Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Irish Lyn Mojica

Indang, Province Of Cavite,CAV

Summary

Developed critical thinking and analytical skills within healthcare environment, excelling in clinical assessment and patient advocacy. Proven ability to craft compelling arguments for claim appeals, enhancing patient care outcomes. Skilled in quality improvement and healthcare management, ensuring optimal treatment strategies while providing compassionate support to patients and families. Seeking to transition into new field to leverage these skills and contribute to impactful outcomes.

Overview

4
4
years of professional experience
1
1
Certification

Work History

Appeals Nurse Consultant

EXL Service
05.2024 - Current
  • Review denied claims, analyze the clinical documentation, and determine the best appeal strategies.
  • Crafts detailed arguments for why a denial should be overturned, citing clinical documentation and the insurance payer's policies.
  • Explains denials to patients, especially if a pre-existing condition or medical regulations make the treatment inappropriate.

Reliever Nurse

Estrella Hospital
07.2023 - 04.2024
  • Administered medications and treatments according to established protocols, ensuring patient safety and comfort.
  • Monitored vital signs and documented changes in patient conditions for accurate health assessments.
  • Collaborated with multidisciplinary teams to develop individualized care plans for diverse patient needs.
  • Educated patients and families on post-treatment care, enhancing understanding of health management.
  • Assisted in emergency response situations, providing critical support during high-pressure scenarios.

Nurse I

General Emilio Aguinaldo Memorial Hospital
12.2021 - 06.2023
  • Assisted in patient care by monitoring vital signs and documenting health changes.
  • Supported nursing staff with routine tasks, ensuring a safe and efficient environment.
  • Engaged with patients to provide emotional support and enhance their comfort levels.
  • Collaborated with healthcare team to implement care plans and improve patient outcomes.
  • Participated in training sessions to develop clinical skills and knowledge of healthcare practices.

Education

Bachelor of Science - Nursing

Cavite State University
Indang, Cavite
02-2021

Skills

  • Interprofessional collaboration
  • Case documentation
  • Clinical expertise
  • Medical documentation
  • Quality improvement
  • Inpatient care
  • Outpatient care
  • Procedure optimization
  • Healthcare management
  • Records review
  • Report writing
  • Care summaries

Certification

  • Registered Nurse (Philippines) G.A 80.40%
    License Number: 0932051
  • Registered Professional Nurse in the State of New York
    License Number: 920018
  • PTE Academic Passer, Overall score: 70

Timeline

Appeals Nurse Consultant

EXL Service
05.2024 - Current

Reliever Nurse

Estrella Hospital
07.2023 - 04.2024

Nurse I

General Emilio Aguinaldo Memorial Hospital
12.2021 - 06.2023

Bachelor of Science - Nursing

Cavite State University

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Irish Lyn Mojica