Dedicated and highly motivated Registered Nurse, licensed in California and New York, with extensive experience in direct patient care and clinical review. Progressed from a staff nurse role, acquiring hands-on expertise in patient assessment, medication administration, and bedside care. Currently serves as a Clinical Appeals Nurse, utilizing clinical knowledge to assess medical necessity, ensure appropriate utilization of healthcare services, and support appeals processes in accordance with regulatory guidelines. Possesses a strong understanding of clinical documentation, insurance protocols, and interdisciplinary communication while remaining committed to delivering high-quality, patient-centered care.
Patient education
Medication and IV administration
Direct patient care
Medication administration
Care plan implementation
Patient assessment
Patient care
Patient management
Infection control
Licensed RN
Clinical documentation
John Raymond, Suguitan, RN, Email: suguitangio@gmail.com, Position: Prior Authorization Nurse– Cognizant