Registered Nurse with experience, education and knowledge in clinical care, hospice, rehabilitation, technology, insurance claims review and state Medicaid process procedures. Played key roles in the strategy development of policy and procedural processes for patient care, claims payment and Medicaid review. A high energy and passionate style committed to continuous learning and excellence in all endeavors. Versatile style with ability to work well both independently and within a team environment in critical situations. KEY COMPETENCIES

• Utilization Management
• CPT Codes
• Six Sigma
• Claims approval
• Milliman Care Guidelines
• Independent medical review
• Epic software
• Extensive clinical experience
• Medicaid
• Cerner software
• Organizational Skills
• Medical Technology
• Communication
• Strategic policy development
• Teaching and Training