Melody

Quality Analyst - Home Health Intake and Utilization Management Review Nurse

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Overview

Looking for full-time work (8 hours/day)

at $6.88/hour ($1,327.30/month)

Bachelors degree

Last Active

June 22nd, 2026 (2 days ago)

Member Since

March 3rd, 2025

Profile Description

A registered nurse with over 8 years of experience in a diverse healthcare system, specializing in utilization review, claims management, patient care coordination, and quality assurance. 

Clinical Experience:
3-4 years in utilization review ( Prior authorization - fast track approval and escalation) and claims, HMO specialist in US Healthcare Insurance
1 year and 6 months Patient care coordinator, refills and Insurance verification in US Healthcare Insurance
1 year in Case Abstraction in the US Healthcare System
1 year clinical experience
6-month to 1-year Local Telehealth company
3-6-months experience as a part-time nurse in hotels and companies and as a Private Duty Nurse
6-month in Claim Summarization
had training exposure of Medical Billing/ AR specialist
6 months Home health review

In addition to my clinical background, I bring 3 years
of corporate experience in master data and workforce management, where
I served as a point of contact, TTKF author for SOP, subject matter expert, and process associate for global MDM operations. 

Top Skills

Experience: 5 - 10 years

Experience: 5 - 10 years

Experience: 5 - 10 years

Other Skills

Experience: 5 - 10 years

Experience: 1 - 2 years

Experience: 6 months - 1 year

Experience: 6 months - 1 year

Experience: 2 - 5 years

Basic Information

Age
34
Gender
Female
Website
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Address
Cebu, CEBU
Tests Taken
IQ
Score:  118
English
C1(Advanced)
Government ID
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