
Registered nurse with 5+ years of experience in medical-surgical, behavioral health, emergency care coordination, and post-acute settings. Completed detailed assessment, documentation, care planning, condition monitoring, interdisciplinary coordination, discharge support, transfer support, and patient education. Supported safe, cost-conscious care decisions through clinical record review, patient need identification, provider communication, risk recognition, evidence-based practice. UnitedHealthcare care coordination work, and nursing informatics knowledge for prior authorization, utilization management, and clinical review roles.
Clinical record review & documentation
Patient assessment & clinical judgment
Care-plan development & evaluation
Patient education & health coaching
Behavioral health & complex-care experience
Prior authorization / utilization review transferable skills
Care coordination & discharge planning
Risk identification & escalation
Evidence-based nursing practice
Electronic medical records / Epic
Quality, safety & regulatory compliance
Excel — nursing informatics
Interdisciplinary Collaboration and Time Management
Analysis clinical Assessment and Judgment Medical Necessity Review Care Coordination and Case Management
HIPAA Compliance and Confidentiality
Critical Thinking and Patient advocacy