Registered Nurse Medical
Resume:
Salve Marie A. San Antonio, BSN, RN, MAN
***** ****** ***** ***** ***. 2307 Kingwood, Texas 77339
E-mail: **********@*****.***
EDUCATION
• Master of Arts in Nursing - Major in Nursing Service Administration
University of La Salette
June 2006 - December 2, 2007
• Post Graduate Course in Critical Care Nursing
Philippine Heart Center
October 2 to November 17, 1995
• Bachelor of Science in Nursing
Perpetual Help College of Manila
Graduated March 1995
• Primary and Secondary Education
St. Paul College of Pasig
PROFESSIONAL EXPERIENCE
1. Regent Care Center Kingwood
October 2019 to present
Director of Nursing
The primary purpose of your job position is to plan, organize, develop and direct the overall operation of our Nursing Service Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be directed by the Administrator, Corporate Director of Clinical Services, and the Medical Director, to ensure that the highest degree of quality care is maintained at all times.
Direct the nursing service department, as well as its programs and activities, in accordance with current rules, regulations, and guidelines that govern the nursing care facilities.
Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards and that the following documentation is complete and accurate:Medication Charting, Change of Condition Charting, Behavior Assessment and Monitoring, Pain Assessment and Monitoring, MAR and TAR recording, Quarterly Monitoring, Weekly Charting, Temperature Log, Telephone Orders
Participate in the interviewing and selection of residents for admission to the facility, including PASARR screenings.
Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled.
Assist in the development of preliminary and comprehensive assessments of the nursing needs of each resident.
Review nurses’ notes to determine if the care plan is being followed.
Participate in facility surveys (inspections) made by authorized government agencies as necessary or as may be directed.
Assist the Quality Assessment and Assurance Committee in developing and implementing appropriate plans of action to correct identified deficiencies.
Determine the staffing needs of the nursing service department necessary to meet the total nursing needs of the residents.
Monitor PPD and census daily to ensure labor expenses are within budget and to minimize overtime hours.
Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
Any other duties as assigned by the Administrator.
2. Encompasses Rehabilitation
Charge Nurse, prn
Humble,Texas
March 2019 to October 2019
3. Kindred Rehabilitation
Registered Nurse PRN
March 2019 to October 2019
4. Director of Nursing – The Medical Resort at the Woodlands
Sept 2018 – February 2019
5. Registered Nurse III – Memorial Hermann Northeast – Surgical Care Unit
July 2017 to September 2018
6. Registered Nurse II – Kingwood Medical Center – Surgical Oncology
April 2017 – July 2017
7. Registered Nurse II – University Hospital – 10th floor Surgical floor
July 2015 to March 2017 Moved to Houston
8. Registered Nurse II – Methodist Stone Oak – Surgical Unit
Nov. 17, 2014 – July 2015
9. Registered Nurse II - Baptist Medical Center – Telemetry floor - April 14, 2014 to Nov. 2014
10. Registered Nurse Clinic - Orthopedics Associate -Trinity Health Hospital
1 W Burdick Expy, Minot, ND 58701 August 2013 to March 2014
Position Summary:
• Responsible for providing care to patients, including assessment, treatment, care planning and medical care evaluation.
• Obtains, verifies and documents health history of patient and family, information on chief complaint, vital signs, medication list and problem list. Assess health risk factors and disease condition.
• Collects specimen for laboratory analysis.
• Provides patient care based on practice guidelines, standards of care and federal/state laws and regulations.
• Executes prescribed treatments and medical intervention, administer prescribed medication, and monitors and documents treatment progress and patient response.
• Prepares patient and assists other health care professionals in exams, treatments and minor medical procedures. Adheres to infection control, safety and confidentiality policies.
• Observes patient condition and immediately communicates changes / concerns to provider or nurse manager.
• Follows emergency procedures including use of CPR if necessary.
• Uses appropriate computer programs for the department needs.
• Schedules patient for procedures, tests and exams. Assures proper ABN, notice of non-coverage, pre-authorizations and referrals are obtained.
• Helps order/stock department equipment and supplies. Assures all equipment and supplies are not outdated.
• Clean area and assure all wastes, instruments and laundry are properly disposed of or handled.
• Provides patient/family education material and communicates provider advice/instructions.
• Delegates as allowed under the North Dakota Nurse Practice act.
