PHRN, USRN, Utilization Management, Prior Authorization

I’m ----------- -----------, a dedicated and flexible Registered Nurse with over 6 years of experience across the healthcare spectrum—including insurance, provider, and direct patient care settings. HIPAA certified and highly detail-oriented, I take pride in delivering accurate, timely, and compassionate support in every role I take on.My healthcare journey began at Aetna Disability, where I focused on insurance verification, workers’ compensation, and clinical review. That experience paved the way for my role as a Utilization Management Reviewer Nurse for a group of hospitals in New Jersey—ensuring patient care aligned with clinical standards and payer requirements.I later expanded into Prior Authorization at Athena Health, where I represented physicians' offices and reviewed clinical documentation to secure approvals for essential services. From there, I became a Clinical Reviewer for medication prior authorization requests under workers' compensation—further deepening my understanding of the authorization ----------- addition to these roles, I’ve gained practical, hands-on experience as both an Occupational Health Nurse and a Private Duty Nurse—positions that keep me closely connected to core nursing practice and direct patient care.What drives me is a deep passion for healthcare, a commitment to continuous learning, and a strong belief in integrity and accountability. I bring professionalism, adaptability, and discipline to every task, and I’m eager to keep growing and contributing meaningfully to the field.???? Let’s connect—I’m open to new opportunities and collaborations within the healthcare space and beyond.