Background:
I am a dedicated and compassionate individual with a strong background in healthcare. With a total of 18 years in the industry, I have gained invaluable experience in various healthcare settings that have honed my skills in patient care, critical thinking, and interpersonal communication.
Family Status:
I am happily married and have a supportive family environment, which allows me to balance my personal and professional commitments effectively.
Interests and Hobbies:
Outside of my healthcare career, I am passionate about promoting a healthy lifestyle. I enjoy biking, hiking, and running. These interests reflect my commitment to overall well-being and align with the principles of home health care.
Attributes and Qualities:
Compassion: My years of experience in private duty and ER nursing have ingrained in me a deep sense of empathy and care for patients' physical and emotional well-being.
Adaptability: Working in diverse healthcare settings has made me highly adaptable to changing circumstances and patient needs.
Communication Skills: As someone with a background in healthcare accounts, I possess exceptional communication skills both in written and verbal forms. This skill is crucial for effective collaboration with patients, their families, and the medical team.
Critical Thinking: My experience in the emergency room has equipped me with the ability to make quick, informed decisions under pressure, a skill that's essential for home healthcare situations.
Attention to Detail: Working in healthcare accounts demands a high level of accuracy, which has translated into meticulous attention to detail in patient care.
Time Management: Juggling multiple responsibilities in healthcare accounts has honed my time management skills, enabling me to efficiently prioritize and complete tasks.
Cultural Sensitivity: With 15 years of experience dealing with healthcare accounts in the US, I have developed a strong understanding of cultural nuances, which is essential when providing care to diverse patient populations.
Relevant Experience:
1 Year Private Duty Nurse: I have a comprehensive understanding of personalized patient care gained from working as a private duty nurse. This experience has given me the skills to provide individualized attention to patients in a home setting.
2 Years ER Nurse: My time in the emergency room has exposed me to a wide range of medical conditions and emergencies, enhancing my ability to handle unpredictable situations and emergencies that might arise in a home health care role.
15 Years Healthcare Accounts: My extensive background in healthcare accounts has fostered strong communication, organization, and administrative skills, which are valuable for ensuring smooth coordination and documentation in a home healthcare environment.
My combination of clinical expertise, interpersonal skills, and administrative experience makes me a well-rounded candidate for a home healthcare position. I am committed to delivering compassionate and high-quality care to patients while effectively communicating and collaborating with their families and the healthcare team.
Apr 2022 – Apr 2023 Patient Coordinator Reproductive Sciences Medical Center | United States
• Initiated communication with patients interested in consultations with fertility doctors.
• Managed all calls and emails from patients, collecting detailed information and documenting interactions in FM and advancedMD.
• Coordinated detailed calls with the billing department for complex patient needs.
• Ensured compliance with HIPAA and other regulations, maintaining patient confidentiality.
• Maintained organization standards for quality service.
• Updated and maintained the patient care database.
Apr 2019 - Feb 2023 QAPI Support Reliance Hospice Inc. | United States
• Reviewed QAPI records for compliance with Hospice COPs and performed data collection and reports to Hospice Managers.
• Assisted in the determination of hospice primary diagnoses and ICD coding.
• Developed reports and tracking tools for ongoing performance improvement projects.
May 2021 - Dec 2021 QAPI Manager QAPI Support | United States
• Managed daily reviews and projects to ensure hospice and home health regulatory compliance.
• Conducted concurrent and retrospective quality reviews.
• Stayed updated with regulatory standards in hospice and home care.
• Participated in quality improvement projects and the Joint Commission accreditation process.
• Conducted in-services and educational programs.
Jan 2015 - Jan 2018 Medical Coordinator Shearwater Health | US Accounts
• Evaluated treatment or service requests for medical necessity and appropriateness.
• Identified referrals requiring USRN judgment and collaborated with Physician Advisor/Peer Review.
• Processed medically necessary requests for claimants.
Jan 2013 - Jan 2015 Utilization Management Nurse Consultant EXL Services Incorporated | US Accounts
• Evaluated appropriateness of healthcare and services for patients covered under the plan.
• Reviewed treatment requests for medical necessity using nursing judgment and guidelines.
• Conducted first-level prospective, concurrent, or retrospective reviews and negotiated alternative treatment plans.
Aug 2012 - Jan 2013 Medical Assistant Associate EXL Services Incorporated | US Accounts
• Reviewed and interpreted medical records.
• Prepared summarized reports for medical doctor review.
Nov 2010 - Aug 2012 Company Nurse Healthway Medical
• Managed clinical assessment, monitoring, and healthcare management for clients.
• Handled clinical records and medical insurance management.
• Coordinated care for clients and oriented newly hired agents to clinical procedures.
Dec 2008 - Dec 2010 Volunteer Nurse East Avenue Medical Center
• Assisted doctors with health assessments and client care.
• Provided nursing interventions as appropriate.
Oct 2009 - Mar 2010 Private Duty Nurse Carelink Philippines Inc.
• Managed overall healthcare for clients, coordinated care to hospitals, and supervised clients.
Education
1997
Polytechnic University of the Philippines
Bachelor's/College Degree in Food Technology/Nutrition/Dietetics | Philippines
2008
Philippine Colleges of Health Sciences
Bachelor's/College Degree in Nursing | Philippines