Summary
Overview
Work History
Education
Skills
Timeline
Generic
Meryl Shane E. Dadap, USRN

Meryl Shane E. Dadap, USRN

Dasmariñas, Cavite

Summary

Experienced with conducting thorough utilization reviews to ensure effective resource use and patient care. Utilizes clinical judgment to assess and recommend appropriate treatment plans. Track record of ensuring compliance with healthcare regulations and improving patient outcomes.

Overview

16
16
years of professional experience

Work History

Prior Authorization Nurse Reviewer

Sagility Philippines
Bridgetowne Zeta Tower, E. Rodriguez Jr. Avenue Co
05.2023 - Current
  • Reviewed and assessed prior authorization requests for medical services and procedures.
  • Collaborated with healthcare providers to gather necessary documentation for approvals.
  • Ensured compliance with insurance guidelines and protocols during authorization process.
  • Maintained accurate records of authorization requests and outcomes in electronic systems.

Clinical Utilization Review Nurse

ADEC Innovations Health Care Incorporated
Alabang, Muntinlupa
06.2021 - 04.2023

• Accurately and thoroughly document patient clinical information given by medical office staff

• Review clinical information to determine the appropriate imaging pathway for superior and effective patient care

• Provide comprehensive medical management utilizing industry standard care guidelines and treatment protocols

• Evaluate the necessity, quality, effectiveness or efficiency of medical services, procedures, and facilities

• Conducts hospital wide quality assurance issues and provide customer relations regarding plan benefits

• Perform utilization, concurrent, retrospective reviews, and discharge planning communicated directly with physician providers/designees

Private Duty Nurse

Makati Health Specialist Inc.
Makati City
03.2014 - 07.2021
  • Administered medication and treatments according to established protocols and patient needs.
  • Monitored vital signs, documenting changes and reporting abnormalities to healthcare teams.
  • Developed personalized care plans in collaboration with patients and families, enhancing overall satisfaction.
  • Educated patients on health management, promoting adherence to treatment regimens and lifestyle modifications.

Staff Development Coordinator

St. Paul Hospital Cavite, Inc.
Dasmariñas, Cavite
01.2013 - 01.2014
  • Developed training programs aligned with organizational goals to enhance staff competencies.
  • Facilitated onboarding sessions to ensure smooth integration of new employees into hospital culture.
  • Collaborated with department heads to assess training needs and implement targeted development strategies.
  • Evaluated effectiveness of training initiatives through feedback and continuous improvement measures.
  • Mentored junior staff members, fostering a culture of professional growth and knowledge sharing.
  • Analyzed training outcomes to identify trends and inform future staff development initiatives.

General Ward Staff Nurse

St. Paul Hospital Cavite, Inc.
Dasmariñas, Cavite
09.2010 - 12.2012

• Responsible for rendering nursing care to patients in the wards. (OB-Gyne, Pediatrics, Internal Medicine, Surgery )

• Utilizes assessment skills and techniques to determine patient’s needs on admission through clinical observation and physical assessment

o Conducts interviews and interacts with the patient and their significant others.

  • Delivered comprehensive patient care, assessing needs and implementing individualized treatment plans.
  • Collaborated with multidisciplinary teams to enhance patient outcomes and streamline care processes.

Education

Nursing, Major in Adult Health

St. Paul University Philippines
Tuguegarao, Philippines
03-2013

Bachelor of Science - Nursing

De La Salle Health Sciences Institute
Dasmariñas, Cavite
03-2009

Skills

  • HIPAA compliance
  • Clinical documentation
  • Clinical assessment

Timeline

Prior Authorization Nurse Reviewer

Sagility Philippines
05.2023 - Current

Clinical Utilization Review Nurse

ADEC Innovations Health Care Incorporated
06.2021 - 04.2023

Private Duty Nurse

Makati Health Specialist Inc.
03.2014 - 07.2021

Staff Development Coordinator

St. Paul Hospital Cavite, Inc.
01.2013 - 01.2014

General Ward Staff Nurse

St. Paul Hospital Cavite, Inc.
09.2010 - 12.2012

Nursing, Major in Adult Health

St. Paul University Philippines

Bachelor of Science - Nursing

De La Salle Health Sciences Institute
Meryl Shane E. Dadap, USRN