I am a Philippine Registered Nurse (PHRN) with over 8 years of diverse experience across clinical practice, recruitment, and specialized US Health Utilization Management. I offer a unique blend of clinical expertise and administrative precision, specifically tailored for US-based healthcare providers and insurance companies.
Core Competencies:
Utilization Management (UM): 1 year of experience in Inpatient Authorization and clinical necessity reviews.
ICD-10 Proficiency: Highly skilled in applying ICD-10 codes for clinical documentation and authorization requests (integrated into UM workflow).
Clinical Diversity: Experience across Hospital, Clinic, and Dental settings, providing a broad understanding of patient care standards.
US Recruitment: Proven ability to source and screen healthcare talent, giving me a deep understanding of US healthcare staffing needs.
I am looking for an opportunity where I can apply my analytical skills to help your organization streamline clinical operations, ensure compliance, and reach your operational goals.