluations
- SMART goals
Certification
- Registered Nurse License (RN) - State Board of Nursing.
- First Aid Certification
- Basic Life Support Certification (BLS)
- Advanced Cardiac Life Support Certification (ACLS)
- CPR/AED Certification
- Child Development Associate (CDA) Certificate
Timeline
Team Leader Health Care Managers
Sagility Health Philippines
10.2023 - 10.2024
Utilization Management Nurse
Cognizant Philippines
09.2022 - 09.2023
Utilization Management Nurse
Shearwater Health Philippines
12.2021 - 08.2022
Utilization Management Nurse
EXL Services
02.2015 - 07.2021
Private Duty Nurse
University of Santo Tomas Hospital
01.2014 - 06.2014
Medical Surgical Nurse
Maghari Medical Center
01.2009 - 12.2013
- Registered Nurse License (RN) - State Board of Nursing.
- First Aid Certification
- Basic Life Support Certification (BLS)
- Advanced Cardiac Life Support Certification (ACLS)
- CPR/AED Certification
- Child Development Associate (CDA) Certificate
Bachelor of Science - Nursing
SKEI
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