DARLENE ZARSUELA

• Real-time documentation in PACS software programs and collaboration thru HIPAA compliant conferencing software with the radiologist.
• Gained valuable exposure to various specialties within medicine through diverse scribe assignments across different departments.
• Verified accuracy of transcribed material prior to finalization.
• Maintained database of transcribed documents for easy access and retrieval.
• Established and maintained an effective working relationship with the radiologist and co-scribes
• Adapted quickly to emerging technologies and software, staying ahead in providing versatile virtual assistance.

• Conducted English language lessons to international students of all ages through virtual classrooms
• Enhanced student learning experiences by incorporating multimedia resources and interactive activities into lessons.
• Fostered strong relationships with students, showing empathy and providing support to promote their emotional well-being alongside academic success.
• Adapted quickly to unexpected changes in technology or scheduling while maintaining high-quality instruction for all students involved.
• Provided constructive feedback on assignments, enabling students to grow in their critical thinking skills and achieve higher levels of comprehension.

• Consistently demonstrated excellence in quality assurance evaluations of work production aspects, including UR nurses' review outputs and call monitoring (inbound/outbound calls).
• Created detailed reports on audit findings, enabling senior leadership to make well-informed decisions regarding quality control initiatives.
• Facilitated communication between various departments, ensuring a collaborative approach to addressing quality compliance concerns.
• Served as SME (Subject Matter Expert) for all auditing purposes

• Conducted Worker's Compensation Utilization Management requests for inpatient and outpatient services including pre-certification, and retrospective reviews according to state guidelines
• Determined the medical necessity of requests by performing first-level reviews using approved evidence-based guidelines/criteria
• Provided telephonic case management of Workers Compensation claims professionally and competently by facilitating and coordinating all injured workers' medical care
• Referred cases to reviewing physician when the treatment request did not meet necessity per guidelines or when guidelines were not available
• Maintained confidentiality and compliance in adhering to Health Insurance Portability and Accountability Act (HIPAA) guidelines when reviewing medical documentation

Provided direct patient care thru various nursing interventions, stabilized patients, and determined the next course of action working within an interdisciplinary health care team.