Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch
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Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch Email & Phone Number

Senior Utilization Review Nurse at Netsmart
Location: Atlanta Metropolitan Area, United States, United States 17 work roles 2 schools
1 work email found @emoryhealthcare.org 1 phone found area 866 LinkedIn matched
✓ Verified May 2026 4 data sources Profile completeness 100%

Contact Signals · 1 work email · 1 phone

Work email n****@emoryhealthcare.org
Direct phone (866) ***-****
LinkedIn Profile matched
3 free lookups remaining · No credit card
Current company
Role
Senior Utilization Review Nurse
Location
Atlanta Metropolitan Area, United States, United States
Company size

Who is Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch? Overview

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Quick answer

Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch is listed as Senior Utilization Review Nurse at Netsmart, a company with 2525 employees, based in Atlanta Metropolitan Area, United States, United States. AeroLeads shows a work email signal at emoryhealthcare.org, phone signal with area code 866, and a matched LinkedIn profile for Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch.

Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch previously worked as Utilization Review Nurse at Netsmart and Holistic Health Practitioner at Elevate Soul And Science. Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch holds Bachelor'S Of Science, Nursing from University Of Michigan.

Company email context

Email format at Netsmart

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*@emoryhealthcare.org
68% confidence

AeroLeads found 1 current-domain work email signal for Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch. Compare company email patterns before reaching out.

Profile bio

About Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch

o Nursing experience encompasses neurological, medical-surgical, and orthopedic specialties in outpatient and inpatient acute, intermediate, and critical levels of care as well as utilization review, case and disease management, primary care, and community health.o High proficiency with electronic medical records (PowerChart, Allscripts, Cerner, EPIC, Sunrise, etc.), MS Office and Outlook, DOS based programs, data entry and word processing (type 75 wpm), etc.o Extensive experience with InterQual, MCG, and Medicare medical necessity guidelineso Familiar with NCQA and URAQ standardso HNB-BC (Board-Certified Holistic Nurse Baccalaureate – AHNCC)o HWNC-BC (Board-Certified Health and Wellness Nurse Coach – AHNCC)o BLS HCP – CPR Certified (AHA)o MCG Certification o Bilingual (English and Spanish)o Chapter Leader – Greater Atlanta Chapter of the American Holistic Nurses Associationo Consistently serves as a preceptor and trainer for staffo Routinely serves as a subject matter expert and resource to staffo Creates job aides, templates, and other performance tools o Consistently collaborates with management for quality improvement and staff education purposes

Listed skills include Nursing, Critical Care, Healthcare, Home Care, and 14 others.

Current workplace

Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch's current company

Company context helps verify the profile and gives searchers a useful next step.

Netsmart
Netsmart
Senior Utilization Review Nurse
Atlanta, GA, US
Website
Employees
2525
AeroLeads page
17 roles

Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch work experience

A career timeline built from the work history available for this profile.

Senior Utilization Review Nurse

Atlanta, GA, US

Utilization Review Nurse

Current
Aug 2023 - Present

Holistic Health Practitioner

Current

Tucker, Georgia, United States

- Board-Certified Holistic Nurse (AHNCC)- Board-Certified Health & Wellness Nurse Coach (AHNCC)- Reiki Master & Energy Therapist

Mar 2021 - Present

Case Manager

- Subject Matter Expert – Inpatient Denials and Appeals- Review inpatient admissions for medical necessity (utilization review)- Staff and provider education and training - Led the staff transition from InterQual to MCG criteria system (conducted training sessions, created job aides, acted as a live resource)- Coach staff and act a resource for process.

Jun 2019 - Jun 2021

Inpatient Care Manager

Greater Atlanta Area

- Inpatient medical necessity review, care planning, and discharge planning- Created instructional materials for staff (job aides, templates, etc.) - Preceptor for new staff- Assisted management with research projects necessary for job flow improvement- Coordinated interdisciplinary care

Nov 2015 - May 2019

Utilization Management Nurse Consultant

Greater Atlanta Area

- Onsite inpatient utilization review (Gwinnett Medical Center), discharge planning, and transition of care - Preceptor for new team members- Created instructional materials for staff (job aides, templates, etc.)

