I am a licensed Registered Nurse in both the Philippines and the United States, with a robust and multifaceted background in clinical care, healthcare operations, and leadership. My journey began with 2 years of hands-on experience as an Emergency Room Nurse, and has evolved over more than a decade into a strategic role within BPO healthcare accounts, where I’ve successfully led, guided, and developed high-performing
teams.My expertise spans Utilization Management, Preservice Review, Prior Authorization, and Clinical Management, with nearly 5 years of specialized experience in home health. I am highly proficient in OASIS assessments, Plan of Care (POC) development, and clinical documentation, and have served as an OASIS Quality Auditor ensuring accuracy and compliance with regulatory standards. I also bring experience as a Home Health Coder, with a strong grasp of coding guidelines and reimbursement
----------- addition to my clinical and operational capabilities, I have a proven track record in hiring and recruitment, with a focus on behavioral interviewing and clinical acumen assessment. My approach ensures the selection of top-tier talent aligned with both organizational goals and patient care standards. I am deeply familiar with the U.S. healthcare insurance landscape, enabling me to support efficient care coordination and utilization review processes.With a strategic mindset and a commitment to excellence, I bring a unique blend of clinical insight, operational leadership, and talent development to every role I undertake.
