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Masters-level nurse with compact state license with 14 years nursing experience. Experience with utilization management, DRG and ICD , inpatient code review/audits, planned discharge and concurrent reviews with thorough knowledge of hospital and behavioral health administration and management criteria through Interqual, Milliman (MCG) Care, and ICD Medicare guidelines. Experience with hospice/palliative care with Telephone Triage/ Administration/ Management/ Case Management/Education, in outpatient and inpatient settings. High-performing Manager with 32 years of business management experience that supports an advanced practice degree in nursing administration. Apt at coordinating, implementing, and facilitating direct patient care as well as developing curriculum for training with a patient centered approach. Well versed in after hours telephone triage, education techniques, content design, project management and resource coordination. Excels at comprehensive assessment, development and implementation of care plans. Responsible registered nurse with excellent communication skills demonstrated by 13 years of experience in healthcare. Authorized to work in the US for any employer

Effective at improving revenue, team productivity and policies to keep the facility operating at a sustainable and profitable level. Detail-oriented Medical and Health Services Manager passionate about facilitating excellent patient care. Adept at designing and implementing policies and procedures. Motivated team builder and supervisor focused on driving team collaboration. Authorized to work in the US for any employer Skilled Utilization Review Nurse offering talents in continuous assessments and clinical records oversight. Pleasant individual with over 14 years in the nursing field. Ready to join new company that appreciates attention to detail and exemplary clinical review skills.

Knowledgeable, caring, hardworking, and service-oriented Registered Nurse with over 15 years of experience in delivering comprehensive, evidence-based patient care, and strong experience with assessment, coordination, case management and utilization management. Advanced skills working with diverse patient populations. Demonstrated ability to foster relationships and coordinate with healthcare professionals to advance patient care.
Main working experience includes acute care, Hospice Case Management, and Utilization Review

Utilization review nurse with extensive experience in reducing healthcare costs through strategic resource management and analytical expertise. Proficient in InterQual and MCG criteria, ensuring adherence to quality improvement and regulatory standards. Committed to enhancing patient care outcomes through effective collaboration with healthcare teams.

Sharon Nuevas

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USRN-Utilization Management Nurse

Nurse III

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Bachelor Of Science - Nursing

Master Of Arts In Nursing - Nursing Administration

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USRN-Utilization Management Nurse

Nurse III

Bachelor Of Science - Nursing

Master Of Arts In Nursing - Nursing Administration

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