Open to opportunities

valeree ann ceniza

@valereeannceniza1

Message

I review clinical documentation to support medically necessary, cost-effective care decisions.

United States

Message

What I'm looking for

I'm seeking remote utilization review, case management, clinical documentation improvement, care coordination, or prior authorization roles where I can apply clinical judgment, chart review, evidence-based guidelines, and documentation expertise to support quality, cost-effective care.

I've reviewed clinical documentation and patient records at Shearwater Health to support medical necessity, coverage determinations, appropriate levels of care, and regulatory compliance for home health services.

My nursing background spans medical-surgical care at Centerpoint Health, endoscopy at University of Cebu Medical Center, and dialysis care at Fresenius Medical Group. I bring experience in chart review, evidence-based guidelines, EMR documentation, care planning, discharge education, and interdisciplinary collaboration to utilization review, care coordination, and prior authorization work.

Experience

Work history, roles, and key accomplishments

Registered Nurse - Medical-Surgical

Centerpoint Health

Oct 2025 - Jun 2026 (8 months)

Delivered comprehensive nursing care for adult medical-surgical patients in an acute care environment. Assessed patient conditions, administered medications, and educated patients and families.

Medical Surgical Nursing patient assessment IV Therapy Wound Care Patient Education Electronic Medical Records Interdisciplinary Collaboration Quality Improvement

Utilization Review Nurse

Shearwater Health Inc.

Feb 2021 - May 2024 (3 years 3 months)

Reviewed clinical documentation to determine medical necessity for home health services using evidence-based guidelines and payer criteria. Performed utilization review and collaborated with physicians to obtain additional clinical information.

Utilization Review Clinical Documentation Review Medical Necessity Criteria Evidence Based Guidelines InterQual Guidelines Electronic Medical Records Regulatory Compliance Care Coordination

Registered Nurse - Endoscopy

University of Cebu Medical Center

Jun 2018 - Sep 2019 (1 year 3 months)

Performed comprehensive patient assessments before endoscopic procedures and delivered nursing care throughout pre-procedure, intra-procedure, and recovery phases. Assisted physicians during diagnostic and therapeutic procedures.

patient assessment Patient Education Vital Signs Monitoring infection prevention

Dialysis Registered Nurse (Trainee)

Fresenius Medical Group

Jan 2010 - Dec 2010 (11 months)

Assisted with hemodialysis treatments for patients with chronic kidney disease. Monitored patients before, during, and after dialysis treatments and administered medications according to protocols.

Patient Monitoring Documentation infection prevention Patient Safety