• Refers to/consults with physicians, other health providers, and community resources to prevent/resolve problems or concerns.
• Educates patients and families about health status, health maintenance, and management of acute and chronic conditions.
• Documents patient assessment and intervention data using established medical record forms/ automated systems and documentation practices.
• Participates in multidisciplinary teams to improve patient care processes and outcomes.
• Tracks quality assurance data and monitors for acute and chronic care management.
MIGRATED TO THE USA: JULY 2013
11. INPATIENT CASE MANAGER - United Healthcare
7th Floor, UHG Science Hub Tower 1, Campus Avenue corner Turin Street, McKinley Hill Cyberpark, Fort Bonifacio, Taguig City McKinley Hills, Taguig City Sept. 24, 2012 - June 2013
Responsibilities:
• Performing utilization and concurrent review of inpatient cases using Milliman criteria
• Conducting clinical chart assessments
• Discussing cases with treating physicians and other healthcare professionals to better understand plans-of-care
• Determining need, if any, for intervention, and discussing with Case Managers and physicians
• Identifying and evaluating delays in care
• Initiating a discharge planning and readmission prevention plan
• Approving bed days for inpatient cases(when applicable)
• Arranging alternative care services; Contacting and maintaining communication with acute long term care, acute rehabilitation, or skilled nursing facilities to move patients through the care continuum
• Gathering clinical information to assess and expedite care needs
• Facilitating timely and appropriate care and effective discharge planning
• Participating in team meetings, education discussions and related activities
• Maintaining appropriate documentation
• Consulting with the Medical Director as needed to troubleshoot difficult or complex cases
• Identifying opportunities for improved communication or processes
• Participating in telephonic and in-person staff meetings
12. INPATIENT CARE COORDINATOR United Healthcare
7th Floor, UHG Science Hub Tower 1, Campus Avenue corner Turin Street, McKinley Hills Cyberpark, Fort Bonifacio, Taguig City McKinley Hills, Taguig City Aug. 1, 2011- Sept. 23, 2012
The Census Data Unit (CDU) is responsible for the management of the census data for accurate bed day reporting. Inpatient, skilled nursing and acute rehab cases are created in the appropriate UM applications and routed to the CDU for coverage determination, eligibility verification, and routing to the assigned facility nurse as per the Priority Review (PR) and Secondary Level of Care (SLOC) criteria. CDU is responsible for capturing the most accurate census data as possible, timely discharge date entry, managing future scheduled admissions, and referrals to the applicable case management and disease management programs, while meeting the turnaround time goals to support timely clinical review.
13. ONSITE / CONCURRENT REVIEW NURSE COORDINATOR - TAKE CARE ASIA
5F Times Plaza Bldg., UN Avenue Cor. Taft Avenue, Ermita Manila
March 16, 2011 - July 30, 2011
Job Summary:
Reports directly to the Medical Management Manager and responsible for reviewing treatment plans and services that are already underway, in order to ensure the efficient use of patient utilization systems and quality care using appropriate medical resources. Also evaluates the quality of care and its conformance with organizational policies, procedures and guidelines, as well as compliance with government regulations.
Duties and Responsibilities:
• Perform on-site continued stay reviews to validate appropriate levels of care and develop a realistic discharge plan that will facilitate continuation of care at the most appropriate level. Review will include quality of care, utilization pattern, and compliance with policy guidelines
• Identify and plan all follow up to hospital treatment alternatives, discharge arrangements, utilization of cost effective and contracted provider interventions to prevent or reduce hospital readmissions
• Document review updates and remarks screens in FACETS; update census; update discussions/events involving individuals responsible for a patient's welfare
• Answers pages and phone calls received from hospital utilization review regarding a patient's condition during business hours
• Develop referrals to appropriate resources (i.e. case management, disease management, social workers) to assist the member and /or caregiver in continuation of care in an outpatient setting
• Meet with the patient and/or caregiver to identify potential barriers to discharge to an alternate level of care
• Completes Service Forms in accordance with department policy including timelines and Standards of Documentation
• Attends case review and provides status updates
• Attends monthly Medical management meetings and staff meetings
• Reviews and analyzes medical information either thru telephonically or onsite, in order to determine the medical necessity of continued stay according to review standards. Also conducts further review and analysis in order to determine whether treatments are consistent with patients' diagnosis.
• Determines medical necessity and length of stay based on the consistent application of decision support system, and communicates decisions to providers and patients.
