Nancy Joyce Reyes, RN, MAN, is a highly skilled Utilization Management Reviewer Nurse with extensive experience in the healthcare industry. She possesses a strong ability to apply various care guidelines to complete medical reviews efficiently, ensuring compliance with clinical standards. Her role involves assessing medical necessity, evaluating treatment plans, managing pre-authorization requests, and conducting concurrent and retrospective reviews to ensure optimal patient care and resource utilization.
Nancy's professional journey includes significant roles such as an Executive Secretary at Qualimed Hospital, where she supervised nursing staff and ensured high-quality patient care, and a Staff Nurse at prestigious institutions like Prince Sultan Military Medical City and Unihealth Sta Rosa Hospital. Her comprehensive nursing background is further complemented by her specialized experience as a Pulmonary Staff Nurse at St. Martin de Porres Charity Hospital.
Nancy holds a Master of Arts in Nursing from the Philippine Women's University and a Bachelor of Science in Nursing from UPH-Dr. Jose G. Tamayo Medical University. Her credentials are bolstered by her successful passing of the Nurse Licensure Exam in 2010. Nancy is known for her analytical skills, ability to work in fast-paced environments, and commitment to meeting the needs of patients and healthcare providers.