
BSN Registered Nurse with 13+ years of Emergency Department experience, including 4+ years as an RN in a high-volume acute care setting. Brings strong clinical judgment, acuity-based prioritization, documentation accuracy, provider collaboration, care coordination, and calm decision-making under pressure. Seeking a remote Utilization Review Specialist role where bedside nursing experience supports medical necessity review, appropriate level-of-care decisions, quality outcomes, and efficient use of healthcare resources.
Clinical documentation review
Medical necessity mindset
Level-of-care awareness
Acuity-based prioritization
Patient assessment
Critical thinking
Provider communication
Care coordination
HIPAA-aware documentation
Time management
Emergency nursing