Nurse Richlyn David

Highly accomplished and compassionate Registered Nurse with more than 15 years of progressive experience across hospital, corporate, public health, aesthetic, and private-duty nursing in both local and international settings. Recognized for exceptional clinical judgment, patient-centered care, and meticulous documentation. Demonstrated excellence in emergency response, vaccination programs, occupational health, and advanced aesthetic procedures.

Known for professionalism, reliability, and the ability to thrive in fast-paced healthcare environments.

Company Nurse / Corporate Nurse / Safety Officer in Institution - Philippine Health Care Institution Company - Manila, Philippines

(2023-01)

• Deliver high-quality occupational healthcare services ensuring employee safety and regulatory compliance
• Manage EHS systems, medical records, and incident reporting with exceptional accuracy
• Provide rapid emergency response, CPR, and triage for workplace injuries and illnesses
• Oversee clinic operations, medication inventory, and reporting
• Coordinate seamlessly with physicians, management, and government agencies
• Lead health education programs, safety drills, and wellness initiatives

Vaccinator Nurse / Data Encoder - International Medical Corporation (IMC) - Manila, Philippines

(2021-01 - 2022-12)

• Played a vital role in the successful rollout of COVID-19 vaccination programs
• Administered Pfizer, Moderna, and Sinovac vaccines with precision and care
• Delivered clear, reassuring patient education to promote vaccine confidence
• Maintained highly accurate electronic records and census reports

Private Duty Nurse - Private Patient, High-Profile Client (CEO) - Makati City, Philippines

(2015-01 - 2020-12)

• Provided elite, personalized nursing care to a senior executive
• Maintained strict health monitoring, medication management, and lifestyle support
• Administered insulin injections and therapeutic treatments
• Coordinated closely with medical specialists to ensure optimal health outcomes

Registered Nurse - With Multitasking Role (Health Care Facility) - International Combined Medical Health Services - Kuwait City, Kuwait - Outside Philippines (International Abroad)

(2012-01 - 2015-12)

Medical Review Nurse Auditor - International Combined Medical Health Services - Kuwait City, Kuwait

(2012-01 - 2015-12)

Conducted comprehensive medical review and documentation with strict adherence to HIPAA guidelines and clinical privacy standards.

• Conducted medical review and proper documentation
• Committed to the highest standards of clinical privacy and regulatory compliance, ensuring every medical review is conducted in strict accordance with HIPAA guidelines
• Implemented rigorous safeguards to protect the Protected Health Information (PHI) and ensure the total confidentiality of client records during the documentation process. By maintaining a secure environment for all sensitive data, upheld the integrity of the medical review process while safeguarding the privacy and security of every patient
• Made clinical integrity & coding validation such as conducted meticulous clinical audits of medical records to ensure ICD-10 and CPT/DRG coding accuracy, verifying that all billed services were corroborated by bedside findings and objective diagnostic data
• Conducted utilization management & evidence-based review by applied InterQual and MCG criteria to validate the medical necessity of inpatient stays and treatments, ensuring alignment with payer-specific guidelines and organizational standards
• Initiated acuity assessment leveraged clinical scoring systems, including SOFA and SIRS, to objectively quantify patient severity and organ dysfunction, providing a data-driven foundation for medical necessity
• Initiated strategic appeals advocacy by authored compelling, evidence-based appeal letters that synthesized complex laboratory results and diagnostic findings into clear clinical narratives to secure maximum reimbursement
• Initiated cross-functional support by managed high-volume inbound and outbound clinical inquiries, providing professional medical consultation while ensuring accurate data entry and strict HIPAA compliance
• Initiated revenue cycle expertise: streamlined the processing of UB-04 claim for and DRG-based billing, identifying and resolving clinical documentation gaps to mitigate denials and optimize the revenue cycle
• Initiated claim accuracy by reviewed UB-04 hospital claims form to make sure that the nursing notes match the final bill
• Conducted coding audit by checking ICD-10 (diagnoses) codes and CPT (procedures) codes against actual bedside findings or diagnoses, to prove the care was necessary
• Initiated revenue alignment by ensuring the correct Revenue Codes and DRG groups are used so the hospital is paid correctly based on how sick the patient was (acuity)
• Initiated appeals advocacy by professional appeal letters using laboratory results and to overturn insurance denials and recover lost payments of the patient

Registered Staff Nurse - International Combined Medical Health Services - Kuwait City, Kuwait

(2012-01 - 2015-12)

• Delivered comprehensive bedside care across the Emergency Department, Medical-Surgical, Out Patient Department
• Performed precise medication administration, IV therapy, and patient assessments
• Accurate documentation, Nursing Standard of Care and Management

Dermatology & Aesthetic Nurse - International Combined Medical Health Services - Kuwait City, Kuwait

(2012-01 - 2015-12)

• Performed advanced aesthetic procedures such Botox, fillers, PRP, and mesotherapy
• Assisted in cosmetic surgeries such as liposuction and rhinoplasty
• Operated state-of-the-art laser and RF equipment for hair removal and body contouring

Bachelor of Science in Nursing (4 years course) - Nursing - Our Lady of Fatima University (2003-01 - 2007-10) Marulas, Valenzuela City, Philippines