Registered Nurse
CurrentOutpatient cardiology nurse managing comprehensive care for the patient load of three physicians, including triage, care planning, pre-authorizations, and patient educationConducted thorough phone triage and performed systematic assessments for outpatient cardiology patients.Analyzed referral data and triaged cases to optimize resource utilization and meet regulatory standards.Assessed patient progress and updated care plans in collaboration with multidisciplinary teams, applying critical thinking to improve healthcare outcomes.Educated patients and families on heart health, medication management, and lifestyle modifications.Managed pre-authorization requests for medications and procedures and proactively navigated insurance denials, gathering necessary documentation and appealing decisions to secure coverage for medically necessary treatments and interventions.