Jessica Sarigumba
@jessicasarigumba
Experienced Utilization Management Nurse with a focus on patient care.
What I'm looking for
I am an experienced Utilization Management Nurse with a strong background in care coordination and interdisciplinary collaboration. My goal is to contribute effectively to a healthcare organization by managing patient care and minimizing unnecessary costs. With a Bachelor of Science in Nursing, graduating Magna Cum Laude, I have honed my skills in various healthcare settings, including telemedicine and intensive care.
Throughout my career, I have worked with reputable organizations such as Shearwater Health, Inc., where I currently serve as a Utilization Management Nurse/Supervisor. My responsibilities include performing case reviews for advanced imaging requests and ensuring the appropriate management of spine and musculoskeletal cases. I have also contributed to legal nurse services, translating complex medical records into usable documents for law firms, showcasing my ability to bridge the gap between healthcare and legal needs.
My commitment to continuous learning and professional development is evident through my participation in numerous trainings and certifications, including Basic Life Support and IV Therapy Training. I am passionate about advancing my knowledge and skills to provide the best care possible to patients and support my colleagues in delivering high-quality healthcare.
Experience
Work history, roles, and key accomplishments
Utilization Management Nurse/Supervisor
Shearwater Health, Inc
Mar 2022 - Apr 2025 (3 years 1 month)
Performs case reviews for advanced imaging requests, utilizing clinical judgment to approve cases. Ensures appropriate management of spine and musculoskeletal cases.
RN- Medical Record Reviewed
Amicus Legal Nurse Services
Dec 2019 - Dec 2023 (4 years)
Provided cost-competitive, accurate evaluations and high-quality work products for law firms, increasing efficiency and decreasing expenses. Documented information affecting case value and created summaries detailing client injuries and treatment.
Intake Representative
24/7 Call-A-Doc
May 2018 - Feb 2021 (2 years 9 months)
Assisted in creating consultation requests for physicians to review. Ensured requests were non-emergent, did not involve controlled medication refills, STDs, or third refills of medication.
Neonatal Intensive Care Unit Nurse
San Pedro Hospital
Feb 2019 - Jun 2019 (4 months)
Administered medications, monitored vital signs, and provided vital nutrients to newborns. Collaborated with upper-level nurses and physicians on treatment plans and examinations, maintaining updated patient records.
Utilization Management Nurse
Accenture Incorporated
Dec 2014 - May 2018 (3 years 5 months)
Performed frequent case reviews and checked medical records, communicating with care providers regarding treatment plans. Paid close attention to the appropriateness of healthcare expenditures.
Staff Nurse – Medical Surgical Department
Specialty Hospital
May 2011 - Present (14 years 1 month)
Provided direct patient care in the Medical Surgical Department. Assisted with various medical procedures and maintained patient records.
Staff Nurse - Chemotherapy Ward
San Pedro Hospital, Incorporated
Feb 2010 - Jul 2010 (5 months)
Provided specialized nursing care to patients in the Chemotherapy Ward. Administered chemotherapy treatments and monitored patient responses.
Education
Degrees, certifications, and relevant coursework
San Pedro College
Bachelor of Science in Nursing, Nursing
Grade: Magna cum Laude
Completed a Bachelor of Science in Nursing program, graduating with Magna cum Laude honors. The curriculum provided a strong foundation in nursing principles and practices.
University of the Immaculate Conception
High School Diploma, General Studies
Grade: With Honors
Completed secondary education with honors. The program focused on a broad curriculum to prepare students for higher education.
University of the Immaculate Conception
Elementary School Certificate, General Studies
Grade: With Honors
Completed elementary education with honors. The curriculum provided foundational knowledge across various subjects.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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