
BSN-prepared Registered Nurse with 20 years of diverse healthcare experience spanning clinical quality, managed care, telephonic case management, utilization management, patient safety, healthcare operations, and acute care. Extensive experience reviewing clinical documentation, evaluating quality of care, identifying gaps in care, mitigating patient safety risks, and improving member outcomes across complex healthcare settings. Proven ability to analyze clinical data, perform quality reviews, support audits and investigations, and collaborate with interdisciplinary teams to drive quality improvement initiatives. Skilled in virtual care environments, healthcare technology, AI-assisted documentation workflows, and regulatory compliance. CCM Candidate (August 2026).