Registered Nurse with 5+ years in acute oncology, rehabilitation, and home health case management. Expertise in medical necessity reviews, interdisciplinary collaboration, and evidence-based care application. Proficient in electronic health records and managing high patient volumes. Seeking remote utilization management role with focus on precision and clinical integrity.
• Delivered direct oncology care in a high-volume outpatient clinic.
• Coordinated pre-authorizations with insurance providers for chemotherapy
• Educated patients on disease management, medication protocols, and lifestyle modifications.
• Collaborated with pharmacy, social workers, and case managers to ensure comprehensive care.
• Applied NCCN guidelines and clinical judgment to support treatment planning.