Experienced nurse with 14+ years of diverse experience in direct patient care, care management, and utilization review. Skilled case manager specializing in care coordination and care transitions planning in an acute care setting. Proactively devises safe discharge plans for patients, demonstrating resourcefulness and a strong knowledge base. Compassionate and hardworking registered nurse dedicated to providing individualized patient care. Committed to delivering best-in-class patient care through effective education and counseling. Demonstrates proven leadership skills focused on increasing and enhancing patient care and satisfaction, while streamlining safety protocols for comprehensive patient care. Detail-oriented utilization review nurse with extensive healthcare experience and expertise in problem-solving due to dynamic patient care planning and understanding of medical coverage guidelines. Well-versed in ICD-10, CPT, and HCPCS coding systems.
Employer: Guardian Healthcare Providers Inc.
Hospital Assigned: Sidney Health Center
Employer: Guardian Healthcare Providers Inc.
Hospital Assigned: Sidney Health Center
Employer: Guardian Healthcare Providers Inc.
Hospital Assigned: Sidney Health Center
Working as Preservice / Appeals (Utilization Management) for Blue Cross Blue Shields of Florida.
Working as Pharmacy Precertification Nurse Reviewer (Utilization Management) for Aetna