Jessica SarigumbaJS
Open to opportunities

Jessica Sarigumba

@jessicasarigumba

Experienced Utilization Management Nurse with a focus on patient care.

United States

What I'm looking for

I am looking for a role that fosters collaboration, supports professional growth, and enhances patient care.

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

SI

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.

AS

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.

2C

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.

SH

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.

AI

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.

SH

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.

SI

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

SC

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.

UC

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.

UC

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

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Jessica Sarigumba - Utilization Management Nurse/Supervisor - Shearwater Health, Inc | Himalayas