• Initiates/coordinates discharge planning with physicians, members, families, caregivers and ancillary providers to support the member's continuity of care needs.
• Develops improvement action plans as appropriate.
• Identifies day and cost outliers and prepares documents as well as provides reports on the quality of care issues. Submits reports and communicates in a timely and effective manner to the Medical Director, Medical Management Staff and other health team members.
• Performs telephonic and onsite review of concurrent patient services and retrospective quality care issues, access and outcome studies.
• Maintains ongoing database/documentation to monitor all activities/treatment and outcome plans for patients' conformance with organizational and government regulations.
• Ensures that services provided to eligible members are within benefit plan and appropriate contracted providers are being utilized.
• Identifies and refers catastrophically and chronically ill patients to case management.
• Coordinates out of area cases ensuring patient receives cost-effective quality care and monitor patient for return to work.
• Performs other duties that may be assigned from time to time.
14. INITIAL CLINICAL REVIEWER: UTILIZATIONS MANAGEMENT- Workers
Compensation - EXL SERVICE PHILIPPINES
6th Floor, One-com Center, Harbor Drive, Mall of Asia Complex 1308
June 28 to December 9, 2010
Responsible for evaluating the appropriateness of health care and health services provided to patients covered under the plan ensuring that the quality for such care and services meets or exceeds medically accepted standards. Health care and services subject to review may include but are not limited to treatment, hospitalization, office visits and ancillary services. Additionally, the role is accountable for determining the medical appropriateness and relatedness of treatment, medication, injury permanency, prospective, concurrent, retrospective, and urgent requests, expedited appeals, and standard appeals within all jurisdictional and URAC timeframes.
Initial Clinical Reviewer - Utilization Management
Evaluate treatment or service requests for medical necessity and appropriateness using nursing judgment, treatment criteria guidelines and Physician Advisor/Peer Review referral process. Conduct first level prospective, concurrent or retrospective review, employing standardized evidence based review criteria and treatment parameters in order to authorize services. Identify cases where additional information is required to complete the review and/or identify potential medical necessity cases. Negotiate alternative treatment plans within treatment criteria guidelines. Utilize clinical knowledge and appropriate written and verbal skills to communicate with treating medical providers.
1 Technical Expertise
• Develop technical and jurisdictional expertise.
• Properly apply URAC Core and Workers Compensation Utilization Management standards.
• Properly apply applicable statutory laws and regulations.
• Effectively identify and manage opportunities for negotiation.
• Proactively manage review requests in compliance with jurisdictional, URAC & internal operational timeframes.
• Accurate completion of all required data fields according to regulatory URAC and Utilization Review Policy and Procedure requirements.
2 Customer Service
• Meet expectations of customers (internal & external).
• Establish and maintain effective relationships with customers.
• Provide timely response to customer inquiries and prompt follow-through.
3 Business Acumen
• Demonstrates critical thinking to analyze information, apply sound judgment and draw appropriate conclusions.
• Effective verbal and written communication skills.
• Understand and apply workers compensation, regulatory and URAC standards.
• Adept with computer technology to efficiently perform job functions.
• Understand and utilize approved resources to efficiently and effectively perform job functions.
• Excellent time management skills in managing the workload.
15. CLINICAL NURSE EDUCATOR / PROFESSOR
INSTITUTE OF NURSING, FAR EASTERN UNIVERSITY
Nicanor Reyes St. Manila, Philippines 1st semester 2004 up to June 2010
• Supervises and evaluates nursing care provided by students using a range of direct and indirect techniques such as instructing, coaching, mentoring, and collaborating in the supervision and support of others
• Provides support with documentation to nurses being supervised or to whom care has been delegated
• Delegates activities consistent with scope of practice/competence
• Community Health Nurse: provide health education and registered nursing care in public health units and through home visits, manage complex home care cases, participate in community needs assessment and program development, conduct disease screening and deliver immunization programs. Conducts direct health care, health surveys, assessments, referral of patients. Educate families on Family Planning, Maternal and Child Care, Breastfeeding, Immunizations, Nutrition, Sanitation Program, National Tuberculosis Program
• Hospital area- Med-Surgical ward- vital signs, medication, IV replacement, nursing procedures
• OB ward/ Lying-in Area: Pre and post natal care, Care of the Newborn
• Assess patients to identify appropriate nursing interventions
• Collaborate with members of an interdisciplinary health team to plan, implement, co-ordinate and evaluate patient care in consultation with patients and their families
• Administer medications and treatments as prescribed by a physician or according to established policies and protocols
• Monitor, assess, address, document and report symptoms and changes in patients' conditions
• Operate or monitor medical apparatus or equipment
• Assist in other medical procedures
• May teach and counsel patients and their families on health-related issues in collaboration with other health care providers.
