Alelie Anillo

Licensed Registered Nurse with over 10 years of clinical and occupational health experience and two years of remote utilization review on a US healthcare account. Skilled in supporting prior authorization decisions, verifying medical necessity against payer and insurance guidelines, documenting findings in EHR systems, and following up with stakeholders to complete cases. Strong in medical terminology, HIPAA compliance, and PHI security.

Detail-oriented, organized, and dependable when managing multiple cases independently in a remote setting.

Dental Nurse - Alora Beauty Care - Saudi Arabia

(2024-09 - 2026-09)

• Assisted the dentist during dental and orthodontic procedures, following infection control protocols.
• Handled laboratory case submissions and follow-ups between the clinic and dental laboratory, tracking each case to completion.
• Managed clinic supply inventory, monitored material expiration dates, and prepared and submitted monthly materials inventory reports.

Utilization Review Nurse (Remote) - ACCESS Healthcare Services - Taguig, Metro Manila, Philippines

(2022-10 - 2024-08)

• Supported prior authorization decisions through remote utilization reviews of patient care plans for a US healthcare account, ensuring compliance with payer and insurance guidelines.
• Analyzed patient medical records and clinical documentation to determine medical necessity and appropriateness of requested services.
• Documented findings accurately in electronic health record (EHR) systems and streamlined communication among stakeholders.
• Followed up with healthcare teams to coordinate patient care transitions and efficient use of resources.
• Maintained HIPAA compliance and PHI security when handling patient information across multiple remote cases.

Company Nurse - Reign-NAN Sales Industry and General Contractor - Cabuyao, Laguna, Philippines

(2021-06 - 2022-10)

• Provided nursing assessment, triage, treatment, first aid, and health education for employee health concerns.
• Documented treatments, medications, discharge instructions, and follow-up care; streamlined medical record keeping for all employee cases.
• Monitored compliance with OSHA and occupational health regulations and recommended needed improvements.

Staff Nurse - AlShefa Medical Polyclinic - Saudi Arabia

(2018-11 - 2021-05)

• Assisted physicians with outpatient check-ups and administered patient care, including vital signs monitoring and medication administration.
• Performed routine wound care and dressing changes; ensured compliance with infection control protocols and safety regulations.

Company Nurse - St. Frances Cabrini Medical Center - Santo Tomas, Batangas, Philippines

(2017-03 - 2018-08)

• Performed triage, responded to onsite emergencies, and maintained accurate medical records for employees.
• Performed routine medication audits to sustain quality standards and submitted compliance reports to DOLE.

Company Nurse - T & S Laser Solutions - Santo Tomas, Batangas, Philippines

(2014-06 - 2015-07)

• Maintained accurate medical records and documentation in compliance with regulatory standards and company policies.
• Assisted the HR department in enrolling employees in a Health Maintenance Organization (HMO).
• Submitted monthly and annual medical reports to supervisors and DOLE.

Project Nurse - Meralco Industrial Engineering Services Corp. - Santo Tomas, Batangas, Philippines

(2011-06 - 2014-05)

• Administered patient care and first aid, recorded vital signs, kept accurate medical records, and protected patient confidentiality.
• Implemented government-mandated health programs and conducted onsite compliance audits; submitted health reports to supervisors and DOLE.

Bachelor of Science in Nursing - Laguna College (2011-04)