
Registered Nurse with 17+ years of progressive clinical experience spanning Utilization Review, Case Management, Operating Room, Emergency Department, Long-Term Care, Skilled Nursing, Home Health, Ambulatory Care, and Post-Anesthesia Care. Proven ability to perform medical necessity reviews, coordinate multidisciplinary care, manage complex patient populations, ensure regulatory compliance while delivering exceptional patient outcomes. Recognized for strong clinical judgment, exceptional documentation accuracy, critical thinking, and collaboration with physicians, insurance providers, interdisciplinary healthcare teams, patients, and families. Seeking a remote Registered Nurse position in Utilization Review, Clinical Review, Case Management, Care Coordination, Appeals & Denials, Clinical Documentation Improvement (CDI), Population Health, or Telehealth.