Public Health Nurse/Community Health Nurse|Department of Health
Philippines – July 2016 – June 2024
• Prepares health status reports of families/household visited
• Conducts health education and advocacy's on different DOH programs
• Educated community members about environmentally-related health issues.
• Participates in the implementation of health programs of DOH
• data gathering and response during health emergencies and disasters
• Rendered duty at COVID-19 Quarantine Facilities and Quarantine Checkpoints
• Submit monthly accomplishments reports and DTRs to the CHDs through PHN describing the highlights of different activities and accomplishments and learning insights
• Contribute to process improvement initiatives and recommend enhancements to billing procedures and systems of Philhealth insurance (iclinic sys portal system which includes data entry of patient’s details based on Individual Treatment Plan Records of patients)
• Assist in Registration and submission of Authorize Transaction Code of patients to the i-clinic system portal of Philhealth insurance
• Facilitate in the submission of claims and resolve denied claims from the Philhealth insurance
• Accurately enter patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
• Deliver timely and accurate charge submissions.
• Enhance revenue collections for the medical practice with diligent follow-ups on unpaid claims to philhealth.
• document issues on the backlogs and rejected claims from the insurance company and present status report during the data quality check monitoring/Community Health Nurse Duties and Responsibilities
Community Assessment and Planning:
•Identify health needs, resources, and gaps within the community.
•Develop and implementing health programs and initiatives.
•Collaborate with community partners to address health disparities.
•Health Education and Promotion:
•Provide health education on various topics like disease prevention, nutrition, hygiene, and chronic disease management.
•Develop and conduct health promotion campaigns.
•Empower individuals and communities to make informed health decisions.
Disease Prevention and Control:
•Implement immunization programs.
•Conduct screenings for common diseases (e.g., diabetes, hypertension, tuberculosis).
•Investigate and control outbreaks of infectious diseases.
Maternal and Child Health:
•Provide prenatal and postnatal care.
•Conduct immunization for infants and children.
•Implement child growth and development monitoring programs.
Chronic Disease Management:
•Assist individuals with managing chronic conditions (e.g., diabetes, asthma, heart disease).
•Provide education and support to patients and their families.
•Coordinate care with other healthcare providers.
Home Visits and Care:
•Provide nursing care to patients in their homes.
•Assess home environments for safety and health hazards.
•Coordinate care with other home health services.
Disaster Preparedness and Response:
•Participate in disaster planning and response activities.
•Provide first aid and emergency care during disasters.
•Coordinate relief efforts and supporting affected communities.
Data Collection and Analysis:
•Gather and analyze health data to identify trends and patterns.
•Use data to inform program planning and evaluation.
Advocacy:
•Advocate for the health needs of the community.
•Collaborate with policymakers to improve health outcomes.
Collaboration:
•Work with other healthcare professionals, community organizations,
and government agencies.
Build partnerships to address community health challenges.
ER Nurse|Saint Jude Multispecialty Hospital
Kalinga, Philippines - March 2015 – June 2016
• Demonstrated adaptability in the face of changing patient needs by adjusting care plans to reflect evolving situations, always prioritizing patient safety and wellbeing.
• Developed strong relationships with patients'' primary care providers by facilitating timely communication about their emergency visits, treatment plans, and follow-up care requirements.
• Continuously expanded clinical knowledge base through ongoing education opportunities such as workshops, conferences, certifications, or advanced degrees related to emergency nursing practice.
• Provided seamless transition of care between departments or facilities through comprehensive handoffs that included vital information about each patient''s care plan.
• Maintained appropriate supplies and equipment within the emergency department by regularly monitoring inventory levels, restocking as needed, and notifying management of any shortages or discrepancies.
• Reduced risk of infections by adhering to strict infection control protocols during procedures such as IV insertion and wound care.
• Optimized throughput times within the ER by assisting with rapid admissions processes when required.
• Promoted teamwork among nursing colleagues through effective collaboration, communication, and mutual support during high-pressure situations.
• Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
• Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
Experience: 1 - 2 years
Knowledgeable on Philhealth portal system and EHR tool such as iclinic sys(charge entry,generating claims,submitting claims,tracking of payment and follow up of unpaid claims to philhealth insurance via email ).
Experience: 5 - 10 years
* Clinical Skills: * Patient assessment and diagnosis * Medical procedures and treatments * Medication administration * Wound care * Vital signs monitoring * Interpersonal Skills: * Empathy and compassion * Effective communication * Active listening * Teamwork and collaboration * Patient education * Technical Skills: * Proficiency in medical software and equipment * Data analysis * Research methodologies * Medical coding and billing * Soft Skills: * Problem-solving and critical thinking * Time management and organization * Stress management * Adaptability and flexibility * Attention to detail
Experience: 1 - 2 years
Assist in submission of claims to philhealth: Attention to detail to avoid mistake that lead to claim denials, delays in reimbursement, and financial loss for healthcare providers. * Responsible Complete documentation of Medical records to accurately reflect the patient's condition and the service rendered. Incomplete documentation can lead to requests for additional information, delaying reimbursement. *Do Proper claim submission to the correct insurance company with the right patient information and deadlines. Errors in submission can lead to delays or denials.
Experience: 1 - 2 years
Communicated with insurance providers to resolve denied claims and resubmitted. • Verified insurance of patients to determine eligibility. • Reviewed patient records, identified medical codes, and created invoices for billing purposes. • Reduced claim denials by meticulously reviewing patient insurance information and coding practices. • Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims. • Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies(philhealth insurance)• Filed and updated patient information and medical records EMR/EHR(iclinic sys). • Posted payments and collections on regular basis. • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records. • Delivered timely and accurate charge submissions. • Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management. • Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
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