
Registered Nurse with 3+ years of acute care experience and a strong background in data-driven decision-making. Combines bedside clinical judgment with expertise in analyzing complex information against regulatory and coverage criteria. Skilled in independent case review, multidisciplinary collaboration, and documentation compliance. Seeking to transition clinical experience into a Clinical Appeals RN role to ensure accurate, compliant, and equitable claim determinations.
Experienced with pediatric home health care, providing tailored care plans that address specific needs. Utilizes compassionate communication and clinical expertise to improve patient outcomes. Knowledge of effective collaboration with families and healthcare teams to ensure comprehensive care.