USRN, Clinical Operations, Care Coordination, Healthcare Admin
Ilocos Sur
I’m a U.S. Registered Nurse (Compact License) and healthcare operations leader with 10+ years of experience spanning clinical operations, team leadership, quality improvement, compliance, and documentation management across skilled nursing, long-term care, assisted living, dementia care, and acute care settings. Most recently, I served as an RN Supervisor in the United States, leading multidisciplinary teams, overseeing regulatory compliance, driving documentation improvement initiatives, and implementing workflow enhancements that improved quality, efficiency, and patient outcomes. My experience includes staff leadership, chart auditing, prior authorization workflows, care coordination, quality assurance, and cross-functional collaboration with physicians, case managers, and healthcare administrators. I have since relocated to the Philippines to be closer to my family and am seeking a long-term remote role where I can continue supporting U.S. healthcare organizations. Despite the change in location, I remain committed to working with U.S.-based teams and bring the same level of professionalism, accountability, and operational expertise that defined my career in the United States. Throughout my career, I have built a reputation for strong leadership, operational excellence, and the ability to navigate complex healthcare environments while maintaining a patient-centered approach. I am particularly interested in opportunities in healthcare operations, care coordination, clinical project management, quality improvement, compliance, and healthcare administration.
Maine Veterans Home, Sedgewood Commons, Benchmark , full_time
Mar 2022 to Mar 2026
●Provide clinical oversight and high-touch care coordination for medically complex residents across Skilled Nursing, Assisted Living, and Dementia Care settings, including veterans with chronic illness and high-risk conditions. ● Collaborate with providers, social workers, therapists, pharmacies, and external healthcare services to ensure continuity of care, safe transitions, and optimized clinical outcomes. ● Perform medication reconciliation, symptom triage, and individualized care planning to reduce complications, prevent avoidable hospitalizations, and support quality of life. ● Deliver resident and family education, care navigation, and shared decision-making support, improving satisfaction, engagement, and treatment adherence. ● Utilize phone communication, secure messaging, EMR documentation, and digital coordination tools to maintain real-time care continuity—skills directly transferable to remote case management environments. ● Ensure adherence to quality standards, regulatory requirements, and audit readiness while promoting safe, cost-efective, patient-centered care delivery. ● Mentor and support nursing staf, recognized for proactive communication, clinical judgment, and precise documentation practices.
Topsham Internal Medicine, full_time
Dec 2018 to Dec 2021
● Supported primary care providers through accurate clinical documentation, vitals collection, and laboratory result management, ensuring continuity and quality of care. ● Coordinated prior authorizations for medications, imaging, procedures, and durable medical equipment (DME) across commercial insurance, Medicare, and Medicaid, utilizing payer portals, phone, and fax while maintaining strict HIPAA compliance. ● Verified benefits, eligibility, and precertification requirements to prevent delays in treatment and ensure uninterrupted patient care. ● Prepared and submitted clinical documentation aligned with coding, medical necessity, and coverage guidelines, strengthening approval success and care coordination