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cel riosa

@celriosa

Registered Nurse at a US-based home health agency, reviewing OASIS assessments and clinical records for quality and billing accuracy.

Philippines

Message

What I'm looking for

I'm seeking opportunities in Utilization Management, Clinical Documentation QA, Case Management, Care Coordination, or other nursing-related roles where I can apply my nursing knowledge, clinical training, and healthcare quality assurance experience.

At a US-based home health agency, I reviewed OASIS assessments, skilled nursing documentation, and home health aide visit notes for quality. I identified discrepancies and missing information before billing and gave clinical staff feedback on documentation deficiencies.

During hands-on training in home health case management and care coordination, I followed up with patients, verified missed visits, reviewed OASIS documentation, and coordinated visits and recertifications against the Plan of Care.

At 409 Central Hub, I reviewed medical records and clinical documentation and audited patient charts for accuracy, completeness, and compliance. I also supported process improvement by identifying recurring documentation and claims issues.

Experience

Work history, roles, and key accomplishments

USRN - QA Analyst

Home Health - Massachusetts, USA

Aug 2026 - Oct 2026 (2 months)

Conducted quality assurance reviews of home health clinical documentation, including OASIS assessments and skilled nursing notes. Identified documentation discrepancies and provided feedback to clinical staff.

OASIS Clinical Documentation Quality Assurance EMR EHR Medicare Medicaid

USRN - Case Manager / Care Coordinator

Home Health - California, USA

Jul 2026 - Aug 2026 (1 month)

Completed a one-month hands-on training program in home health case management and patient care coordination. Performed case management tasks including patient follow-up, missed-visit verification, and documentation review.

Case Management Care Coordination OASIS Patient Follow Up Documentation Review

RN - QA Specialist / Claims Specialist

Mental Health Facilities - California

Feb 2025 - Jul 2026 (1 year 5 months)

Reviewed medical records and clinical documentation for accuracy, completeness, and compliance. Conducted quality assurance audits and communicated findings to improve documentation and claims accuracy.

Medical Records Review Quality Assurance Claims Review Audit HIPAA

Owner - General Manager

Venthewline Pet Supplies

Sep 2016 - Dec 2024 (8 years 3 months)

Managed daily operations of a retail and wholesale pet supply e-commerce business. Created and published advertisements and promotional content across social media and online platforms.

Ecommerce Social Media Marketing Business Operations