Compassionate and results-driven Registered Nurse with over 11 years of progressive healthcare experience, including 4 years in utilization review management and clinical documentation, 5 years of clinical bedside care, and 2 years as a private duty nurse. Demonstrates expert proficiency in concurrent utilization review, medical necessity determination, and payer compliance across diverse care settings. Proven track record in conducting complex case reviews, ensuring meticulous clinical documentation integrity, and facilitating multidisciplinary care coordination. Holds active NCLEX-RN licensure (Illinois State) and Philippine nursing license.
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