2018
Bachelor of Science in Nursing
Medical Colleges of the Northern Philippines
My Skills and Competencies
Social Media Management
Graphic Designer
Data Entry
Content Creator
Certificates
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My Experience and Education
2023
-
2023
Optum Global Solutions
(Preservice Review Nurse)
Checks the benefit plan coverage of the member and reviews their condition. Perform clinical coverage review of services, which require interpretation of state and federal mandates, applicable benefit language, and consideration of relevant clinical information.
Complete approval coverage determinations according to applicable medical policy and guidelines Prepares cases for physician review .
Function as a member of a self directed team to meet specific individual and team performance metrics .
Ability to communicate in writing and verbally, all types of benefit determinations including decisions regarding coverage guidelines, contractual limitations and reimbursement determinations .
Telephonic discussion with health care providers and members to explain benefit coverage and medical necessity determinations and to obtain additional clinical information •Acts as a resource for others with less experience.
2019
-
2023
Hospital of the Infant Jesus Medical Center
(Staff Nurse & Infection Control Nurse)
Provides direct quality care to patients including daily monitoring, recording and evaluating of medical conditions.
Giving quality nursing care and treatment.
Coordinate with the Local Government Unit and Department of Health regarding COVID19 Cases and other infectious cases.
Facilitates COVID19 vaccine roll out in the hospital.
My Services
Social Media Management
Analyzing engagement data, identifying trends in customer interaction and planning digital campaigns to build community.
Data Entry / Web Researcher
Search the Internet for information on a wide variety of topics.
Content Creator
Promote companies' products and services by developing copy for websites, social media, marketing materials.