RN with 11+ years of clinical experience across correctional, hospital, and community healthcare, specializing in case management, utilization review, and patient advocacy. Skilled in evaluating medical necessity, performing chart audits, and ensuring compliance with regulatory standards. Experienced in coordinating care across chronic disease management, diabetes care, and acute settings. Recognized for clear communication, critical thinking, and a detail-oriented approach to optimizing resource utilization while safeguarding patient safety and outcomes.