Tanya Lillian Freeman RN, BSN
Darby,PA
Summary
Hands-on professional proudly offering more than 20 years of expertise in nursing field. Well-rounded and personable Utilization Review Nurse talented in reporting, records oversight and performance improvement.
Overview
35
35
years of professional experience
Work History
Utilization Review Nurse
Amerihealthcaritas
07.2013 - 10.2025
- Performed admission reviews based for medical necessity based upon all specifications.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Collaborated with physicians to clarify treatment plans, ensuring alignment with evidence-based practices.
Registered Nurse
Valley Forge Medical Center and Hospital
05.2007 - 06.2013
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Educated family members and caregivers on patient care instructions.
Sterile Processing Technician
Thomas Jefferson Hospital
03.1991 - 04.2006
- Streamlined workflow for the department by organizing instruments and equipment in a systematic manner.
- Wrapped trays, instrument packs, and sets.
- Recorded biologicals and test results.
- Inspected sterile package integrity prior to distribution.
- Ordered and restocked supplies for decontamination and surgical areas.
- Assisted in staff development by providing guidance to new team members on proper sterile processing techniques.
Education
Bachelor of Science - Nursing
Chamberlain University
Chicago, IL07-2017
Associate of Science - Nursing
Gwynedd Mercy University
Gwynedd Valley, PA05-2006
Skills
- HIPAA compliance
- Clinical assessment
- Quality improvement
- Records analysis
- Insurance verification
- Discharge planning
- Problem-solving
- Critical thinking
- Care coordination
Accomplishments
- Supervised team of 8 staff members.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
Timeline
Utilization Review Nurse
Amerihealthcaritas
07.2013 - 10.2025
Registered Nurse
Valley Forge Medical Center and Hospital
05.2007 - 06.2013
Sterile Processing Technician
Thomas Jefferson Hospital
03.1991 - 04.2006
Bachelor of Science - Nursing
Chamberlain University
Associate of Science - Nursing
Gwynedd Mercy University