
Registered Nurse with clinical experience in pediatric home health, urgent care, and care coordination. Skilled in patient assessment, medical record documentation, and reviewing physician orders to ensure appropriate care delivery. Experienced in interdisciplinary collaboration, clinical documentation review, and monitoring treatment plans for quality and regulatory compliance. Knowledgeable in Medicare and Medicaid guidelines, utilization management principles, and healthcare documentation standards. Seeking to apply clinical expertise in a Remote Clinical Review Nurse or Prior Authorization role supporting medical necessity review and quality patient care.