Glaiza Vissia Hortaleza
Manila,00
Summary
Professional healthcare provider with strong background in patient care, clinical procedures, and healthcare management. Adept at fostering team collaboration and adapting to changing needs, ensuring optimal patient outcomes. Skilled in critical care, patient assessment, and emergency response. Known for reliability and results-driven approach in high-pressure environments.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Senior Staff Nurse
Our Lady of Lourdes Hospital
Sta Mesa, Manila
07.2012 - 05.2025
- Educated patients on managing chronic conditions such as diabetes or hypertension, empowering them to take control of their health.
- Facilitated patient discharges by coordinating with medical teams, social workers, case managers, and other support staff.
- Enhanced patient care by implementing evidence-based nursing practices and maintaining up-to-date knowledge on industry advancements.
- Prevented infections through diligent adherence to infection control policies, including proper hand hygiene techniques and equipment sterilization procedures.
- Mentored junior nurses, providing guidance on clinical skills and professional development.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Reduced medication errors through thorough documentation and adherence to medication administration protocols.
- Promoted a positive work environment by collaborating with interdisciplinary teams and participating in regular staff meetings.
- Identified patient care requirements by establishing personal rapport with patients and families.
- Served as a resource for colleagues seeking assistance or advice in specialized areas of nursing practice.
Customer Service Representative
SPI GLOBAL, INC.
Mayon, Manila
08.2011 - 02.2012
- Duties include respond to customer inquiries and problems by providing information or directing request to proper support group who can supply the necessary information or service.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Provider Relations and Payment Services Assistant/Claims Processor
MEDILINK NETWORK, INC.
Makati City
05.2010 - 11.2010
- Duties include process claims from various merchant and non-merchant hospitals of the company. Encodes the Diagnosis using ICD 10 and the requested procedures using CPT codes. Process reimbursement claims of members that were not able to swipe their card on POS terminal. Also responsible for answering member’s concern and complaints over the telephone. Make daily report on what was done the whole day.
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Managed workload and priorities to meet claims processing meet deadlines.
- Collaborated with cross-functional teams to resolve complex claims issues efficiently and effectively.
Member Relations Assistant – Asst. Team Leader
CARITAS HEALTH SHIELD, INC
Quezon City
06.2008 - 05.2010
- Responsible for facilitating approval of requests for benefits by ensuring that these are in accordance with membership contract provisions and through proper implementation of company policies, procedures and guidelines.
- Duly accomplishes Request for Assistance (RFA) Form for walk-in and phone-in requests.
- Check and verify membership status including Member’s Agreement Form and waiver of coverage through scanned documents, the summary of payments and payment status.
- Determines the nature of request (e.g., consultation, out-patient diagnostic procedure, emergency, elective admission or therapeutic procedure).
- Determines whether the request is covered or not as per provisions of the
- Set performance expectations for the team, monitoring progress towards goals and providing constructive feedback as needed.
- Empowered team members by delegating responsibilities according to individual strengths and areas of expertise.
- Managed conflict resolution among team members, fostering a positive and collaborative work environment.
Education
Bachelor of Science - Nursing
DR. CARLOS S. LANTING COLLEGE
01.2006
Skills
- Self-motivated and responsible
- Nursing staff supervision
- Interprofessional collaboration
- Clinical documentation
- Discharge planning
Certification
- Registered Nurse, Dec 2006
- PRC Licensed Number: 0417927
- IV Therapist
- Registered Embalmer, Mar 2007
- DOH Licensed Number: 03-07-3602
References
Czarina Chasmalim E. Farin, Director, 09088190331, Our Lady of Lourdes Hospital, Nursing Training Office
Timeline
Senior Staff Nurse
Our Lady of Lourdes Hospital
07.2012 - 05.2025
Customer Service Representative
SPI GLOBAL, INC.
08.2011 - 02.2012
Provider Relations and Payment Services Assistant/Claims Processor
MEDILINK NETWORK, INC.
05.2010 - 11.2010
Member Relations Assistant – Asst. Team Leader
CARITAS HEALTH SHIELD, INC
06.2008 - 05.2010
Bachelor of Science - Nursing
DR. CARLOS S. LANTING COLLEGE