Graduated as a Dean’s Lister with two Bronze medals for Clinical service and Clinical efficiency
Registered Nurse of New York State
Member: AAMCN (American Association of Managed Care Nurses), NAHQ (National Association for Healthcare Quality), ANA (American Nurses Association) and ANNA (American Nephrology Nurses Association)
City Address: 300 Cedarhurst Ave APT H8, Cedarhurst New York 11516
Mobile Number: 516-395-6258 / 516-232-1426
Summary of Qualifications
Harlem Hospital Quality Management from 2014 to Present. Knowledge with CMS, The Joint Commission Standards, Infection Control, Patient Safety and Performance Improvement.
Charge Nurse Long Term care; Wound care nurse, Develops and oversees the progress of the patient’s plan of care
Utilizations Review in Worker’s Compensation Official Disability Guidelines (3-Years).
Quality Audit in the In-Patient Care Coordinator Department (Knowledge in LEAN/SIX SIGMA)
Charge Nurse Dialysis Unit; Supervises staff and Patient treatment. Develops the (CIPA) Comprehensive Interdisciplinary Patient Assessment Care plan and oversees the patient’s progress
Experienced Nurse in the ER /Medical/Surgical
Harlem Hospital Center Dec 1, 2014 to present
CMS Measures, HANYS/IPRO Severe Sepsis and Septic Shock patient case Audits.
Quality Indicators for the board report.
Accountable Care Organization (ACO) measures.
Provides audit reports for medicine, labor and delivery departments.
Provides reports for infection control and prevention.
Provides reviews for Risk Management
Segundo Ruiz Belvis: Quality Management; Bronx New York (Under Onward Healthcare Agency) August 2014 to Dec 1, 2014
Conducts Medical Chart review/Audits for Quality achievement, performance improvement for Patient care needs and The Hedis Quarr Reports.
Reviews Physician documentation using the Adult Medicine Review Tool for evaluation of the services received by the Patient.
Reviews and analyses Quality Indicators for evaluation and furnishing of the quarterly board reports.
Formulates utilization reports for PCMH (Patient Centered Medical Homes) and ACO (Accountable Care Organization) for anticipation of the needs of the Patient and the enhancement of healthcare services offered.
Works and contributes to the following committees ACO, PCMH, PI (Performance Improvement) and Infection Control.
Rockaway Dialysis; Multiviz Health Management Corporation
Dialysis Charge Nurse February 2014 to Aug 2014
Coordinates care with the hospital/Nursing home/Physician/for the Patients treatments.
Supervises staff and patient care during dialysis treatments.
Develops the (CIPA) Comprehensive Interdisciplinary Patient Assessment Care plan and oversees the patient’s progress which involves the Physician, Dietician, Social worker, laboratory results and the patient’s family.
Documents and ensures doctor’s orders are transcribed clearly, timely and accurately when it was given and collaborates changes in the patient’s status.
Develops and oversees the progress of the patient’s plan of care depending on the patients’ needs and continuity of care.
Oversees the unit’s implementation of its care plan and protocols with coordination with the multidisciplinary team (Physicians, Physical therapists, Dietician and other health facilities).
Supervises LPN’s and CNA in the implementation of direct nursing care, infection control, safety precautions and patient’s ADL’s.
Provides treatment such as wound care, tracheostomy care, pain management and controlled medication monitoring.
UNITED HEALTH GROUP –Quality Analyst IN-PATIENT CARE COORDINATOR August 2011 to April 2012
Supervises staff in following protocol in doing inpatient review for managing scheduled admissions, and referrals to the disease management and referrals to skilled nursing and acute rehabilitation.
Reviews random communication made by staff to the field case manager and authorized departments in the facility for accuracy and efficiency.
Coordinates claims and referrals to specialists and other healthcare functions using the Blended Census Report (BCRT)
Monitors admission and discharge notifications and coordinates with Inpatient Care Managers (ICMs)
Medical/Surgical Nurse May 2010-Aug 2011
NATIONAL KIDNEY AND TRANSPLANT INSTITUTE (Philippines)Specialized in Post-Transplant and Medical Surgical Nursing May 2010 to Aug 2011.Earned the first Gantimpala award for delivering exceptional service and making a difference inpatient care (March 2011)
Provides nursing care to patients with chronic kidney disease, kidney failure and to those undergoing an organ transplant.
Responsible for preparing the patient before the operation, assisting and caring for the patient after wards.
After the operation, constant monitoring of the patients vital signs, their heart rate, checking for possible organ rejection by the patient’s body, administer medicine to reduce pain and inform the patient of the results of the transplant operation.
MEDICALL PHILIPPINES INCORPORATED
URAC Accredited Health Utilization Management (International)
Assesses and monitors documentation of clinical compliance and accuracy.
Review medical records/abstracts from scanned documents of medical facilities.
Reviews treatment (such as Pain Management, Narcotic usage and Physical Therapy) and obtain clinical notes to determine if it is medically appropriate using ODG (Official Disability Guidelines) and official State guidelines.
Determination of the appropriateness of Surgeries, narcotics, various therapies and other Post-Operative measures in coordination with the medical adjuster.
JONES MEDICARE COMMUNITY HOSPITAL, ISABELA, PHILIPPINES
ER/Medical Surgical Unit/ Community Health Nurse January 2006 to March 2007
Prepares and administers medications and treatments as prescribed by physicians.
Direct care provider, health educator, counselor and coordinator of health services for the promotion of health, prevention of illnesses and crisis management.
Other work experience:
Equitable PCI Bank: Branch accountant 1999 to 2002
Standard Chartered Bank: Corporate Banking 2002
Bachelor of Science in Nursing De Los Santos-STI College of Health Professions, Inc. E.Rodriguez Quezon City November 2002 to October 2005
Computer Programming and Systems Design (Diploma Course 2yrs.);AMA Computer Learning Center, Pantranco cor. Roces Ave. June 15, 2000 to May 10, 2002
BCS Business Management and Entrepreneurship; San Beda College, Mendiola St., Sanmiguel, Manila; June 1995 to May 1999.