JOSEPHINE MARASIGAN
Bakersfield
Summary
Dedicated RN specializing in Care coordination, with a strong background in utilization review and compliance. Proven ability to leverage clinical judgment and data analysis to enhance patient outcomes. Skilled in fostering communication and collaboration among healthcare teams.
Overview
1
1
Certification
22
22
years of professional experience
Work History
Utilization Review Nurse
Community Hospital Of San Bernardino
Bakersfield
03.2025 - Current
- Analyzed patient data to assess medical necessity for services provided.
- Assessed patient medical records to determine the appropriateness of requested services and procedures.
- Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations.
- Conducted thorough reviews of patient care plans and treatment protocols.
- Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
- Collaborated with healthcare teams to ensure optimal resource utilization.
- Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
- Communicated with physicians to clarify treatment recommendations and authorizations.
- Documented review findings in compliance with regulatory standards and policies.
- Updated electronic health records with detailed review notes and decisions.
RN Care Coordinator
Bakersfield Memorial Hospital
07.2022 - Current
- Assessed, planned, facilitated, and advocated for options and services through continuum of care from point of contact to discharge, ensuring patient health needs were met while promoting quality, cost-effective care.
- Coordinated patient care plans with interdisciplinary healthcare teams.
- Managed patient assessments and identified healthcare needs effectively.
- Facilitated communication between patients, families, and healthcare providers.
Registered Nurse NICU
Bakersfield Memorial Hospital
03.2015 - 07.2022
- Administered comprehensive care to neonates from birth through discharge or transfer to a higher level of care, achieving optimal health outcomes.
- Administered medications and treatments as prescribed by physicians.
- Monitored patient vital signs and reported changes to the healthcare team.
- Collaborated with multidisciplinary teams to ensure comprehensive patient care.
Registered Nurse NICU
Adventist Health Bakersfield (formerly San Joaquin Community Hospital)
07.2013 - 03.2022
- Managed care in a 9-bed neonatal ICU, accommodating up to 15 patients, ensuring optimal patient outcomes. Shift leader and High Risk delivery nurse. Renders care to sick infants from admission to whatever treatment needed to transfer to higher level of care or discharge home. Provided comprehensive care for patients on oscillator, ventilator, CPAP, oxygen hood, high-flow nasal cannula, and room air, addressing complex respiratory needs. Experienced in handling infants that are premature, post mature, in respiratory distress, hypoglycemia, hyperbilirubinemia, metabolic disorders among others. Coordinates with Labor and delivery regarding possible admission before deliveries. Assessed infants in Post Partum unit. Collaborated with neonatal team to advocate for patients and families, enhancing care experience and support.
- Administered medications and treatments in accordance with physician orders.
- Monitored patient vital signs and reported changes to the healthcare team.
- Collaborated with interdisciplinary teams for comprehensive patient care.
Pediatric Emergency Nurse
Hamad Medical Corporation-Pediatric Emergency Center
Doha
02.2012 - 05.2013
- Rendered care to pediatric patients needing immediate treatment for cases such as anaphylactic reactions, ventricular tachycardia, sepsis, near drowning, dehydration, asthmatic attacks, and croup. Provided treatments to patients from triage to the observation area until their admission to the pediatric ward or PICU.
- Assessed pediatric patients in critical and emergency situations, ensuring timely identification of urgent care needs.
- Administered medications and treatments per physician orders, contributing to effective symptom management and stabilization.
- Collaborated with multidisciplinary teams to coordinate comprehensive care plans, enhancing patient outcomes.
Registered Nurse NICU
Prince Sultan Military Medical City formerly known as Riyadh Military Hospital
Riyadh
07.2009 - 07.2011
- Worked in 60+ neonatal ICU, managing care for up to 80 patients during overflow. Assisted in high-risk deliveries as part of neonatal team, ensuring immediate care for newborns. Admits sick neonates from birth to subsequent discharge to home and even chronic care. Monitored and treated patients using oscillator, ventilators, CPAP, high flow nasal cannula, nasal cannula, and room air. Experience in handling micro premise, premature, post mature, metabolic disorders, peritoneal dialysis, genetic disorders, congenital anomalies, cardiac problems among others
- Administered medications and monitored patient responses in diverse clinical settings.
- Collaborated with healthcare teams to develop and implement patient care plans.
- Educated patients and families on health management and post-discharge care.
Nurse Newborn Services Pay Division Registered
University of Santo Tomas Hospital
Manila
07.2004 - 07.2009
- Contributed to Newborn Services, including Transitional Nursery and Neonatal ICU, by attending all deliveries with the Neonatal team. Admitted infants requiring transition or antibiotic therapy and facilitated subsequent rooming in. Transitional Nursery can hold 20 infants. Promoted breastfeeding and rooming in for all mothers while admitting sick neonates to NICU for advanced treatments, accommodating up to 6 patients. Managed patients on mechanical ventilators and provided other oxygen therapies. Experienced in premature or post mature infants, hyperbilirubinemia, hypoglycemia or sepsis among others.
- Administered medications and treatments to diverse patient populations.
- Monitored patient vital signs and reported changes to the healthcare team.
- Collaborated with interdisciplinary teams to develop patient care plans.
Education
Bachelor of Science - Nursing
University of Santo Tomas
Manila, Philippines03-2002
Skills
- Utilization review
- Clinical judgment
- Clinical criteria evaluation
- Regulatory compliance
- Critical care nursing
- Utilization management
- Clinical review processes
- Care planning
- Critical care nursing
- Team collaboration
- Teamwork proficiency
- Healthcare advocacy
- Patient and family advocacy
- Data-driven decision making
- Communication skills
- Data-driven decision making
Certification
- Registered Nurse in CA, License number 846016
Timeline
Utilization Review Nurse
Community Hospital Of San Bernardino
03.2025 - Current
RN Care Coordinator
Bakersfield Memorial Hospital
07.2022 - Current
Registered Nurse NICU
Bakersfield Memorial Hospital
03.2015 - 07.2022
Registered Nurse NICU
Adventist Health Bakersfield (formerly San Joaquin Community Hospital)
07.2013 - 03.2022
Pediatric Emergency Nurse
Hamad Medical Corporation-Pediatric Emergency Center
02.2012 - 05.2013
Registered Nurse NICU
Prince Sultan Military Medical City formerly known as Riyadh Military Hospital
07.2009 - 07.2011
Nurse Newborn Services Pay Division Registered
University of Santo Tomas Hospital
07.2004 - 07.2009
Bachelor of Science - Nursing
University of Santo Tomas