• Coordinates closely with health center and hospital affiliations regarding patient care
• Handles level two and three nursing students & prepare course outline and syllabus, develop course and lesson plans
• Conduct classroom instruction for one or more courses in the curriculum.
• Teach pertinent course subject using lectures, demonstrations, class discussion, and other appropriate modes of educational delivery.
• Lead and monitor classroom instruction that promote educational and learning process keeping with faculty academic freedom and responsibility.
• Foster student development and participate in co-curricular activities such as department colloquia.
• Maintain laboratories and equipment of school property.
• Serve as academic advisor to graduate and undergraduate students and be available to faculty and students for consultation for questions in area of expertise.
• Conducts counseling and grade consultation and oral revalida coordinator
• Interact with patients in a clinical setting during follow up of students in clinical areas.
• Travel to clinical sites.
• Effective teaching and communication skills
• Section Coordinator: monitoring of sections grades, grade counseling, student evaluation
• Consistent Teaching Excellence Awardee
16. PRIVATE NURSE:
Diabetes Mellitus, Myocardial Infarction, Brain tumor
• Performs blood glucose testing
• Monitors blood sugar level
• Administers insulin injection
• Performs proper foot care (cutting of nails, cleaning, daily inspection)
• Perform NGT feeding
• Administers oxygen
• Monitors vital signs
• Administers prescribed medications
• Coordinates with other healthcare team regarding patient's condition and status
17. DIABETES EDUCATOR (part time) GLAXO SMITHKLINE
Control to A1C Program - February to April 2007
• Trained and qualified to perform HbA1c testing and read results
• Conducts health teaching on Diabetes management
• Discuss glucose testing, diet, exercise and medications
• Ensures active participation and understanding of the participants.
• Coordinates with partner medical affiliates and Doctors for schedule of A1c clinic program
• Ensures availability of A1c machine
• Troubleshoots A1C machine in case of technical problems.
• Follows universal safety measures and the use of personal protective equipments in acquiring blood sample for A1C test.
• Follows program protocol set by GSK
• Submits reports as to the results of the program and number of participants.
DIABETES NURSE EDUCATOR - AVENTIS PHARMACEUTICALS PHILIPPINES
July 7, 2003-September 30, 2004
12th Floor, Orient Square Bldg. Emerald Avenue, Ortigas Pasig City, Philippines
• Trained and specialize in educating and treating patients with diabetes.
• Educate the patients on such topics as nutrition, exercise, medication management, and blood sugar monitoring to maintain target levels.
• Train patients and hospital staff on the proper use of the bedside blood glucose monitors and finger stick technique, insulin therapy.
• Make recommendations to physicians for medical management.
• Assess care needs of patients with diabetes - blood glucose testing, A1C test, general diabetes management.
• Coordinates with doctors and other health care providers regarding their patients care.
• Performing an individualized assessment of the patient.
• Formulating an education plan, which includes identifying goals that will guide a patient while self-managing his or her diabetes care
• Implementing an education plan, which includes lifestyle counseling; discuss diabetes as a disease, importance of glucose control, diabetes complications, diabetes medications, food guide and insulin administration.
• Assessing the person's understanding and utilization of diabetes self-management skills and knowledge
• Trained in HbA1c testing
18. CLINICAL RESEARCH NURSE - QUINTILES PHILIPPINES INCORPORATED
POST MARKETING SURVEILLANCE
February 2001 to February 15, 2003
3203 A&B West Tektite Towers, PSE Center, Ortigas Center, Pasig
Direct supervision of seven field based nursing staff, conducting Clinical research: Post-marketing surveillance work on behalf of Pharmaceutical clients, education of Health Care Providers and their patients, providing a counseling service which enhanced the benefits of the product and ensured that patients were compliant with their treatment and that therapeutic targets were met.
