Registered Nurse with 20+ years of clinical experience in complex case management, nurse navigation, triage, acute care leadership, cardiac nursing, and clinical review. Expertise in clinical chart review, medical necessity, pattern recognition, risk identification, documentation analysis, and evaluation of treatment plans. Proven ability to synthesize complex clinical information, identify gaps and potential risks, and communicate clinical reasoning clearly and concisely. Experienced managing high-volume caseloads while maintaining accuracy, sound clinical judgment, and attention to detail.