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Registered Nurse Utilization Management

Location:
Sault Ste. Marie, ON, Canada
Posted:
September 07, 2023

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Resume:

FRAULINE JOY REALISTA

adzjq1@r.postjobfree.com

*** ********** ****** ****,

Sault Ste Marie, Ontario, Canada P6C 3V3

705-***-****

Through my experience as a utilization management reviewer, hospital staff nurse, and tournament manager, I provide professional, patient-centered care to ensure patient safety and physiological and psychological well-being while fostering therapeutic relationships and delivering care in a compassionate and caring manner in a setting with a variety of cultural perspectives. In addition, I organize and prepare events for athletic competitions at the regional and national levels.

WORK EXPERIENCE

1.) Shearwater Health Inc.

Utilization Management Reviewer US Nurse (February 16,2022 - July 31, 2023)

-assigned for medical necessity clinical screenings, determine if medical necessity criteria are met for the patient, communicate with insurance companies for pre-authorization, notify physicians about insurance decisions, and document all reviews.

2.) Consuelo K. Tan Memorial Medical Center Inc.

Nursing Staff (February 20, 2019-March 15, 2021) -assigned in Emergency Room, Delivery Room, Medical-Surgical Ward, Pediatric Ward, and Obstetric Ward in every month’s rotation.

3.)University of Cebu

Coaching staff (Taekwondo event ) (2017- 2018)

Volunter coaching staff (Taekwondo event ) (2013- 2016)

-Assisting the head coach in planning and scheduling classes, providing practical instruction, ensuring that students learn and operate within a safe, supportive environment and coaching players during competitions.

4.) Philippine Taekwondo Association

Tournament Manager (Taekwondo event ) (2015- 2022)

-Working together and organize a regional and national tournament.

EDUCATION

2004- 2008 College Level (June 2004 - April 2008)

Bachelor of Science in Nursing

Cebu Institute of Technology- University

7VVJ+QFR, Natalio B. Bacalso Ave, Cebu City, 6000 Cebu

2000 - 2004 Secondary Level (June 2000 - April 2004)

Cebu City Don Carlos A. Gothong Memorial National High School (CCDCAGMNHS)

Candido Padilla St, Cebu City, 6000 Cebu

CERTIFICATIONS AND LICENSES

Eligible to work in Canada with Open Work Permit.

Ontario Class G1 drive’s Licence

REGISTERED NURSE

*Philippine Registered Nurse License No. 0541451 Expired May 20,2025

*Texas License No.1071557 Expired May 31,2025

*Northern Mariana islands License No. R220029 Expired May 20,2024

* OPSWA Registration no. 2023.566 Serial #: 20230817-13510314

September 1,2024

REGISTERED TAEKWONDO INSTRUCTOR

*Philippine Taekwondo Association (4th Dan black belter)

* KUKKIWON holder (World Taekwondo Headquarter) (3rd Dan black belter)

SUMMARY OF SKILLS

-Analytical thinking, Planning

-Organization and Prioritization

-Team leadership

-Tolerant and Flexible

-Strong communication

-Willing to be trained

-Hardworking, positive attitude, can work well under pressure

-Resolute against threat, challenge, difficulty,or emergency

-Approaches life with excitement and full of energy

-Tech-savvy

-Computer literate



Contact this candidate