Rodelia Anna G. Ligeralde
Registered Nurse
Makati City, Metro Manila
Summary
Versatile and adaptable professional with 21 years nursing experience across a variety of functions in fast-paced medical settings. Seeking to leverage stellar leadership, organizational skills and extensive nursing experience in various settings.
Overview
14
14
years of professional experience
5
5
Certifications
Work History
Clinical Operations Manager - Quality
Change Healthcare Philippines Inc
1 2018 - 09.2023
- Clinical Quality Assurance of product line development and support
- Oversight and management of regulatory requirements for Risk Adjustment programs for Medicare/Commercial/Medicaid
- Hired, Trained, and developed associates in department
- Serviced vendor accounts and participated in development and deployment of focused goals
- Quality Assurance Testing on product platforms
- Vendor Management Oversight.
Clinical Operations Manager - Production Manager
Change Healthcare Philippines Inc
09.2012 - 01.2018
- Directs coding/abstraction, production and auditing and training activities of the auditing division
- Develops detailed requirements and documents for all processes and training within the Auditing Division
- Maintains oversight of certification requirements for the various disciplines within the Division departments and monitors professional information for updates and changes in professional standards
- Develops and updates enterprise-wide reports
- Troubleshoots and collaborates with other managers to problem-solve and advance the processes of the division and the company
- Reports progress, obstacles to senior management on a regular basis
- Supervises abstractors for CDC, WCC, AWC measures who have exceeded/meet expectations
- Performs QA & SQA roles for 3 measure groups (CDC/WCC/AWC).
Medical Coder/Quality Specialist
Change Healthcare Philippines Inc
07.2011 - 08.2012
- Delivers required number of quality monitors in a timely manner
- Generates and trends weekly/monthly quality related reports pinpointing root cause/s for performance variance
- Participates in Quality calibration sessions and support production volume required by business
- Works closely with the Quality Manager to execute key Quality initiatives or special projects, etc.
Nurse Clinical Instructor
Makati Medical Center
10.2010 - 06.2011
- Prepares in advance to plan, supervise, teach and evaluate student learning in clinical courses, which may include participation in simulation and laboratory-based learning and may function as supervising faculty in preceptor-based practicum experiences
- Employs a variety of innovative teaching techniques in the clinical setting to promote critical thinking, clinical competency, and achieve course outcomes that reflect evidence-based approaches to instruction
- Demonstrates proficiency with knowledge, skills and attitudes required for competency in patient-centered care, teamwork, quality improvement, safety, evidence-based practice and informatics
- Collaborates with didactic instructional faculty in the planning and implementation of clinical learning experiences.
Nurse Clinical Instructor
Manila Tytana College
06.2009 - 09.2010
- Manage, direct, and teach BSN nursing students in the clinical setting
- Provide clinical instructions/teaching for the BSN program
- Review and demonstrate methods of obtaining accurate health history information for wellness or illness base encounters with patients across the lifespan
- Implement and evaluate nursing curriculum with an appreciation for diversity, cultural awareness, ethics, integrity, and professional judgment
- Design and implement learning activities and opportunities for BSN students.
Nurse Clinical Instructor
Centro Escolar University
06.2007 - 05.2009
- Imparts effectively and efficiently a set of knowledge and skills to students, according to his field of specialization and the subject he is tasked to teach
- Sees to the effective implementation of the college and university policies and programs in his dealings with the students and in the performance of her specific duties to them
- Plays the role of an adviser and chairman/organizer in the various college and university activities as assigned by the Dean
- Records, computes and encodes the grades of the students as accurately as possible
- Functions as a class adviser, provides guidance and counsels students whenever needed and as assigned by the Dean
- Attends faculty meetings called for by the Dean and /or Deparment Head
- Performs other duties as may be assigned by the Dean from time to time.
Nurse Clinical Instructor
Far Eastern University
06.2005 - 05.2007
- Manage, direct, and teach BSN nursing students in the clinical setting
- Provide clinical instructions/teaching for the BSN program
- Review and demonstrate methods of obtaining accurate health history information for wellness or illness base encounters with patients across the lifespan
- Implement and evaluate nursing curriculum with an appreciation for diversity, cultural awareness, ethics, integrity, and professional judgment
- Design and implement learning activities and opportunities for BSN students.
Staff Nurse - Medical/Surgical ICU Stepdown
Makati Medical Center
10.2003 - 05.2005
- Responsible for the delivery of patient care through the utilization of the nursing process and based on the internationally accepted nursing practice standards
- He/she is responsible for managing records, supplies and equipment; provide health education to patients and families and collaborates with other professional disciplines to ensure effective patient care delivery and the achievement of desired patient outcomes.
Education
Bachelor of Science - Nursing
PCU - Mary Johnston College of Nursing
04.2001 -
Skills
Process Improvement
Training and Development
Strong clinical judgement
Strong communication skills
Intravenous Therapy
EHRs
Certification
Certified Professional risk Adjustment Coder - American Association of Professional Risk Adjustment Coders - Since July 2016
Timeline
Clinical Operations Manager - Production Manager
Change Healthcare Philippines Inc
09.2012 - 01.2018
Medical Coder/Quality Specialist
Change Healthcare Philippines Inc
07.2011 - 08.2012
Nurse Clinical Instructor
Makati Medical Center
10.2010 - 06.2011
Nurse Clinical Instructor
Manila Tytana College
06.2009 - 09.2010
Nurse Clinical Instructor
Centro Escolar University
06.2007 - 05.2009
Nurse Clinical Instructor
Far Eastern University
06.2005 - 05.2007
Staff Nurse - Medical/Surgical ICU Stepdown
Makati Medical Center
10.2003 - 05.2005
Bachelor of Science - Nursing
PCU - Mary Johnston College of Nursing
04.2001 -
Clinical Operations Manager - Quality
Change Healthcare Philippines Inc
1 2018 - 09.2023
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