Dynamic Remote RN Case Manager with over 6 years of comprehensive clinical and case management expertise, including 3 years specializing in fully remote Medicaid LTSS case management. Proficient in utilization review, telehealth practices, and interdisciplinary care coordination, ensuring seamless patient experiences. Possesses in-depth knowledge of CMS regulations, Medicaid and Medicare guidelines, and state compliance requirements, enhancing the ability to navigate complex healthcare landscapes. Proven track record of elevating care quality, minimizing unnecessary costs, and delivering patient-centered support in high-volume settings.