Texas, USA Board of Nursing: License No. 966301
Registered Nurse issued by the Professional Regulation Commission, Manila, Philippines: License No.-----------
I am a US Registered Nurse based in the Philippines, and Medical Virtual Assistant with over 10 years of experience supporting U.S. healthcare organizations across utilization management, prior authorization, case management, insurance verification, and clinical operations.
Throughout my career, I have worked with multidisciplinary healthcare teams to ensure patients receive timely, medically necessary, and cost-effective care. My expertise includes durable medical equipment (DME) prior authorization, utilization review, medical necessity determination, discharge planning, clinical documentation, and HIPAA-compliant healthcare operations. I am experienced in applying InterQual, MCG, and CMS guidelines while collaborating with physicians, providers, and insurance companies to optimize patient outcomes.
My background as a registered nurse provides me with a comprehensive understanding of clinical decision-making, patient advocacy, and healthcare delivery. I am proficient in electronic medical records, Google Workspace, Microsoft Office, and AI-powered productivity tools such as ChatGPT to streamline workflows and improve operational efficiency.
I am passionate about delivering high-quality patient care, supporting healthcare teams, and leveraging technology to improve healthcare operations. I am always open to opportunities in utilization management, case management, prior authorization, telemedicine, clinical operations, medical affairs, and healthcare leadership.