PROJECTS:
A. NURSE MANAGER: Asthma Program: ENACT - Ensuring Asthmatics Compliance to Treatment - GlaxoSmithKline -Product: Seretide
• Responsible for the effective operation and supervision of the program.
• Coordinate with doctors in several hospitals.
• Conducts health education abut Asthma and product usage to enrolled patients.
• Responsible for seven nurse counselors assigned in different key areas of the country.
• Supervises & trains nurses into an efficient & effective force in providing good client and patient service.
• Orients nurses as to the salient features of the program protocol.
• Monitors doctor visits and daily calls of nurses to ensure that proper health teaching is being provided to the patient.
• Conducts performance evaluation every visit to the nurses making sure that client objective is met.
• Motivates nurses to high standard of performance and loyalty by providing strong leadership. Ensures that a continuing two-way communication with supervisor and subordinates are being maintained.
B. Eli Lilly - Product: Xigris
Hospital acquired SEPSIS
Hospital: Philippine Heart Center
A two month research on the number of Cases of hospital acquired Sepsis.
C. Merck Sharp & Dome Pharmaceutical Product: Losartan
Hypertension Program: Time to Control, Time to Goal
• To provide a clinician/patient support service with the aim of establishing the time to control and the time to normalize blood pressure in patients with hypertension.
19. STORE OPERATIONS MANAGER - JAMMIN' GEMS JEWELRY STORE
Glorietta Center, Makati City - October 1998 to October 2000
Responsible for the effective operation, supervision & control of sales personnel in order to achieve and maintain a high standard of customer service.
Supervises and executes the prescribed selling - merchandising function for specific areas or branches.
Develops & motivates an effective merchandise presentation, assist and informs merchandising personnel of customer demands, problems and development.
20. PRIVATE NURSE
August 1997 to August 1998
• Perform or assist the client with personal care activities.
• Administer prescribed medications & treatments as prescribed.
• Administer feedings through PEG
• Perform additional nursing skills & procedures
• Assist in client & family teaching.
• Perform household tasks, which are directly essential to the clients needs.
• Maintain a clean, healthful & safe environment.
• Maintain sufficient & workable supplies & equipment required to care
• Report significant changes in client condition to family & attending Physician
• Accompany the client on all physician or therapy visits, which occur during my shift.
• Maintain the client medical record & the individual's health care setting.
• Maintain open communication with the family & other professionals who care for the client.
• Foster family & client independence.
• Maintain individual medical file / records of all patients.
• Responsible in all nurse related functions during patients' consultation.
• Maintain good attendance.
DEPARTMENT HEAD, Advertising & Promotions Coordinator, Assistant Floor Manager - Robinsons Department Store
March 1996 to March 1997
Duties & Responsibilities
SALES-RELATED
• Supervises and trains sales personnel into an efficient & effective force in providing good customer service.
• Orients sales personnel as to the salient features, which will facilitate selling.
• Prepares and makes work schedule for complete coverage especially during peak hours.
• Controls and ensures the proper dispatch of sales personnel.
• Attends to and resolves any customer inquiries and complaints, seeing to it that these are immediately acted upon.
• Implements store shrinkage control program in accordance with approved policies.
MERCHANDISING-RELATED
• Maintain and regularly analyze departmental stock position. Checks on merchandise display & presentation.
• Coordinates with merchandising department for the stability of merchandise; observes customer buying habits.
• Monitors merchandise turnover & performance. Recommends merchandise for mark-up & mark-down.
• Maintain regular contact with buyer's office to gain current merchandise information, solutions to merchandise problems or needs, change in plans, etc.
• Canvasses competitive stores fro prices, merchandise mix, and new merchandising ideas according to established events.
• Coordinates with Advertising and Promotions Department regarding special events, annual store fairs and implementing it in assigned branch. Assist in setting up of special and promotional events.
• Prepare reports and documents as required by superiors or prescribed in the store policies and procedures.
PERSONNEL & ADMINISTRATIVE-RELATED
• Motivates selling personnel to high standard of performance and loyalty by providing strong leadership. Ensures that a continuing two-way communication with superior and subordinates are being maintained.
• Recommends training programs that will improve the efficiency of sales personnel. Ensures that the sales personnel are trained and well informed about company policies and procedures.
• Implements administrative & general store policies to all subordinates. Conducts preliminary interview and screening of applicants and employee appraisal. Recommends personnel hiring, promotion, termination and transfer.
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