• A 17 year highly motivated Nurse seeking a position with opportunities to utilize learned skills and maintain a role as an advocate for members to ensure quality care and assist providers in Healthcare, Call Center and or Health Plan Environment to include Coordinator of needs/request, problem resolution, training and educational needs for members and providers.
• Committed Licensed Practical Nurse with an 11-year history in the Clinical Utilization Management Department as a Review Nurse Sr and Review Nurse Team Leader in a Healthcare Call Center and Health Plan Environment.
• Nurse Lead role 2 years for multiple markets reviewing cases for medical necessity working closely with Case management and Medical Director.

COMPUTER/PROGRAM SKILLS: Windows 8-10, MS Word, ACCESS, PowerPoint, Excel and Outlook, Electronic Health Records.Facets, Compass, Interqual, Fax II, Fax Admin, Right Fax, Excel, Webex, MDR Data Base, Macess Que, Macess Extension, McKesson Interqual, Well Point Medical policies, Apollo, AIM, Aetna CBP’s and Milliman, AHCA-Florida Handbook.