Jesus Vinluan Jr.

A Registered Nurse with over 18 years of diverse clinical and healthcare operations experience, specializing in care management, aged care, healthcare insurance, and team leadership. Proven track record of enhancing patient outcomes, adhering to quality standards, and leading multidisciplinary teams for optimal care delivery.

Nurse Team Lead – Care Management - Sagility Philippines B.V.

(2025-01)

• Led a multidisciplinary post-ER case management team, achieving a 15% reduction in hospital readmissions through effective care coordination.
• Performed quality audits and conducted coaching and performance reviews, resulting in improved service delivery standards.
• Coordinated patient-centered care initiatives, significantly enhancing patient satisfaction scores.
• Implemented training programs for team members, fostering a culture of excellence in patient care.

Senior Patient Relations Officer – Medical - QLM Life & Medical Insurance Company LLC - Doha, Qatar

(2017-01 - 2024-05)

• Managed pre-authorizations and medical claims, streamlining processes to increase efficiency.
• Liaised effectively with hospitals, physicians, and patients, ensuring coordinated care and optimal patient outcomes.
• Ensured strict compliance with healthcare policies, enhancing organizational reputation and service integrity.
• Delivered exceptional customer service, addressing patient inquiries and concerns with a focus on advocacy and support.

Supervisor - Medical - RESULTS CX - Philippines

(2012-09 - 2016-12)

• Led provider services operations, achieving a KPIs performance increase by implementing strategic workflow improvements.
• Streamlined operational processes, enhancing service quality and response times for patient inquiries.
• Collaborated with cross-functional teams to improve patient care delivery, fostering a cohesive work environment.
• Monitored compliance with healthcare regulations, maintaining high standards of service and care integrity.

Team Lead - Medical - ETIQA (Formerly Asianlife and Medical Insurance) - Philippines

(2008-07 - 2012-02)

• Led medical operations and spearheaded process improvements, resulting in increased operational efficiency.
• Implemented health care protocols aligned with best practices, enhancing patient safety and care standards.
• Facilitated communication between healthcare providers and patients, ensuring clarity and understanding of medical procedures.
• Monitored and evaluated team performance, delivering feedback to enhance service quality and staff engagement.

Bachelor of Science in Nursing - Nursing - St. Jude College of Manila (2002 - 2006)