Registered Nurse with experience in direct patient care and medical review nursing, specializing in clinical assessment, utilization review, and application of evidence-based guidelines and regulatory standards.
Overview
13
13
years of professional experience
Work History
Registered Nurse Team Trainer
Noridian Healthcare Solutions
01.2025 - Current
Develop and deliver training to clinical reviewers.
Introduce new clinical reviewers to regulations, accreditation standards, and clinical guidelines.
Medical Review Nurse
Noridian Healthcare Solutions
06.2022 - 01.2025
Conducted comprehensive reviews of medical necessity determinations to ensure adherence to guidelines, regulatory standards and internal policies.
Collaborated with healthcare providers.
RN Case Manager
Blue Cross Blue Shield North Dakota
12.2021 - 05.2022
Coordinated client care plans after needs assessment.
Facilitated communication for clients as needed.
Educated clients on available programs, benefits, and services.
Medical Review Nurse
Noridian Healthcare Solutions
07.2021 - 12.2021
Conducted comprehensive reviews of medical necessity determinations to ensure adherence to guidelines, regulatory standards and internal policies.
Collaborated with healthcare providers.
Infusion Nurse
Sanford Health
01.2021 - 07.2021
Administered intravenous therapies and medications.
Monitored patient responses.
Collaborated with multidisciplinary teams.
RN Case Manager
Sanford Health
04.2013 - 01.2021
Coordinated patient care plans after needs assessment.
Collaborated with multidisciplinary teams.
Provided education and support to patients and families.