Shantelle F.
Mid-Level Registered Nurse
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Shantelle F. is an experienced Registered Nurse with a diverse background in clinical care, occupational health, and healthcare administration. Based in the Philippines, she possesses a Bachelor of Science in Nursing from Jose Rizal University and has worked across various medical and administrative roles. At the Mandaluyong City Medical Center, she served as a Nurse 1, providing direct patient care, administering medications, and acting as a liaison between patients and healthcare teams. Her role as a Medical Necessity Reviewer at Miramed involved reviewing insurance claims for accuracy and resolving coding issues, leveraging her strong attention to detail and compliance with HIPAA standards. Additionally, as a Company Nurse for China Road and Bridges Corporation, Shantelle provided first aid and emergency care on-site, maintained health records, and ensured workplace safety. Her adeptness in vital signs monitoring, medication administration, and health records management underscores her commitment to delivering evidence-based, patient-centered care.
Experience
Nurse 1
Mandaluyong City Medical Center · 2022 — 2026Delivered person-centered nursing care across various settings. Evaluated patient needs and coordinated the implementation of individualized care plans. Recorded vital signs, admitted patients, and communicated clinical observations to physicians. Safely administered medications and acted as a liaison among patients, families, and healthcare teams.Medical Necessity Reviewer
Miramed · 2022 — 2022Reviewed and processed insurance claims to ensure accuracy and compliance with both government and commercial payer requirements. Resolved billing edits related to LCD, NCCI, MUE, and OCE for timely reimbursement. Maintained confidentiality in accordance with HIPAA standards and addressed claim discrepancies.Company Nurse
China Road and Bridges Corporation · 2020 — 2021Conducted health assessments and monitored employee wellness, providing first aid and emergency care as needed. Administered medications and maintained accurate health records while promoting safety in the workplace. Coordinated hospital referrals for employees needing further medical attention.Staff Nurse
Binakayan Hospital and Medical Center, Inc. · 2019 — 2020Provided direct nursing care, carefully documenting patient progress and reporting any changes in condition. Developed and evaluated nursing care plans, provided health education, and took charge nurse responsibilities when required. Assisted with the orientation of new staff and performed various duties as assigned.Documentation Assistant
Process Synergy Inc. – San Miguel Corporation · 2015 — 2017Ensured the completeness and proper authorization of transaction documents through retrieval and verification. Prepared documentation for tax submission to the Bureau of Internal Revenue and performed various administrative and clerical tasks to support operational efficiency.Admin-Verifier
Acabar Marketing International Inc. (assigned to Globe Telecom) · 2013 — 2015Processed service applications and verified document authenticity while conducting background checks on applicants. Maintained compliance with application processing standards.
Skills & Expertise
Education
- Bachelor of Science in NursingJose Rizal University · 2007 — 2011
- Bachelor of Science in PsychologyLyceum of the Philippines University · 2005 — 2006
- Bachelor of Science in TourismCentro Escolar University · 2002 — 2003
- Secondary EducationSaint Francis School · 1999 — 2002
- Primary EducationSaint Francis School · 1994 — 1999
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