Dedicated, recently retired Registered Nurse with extensive experience in Case Management, Utilization Review and Clinical Documentation Integrity. Strong communicator, effective collaborator with healthcare teams and insurance providers to improve access and lower costs while navigating the healthcare system to achieve problem resolution, enhanced customer outcomes and excellent customer satisfaction.
Experienced healthcare professional skilled in critical thinking, and communication. Customer service driven, avid patient advocate and problem solver with strong service excellence skills. Strong focus on team collaboration, professionalism and achieving optimal patient satisfaction and protecting patient privacy while complying with federal, state and local laws. Reliable and adaptable, compassionate and proficient in medical terminology, excellent understanding of disease processes and standard treatments.
Skilled in the use of Best Practices, professional standards and ethical principles.
Worked in several different departments during my 23 years of employment at this hospital.
Case Management
Utilization Review
Clinical Documentation Integrity