Summary
Overview
Work History
Education
Skills
Certification
References
RELEVANT ACHIEVEMENTS
Timeline
Generic
Miracle April Kildoyle

Miracle April Kildoyle

Registered Nurse
Vallejo, California

Summary

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.

Overview

2026
2026
years of professional experience
5
5
Certifications

Work History

Appeals Nurse– Clinical review

Elevance Health / Carelon Global Solution
2024 - Current
  • Analyzing insurance claim denials or coverage for medical treatments or procedures at a healthcare facility.
  • Conducts comprehensive reviews of utilization data, including claims, authorizations, and medical records.

Staff Nurse– Infection control

Tanza Specialist Medical Center
  • Preventing and managing healthcare-associated infections within healthcare settings.
  • Monitor the patient’s condition and evaluate their needs to provide the best possible care.

Education

Bachelor of Science - Nursing

Arellano University– Andres Bonifacio Campus
01.2023

Skills

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

Certification

Registered Nurse – Board Certified

References

John Raymond, Suguitan, RN, Email: suguitangio@gmail.com, Position: Prior Authorization Nurse– Cognizant

RELEVANT ACHIEVEMENTS

Dean’s Lister for 3 consecutive years.

Timeline

Staff Nurse– Infection control

Tanza Specialist Medical Center

Appeals Nurse– Clinical review

Elevance Health / Carelon Global Solution
2024 - Current

Bachelor of Science - Nursing

Arellano University– Andres Bonifacio Campus
Miracle April KildoyleRegistered Nurse