Cecille Bariga
USRN Utilization Management Review Nurse
About
Reviews medical records and treatment plans against clinical guidelines. Refer cases or those not meeting clinical guidelines to physician reviewers for further evaluation. Ensure accurate documentation within utilization review software, strictly adhering to regulatory, state, and payer guidelines.
Experience
USRN Utilization Management Review Nurse - Shearwater Health Advisors, Inc. - Taguig City
(2024-11 - 2025-12)
- Reviews medical records and treatment plans against clinical guidelines.
- Refer cases or those not meeting clinical guidelines to physician reviewers for further evaluation.
- Ensure accurate documentation within utilization review software, strictly adhering to regulatory, state, and payer guidelines.
Nurse II - Gat Andres Bonifacio Medical Center - Tondo, Manila
(2020-03 - 2024-11)
- Assessment of vital signs (temperature, blood pressure, respiratory rate, oxygen saturation) and history.
- Responsible for requesting laboratory procedures and radiographic examinations as ordered by a physician.
- Initiate intravenous line therapy and administer medications.
- Conducts health education to patient and family members.
Staff Nurse - Chinese General Hospital and Medical Center - Sta. Cruz, Manila
(2019-03 - 2020-03)
- Monitors operational functions of the unit within the shift.
- Designates patient assignments for the shift.
- Ensures that doctor's orders carried out.
- Reports to the doctor significant changes in the patient's condition and receives corresponding orders
- Coordinated with other hospital units or outside institutions regarding services/procedures required for the patients.
- Supervises provision of nursing care rendered by staff nurses.
- Facilitated endorsement reports to the incoming shift.
- Acts as preceptor for Junior Nurses.
Education
Bachelor of Science in Nursing - Nursing - Pamantasan ng Lungsod ng Maynila (PLM) (2014-06 - 2018-04)
High School Diploma - Manuel G. Araullo High School (2010-06 - 2014-03)
