JESSE VAL TAPO TAYABAN

ad1nmw@r.postjobfree.com 773-***-****

Summary

Hardworking staff nurse well-versed in primary care. Treats patients of all ages and specializes in delivering effective quality nursing care. Performs in stressful and crisis situations and interprets and applies policies and procedures with good judgment.

Skills

Medication and IV Administration

Intake and Discharge

Medication Administration

Procedure Assistance

Preventive Healthcare

Patient Condition Monitoring

Medical Procedure Preparation

Accurate Documentation

Treatment Preparation

Immunizations and Vaccinations

Specialized Healthcare Referrals

Patient Care Assessment

Care Coordination

Experience

Hartgrove Hospital

Emergency Admission Nurse

Sept 2023- current

Chicago Methodist Senior Service

Staff Nurse

05/2022 - Current

Review Psychiatry referral using EMTALA

Approve or Deny Inpatient Psychiatric referral

Review medical acuity with Medical Doctor for deflection

Perform medical screening evaluation to all patients

Refer patient s not medical stable for medical clearance

Assisting with the rehabilitation of patients according to the care plan directed by the physician

Observing and recording all pertinent information and reporting to the appropriate supervisor and physician

Teaching patients, family members, and auxiliary nursing personnel proper health maintenance care

Completes referrals and takes physician's verbal orders as necessary in a timely manner

Channels referrals appropriately to Director of Nursing for assignment

Makes home visits, performs physical assessment, evaluates patient's needs and consults with physicians if necessary to develop plan of care and documentations and in timely manner

Assesses need for additional health or ancillary services and prefers patients for service(s) when appropriate, on a timely basis

Assesses family and home environment and makes recommendations, which will enhance patient care and promote safety

Coordinates the multidisciplinary care team and plans for patient care and documents appropriately

Interprets the admission, discharge and other policies of the company, physician, family, other health care providers, and community as needed

Informs and provide progress notes to the patient's physician and podiatrist about patients under care

Initiate appropriate preventive, rehabilitative, comfort, pain management nursing procedures and provides instructions to patients/caregivers, and staff in a timely manner

Follows company policies and utilizes company forms in documenting forms

Explains to the patient and family the diagnosis and the nature of the treatment consistent with physician's orders and plan of treatment

United Healthgroup Quezon City

Pre service Nurse/Utilization Management Nurse

07/2020 - 04/2022

Approve or deny prior- authorization for medications

Performs utilization management reviews in accordance with federal and state mandated regulations

Maintains compliance with regulatory changes affecting utilization

Performs UM reviews for inpatient or outpatient services according to the standards and client requirements and policies

Reviews UM request for services against established clinical review criteria, referring cases not meeting criteria to a physician reviewer

Coordinates physician reviewer referral as needed and follow up timely to obtain and deliver those results

Releases UM determinations to claims stakeholders following client-established protocols.

Pasay City general Hospital Pasay City, Philippines

COVID

03/2021 - 09/2021

Perform physical exams and health histories before making critical decisions

Provide health promotion, counseling and education

Administer medications and other personalized interventions

Coordinate care, in collaboration with a wide array of health care professionals

Cognizant Technology, Emblem Health Diliman, Quezon City

Utilization Management Nurse/Nurse case manager

07/2019 - 06/2020

Performs utilization management reviews in accordance with federal and state mandated regulations

Maintains compliance with regulatory changes affecting utilization

Performs UM reviews for inpatient or outpatient services according to the standards and client requirements and policies

Reviews UM request for services against established clinical review criteria, referring cases not meeting criteria to a physician reviewer

Coordinates physician reviewer referral as needed and follow up timely to obtain and deliver those results

Releases UM determinations to claims stakeholders following client-stablished protocols

Responds to inbound calls pertaining to UM reviews in a timely manner

Process prior authorization of inpatient and out patient services

Classification of requests (inpatient, outpatient, LTAC, Snf)

Discusses patient cases with the medical director and provides recommendations

Experience working with Healthcare Insurance, ICD-9 and CPT, Medicare and/or Medicaid Services.

EXL Philippines Pasay City, Philippines

Preservice nurse

02/2018 - 06/2019

Approve or deny prior- authorization for medications

Performs utilization management reviews in accordance with federal and state mandated regulations

Maintains compliance with regulatory changes affecting utilization

Performs UM reviews for inpatient or outpatient services according to the standards and client requirements and policies

Reviews UM request for services against established clinical review criteria, referring cases not meeting criteria to a physician reviewer

Coordinates physician reviewer referral as needed and follow up timely to obtain and deliver those results

Releases UM determinations to claims stakeholders following client-established protocols.

Makati Medical Makati City, Philippines

staff nurse

10/2017 - 02/2018

Hospital Profile: ( Private, tertiary, 600- bed capacity.)

Number of Hospital Beds:600

Unit :Medical Surgical

Type of patients: Adult Medical, surgical cases Post ICU

Duties and Responsibilities:

Makati Medical Center is a 600-bed capacity providing services Internationally

I worked as a staff nurse at the medical surgical unit

I worked with minimal supervision from the start of my training and have worked independently together with the other medical staff.Record medical history and symptoms

Collaborate with team to plan for patient care

Advocate for health and wellbeing of patient

Monitor patient health and record signs

Administer medications and treatments and tube feedings

Assist during doctor's rounds with patients

Operate medical equipment

Perform diagnostic tests

Educate patients about management of illnesses

Provide support and advice to patient

Equipment Used: Cardioc monitor and defibrillator, Sequential compression device, Infusion pump (Bbraun), syringe pump(injection at), Infusion pump(Plum A), Patient Controlled Analgesia (Hospira), Mechanical Ventilator

Fatima University Medical Center - Valenzuela Makati City, Philippines

Staff Nurse

09/2016 - 08/2017

Monitored patient vitals post-surgery, managed medical equipment and administered medications and IVs.

Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care.

Coordinated care with charge nurse and other staff through daily communication.

Convergys Makati City, Philippines

Senior customer Associate

10/2012 - 08/2016

Responds to client's queries.Read and Analyze clinical rerecord

Receives calls from members and health care team

Process prior authorization or pre-certification of medications and services

Experience working with Healthcare Insurance, ICD-9 and CPT, Medicare and/or Medicaid Services.

Kindergarten English Academy Heng Shui, China

English Teacher

03/2012 - 08/2012

Guides Chinese students in understading the English lessons

Teaches English to Chinese Students.

Aegis People Support Makati City, Philippines

Customer Service Representative

08/2010 - 03/2012

Receives call from customers

Delivers quality customer service.Answers queries of customers.Guides customers on thier complaints.

Ifugao State College

Clinical Instructor/Staff Nurse

11/2007 - 04/2009

Supervises students in the delivery room, OPD and Emergency Department

Assists students and the physician during a Delivery

Takes temperature, blood pressure and weight of patients

Teaches health subjects abnormal and Normal Obstetrics and Pharmacology.

Education and Training

University of Baguio

Bachelor of Science in Nursing

04/2007

Certifications

BLS/CPR

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