A highly organized and detail-oriented healthcare professional with strong experience in utilization review nursing, document management, and patient intake processes. Skilled in evaluating medical necessity, coordinating with providers and insurance payers, and ensuring compliance with regulatory standards. Demonstrated expertise in analyzing clinical documentation, maintaining accurate records, and streamlining workflows to support efficient case management and patient care. In utilization review, known for sound clinical judgment, timely assessments, and thorough knowledge of payer guidelines and medical criteria such as MCG and InterQual. As a document management specialist, proficient in electronic health records (EHR), data accuracy, and maintaining confidentiality in all aspects of patient information. In intake coordination, experienced in onboarding new cases, verifying insurance eligibility, and ensuring a seamless start to the patient journey. I Want to Be Known as a Worker to be known as a reliable, ethical, and solutions-driven tea-----------mber—someone who brings clarity, compassion, and consistency to every task. I value communication, accountability, and continuous improvement, always aiming to contribute positively to patient outcomes and team success.
