Results-driven LPN with 20+ years of clinical and administrative healthcare experience in acute care, long-term care, and payer-side operations. Specializes in prior authorization, appeals, and HEDIS abstraction, with a solid understanding of CMS, ERISA, and NCQA requirements. Currently pursuing a Bachelor’s in Healthcare Administration as a Registered Nursing student (Graduation: Dec 2025). Dedicated to improving patient outcomes and health system performance through evidence-based decision-making, quality improvement, and patient advocacy.