
Registered Nurse with ICU, Transfer Center, and Pre-Admission Testing experience, skilled in medical record review, clinical summarization, and documentation quality. Strong background verifying required records, coordinating required testing and clearance workflows, and supporting prior authorization readiness by compiling complete clinical information for review. Seeking a Utilization Review role to support accurate, compliant medical necessity determinations and appropriate level of care.
Pre-operative assessment and chart review supporting anesthesia readiness, documentation completeness, and prior authorization and clearance workflows.
• Performed pre-operative chart review and nursing assessment to evaluate anesthesia and surgical readiness, supporting appropriate utilization of services.
• Verified required records including medical history, allergies, medication lists, and relevant diagnostics to improve documentation completeness and accuracy.
• Coordinated required testing and clearance workflows by tracking outstanding items and communicating with provider offices and patients to close documentation gaps.
• Supported prior authorization and clearance readiness by ensuring required clinical documentation was available for payer and anesthesia review.
• Delivered patient education on pre-operative instructions and testing requirements to reduce preventable cancellations and day-of-surgery delays.
• Documented clearly and consistently in the EMR while managing multiple priorities in a fast-paced outpatient setting.
Basic Life Support
Advanced Cardiac Life Support
Microsoft Office Specialist (MOS) Certificate
Nurse Licensure Compact (NLC)