Self-motivated professional promoting attention to detail and the drive to resolve issues effectively. Calm and poised in the most stressful environments. Seeking the opportunity to broaden knowledge in nursing field.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Utilization Review Nurse
Evicore
Philadelphia, PA
08.2022 - Current
Provided education to providers regarding utilization management processes and protocols.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Referred cases to secondary review for failure to meet guideline criteria.
Applied medical criteria and clinical judgement to cases to evaluate and establish determinations.
Prioritized and organized tasks to efficiently accomplish service goals.
Provided excellent service and attention to customers when face-to-face or through phone conversations.
Completed day-to-day duties accurately and efficiently.