Oct 2012 - Nov 2015

Nurse Clinician - Neuro Icu

Greater Atlanta Area

- Cared for acute neurologically impaired patients - Cared for patients with acute behavioral health needs (alcohol withdrawal, overdose, suicidal ideation, substance abuse, etc.)- Critical thinking, balance of autonomy and teamwork, multitasking, and attention to detail required- Co-chair, Recruitment & Retention Committee (unit-based)- Chart auditor for.

Jul 2011 - Oct 2012

Charge Nurse - Registered Nurse - Neuro Imcu (Step-Down)

  • Supervision and collaboration of care with Nurses and Nurse Technicians
  • Planning of patient admissions and transfers
  • Continuous assessment of patient status and effects of medical & nursing interventions
  • Planning, implementation, and evaluation of appropriate nursing care
  • Patient education
  • Interdepartmental coordination of necessary consults and referrals
Jun 2010 - Sep 2011

Registered Nurse (Orthopedics/Neurology)

  • Clinical patient care including assessment of patient condition and initiation of appropriate interventions
  • Continuous evaluation of patient condition and effects of medical & nursing care
  • Chronic disease management and care
  • Patient education
  • Interdepartmental coordination of necessary consults and referrals
  • Supervision and collaboration of care with Nurse Technicians
Mar 2009 - Mar 2011

Clinic Rn - Orthopaedic Trauma Associates

  • Oversee & support the daily operation of a busy orthopaedic trauma practice to include:
  • Optimizing clinical function by ensuring efficient flow of the patient visit
  • Coordination of services for patients (surgeries, diagnostic testing, therapy, etc.)
  • Phone triage and assessment of patients (surgical and non-operative orthopedic injury patients)
  • Pain & medication management
  • Administrative duties (processing medical records, obtaining prior authorizations, etc.)
Aug 2009 - Apr 2010

Registered Nurse

Oakland Primary Health Services

Greater Detroit Area

  • Clinical quality improvement coordinator
  • OSHA compliance officer (compiled OSHA required plans, held staff training, ensured facility compliantwith OSHA regulations)
  • Initiated routine quality control measures for clinical equipment & procedures
  • Created, enacted, and maintained skills competency assessments for Medical Assistants
  • Supervision, skills training, and clinical education of Medical Assistants
  • Initiated process for Joint Commission accreditation
Sep 2008 - Feb 2009

Cardiovascular Lab Technician

University Of Michigan Cardiovascular Center

Ann Arbor, MI

  • Removal of femoral sheaths & monitoring for hemostasis post-cardiac procedure
  • Direct patient care (including blood sampling, EKGs, and basic ADL assistance)
Aug 2007 - Aug 2008

Competency Evaluated Nursing Assistant (Certified)

Borgess Nursing Home

Kalamazoo, Michigan Area

  • Assisted residents with activities of daily living
  • Assisted nurses in monitoring patient conditions, enforcing nursing care plans, and basic clinical care
  • Cooperate with other health care team members to provide optimal patient care
Mar 2007 - Aug 2007

Home Health Aide

Kalamazoo/Southwest Michigan, Absolute Homecare

Kalamazoo, Michigan Area

  • Provide care to a range of patients with a variety of needs including basic clinical care, mental healthmonitoring, physical therapy, and activities of daily living assistance
  • Troubleshoot barriers to providing care in a home environment
  • Communicate effectively with collaborative healthcare team members
Oct 2006 - Apr 2007

Home Health Aide

Kalamazoo/Southwest Michigan, Mstaff Medical Staffing

Kalamazoo, Michigan Area

  • Assist a wide spectrum of patients with needs including mental health monitoring, physicalrehabilitation, activities of daily living assistance
  • Basic clinical care
  • Communicate effectively with collaborative healthcare team members
Jan 2006 - Oct 2006

Certified Nursing Assistant

Heartland Health Care Center

Kalamazoo, Michigan Area

  • Provide direct patient care by assisting residents with activities of daily living
  • Collaborate with nurses in monitoring patient conditions and implementing nursing care
Dec 2001 - Dec 2005
Team & coworkers

Colleagues at Netsmart

Other employees you can reach at ntst.com. View company contacts for 2525 employees →

2 education records

Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch education

Bachelor'S Of Science, Interdisciplinary Health Services

Activities and Societies: Zeta Phi Beta Sorority Inc., Tau Delta Chapter; Honor Students AssociationMinor in Substance Abuse Services

FAQ

Frequently asked questions about Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch

Quick answers generated from the profile data available on this page.

What company does Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch work for?

Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch works for Netsmart.

What is Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch's role at Netsmart?

Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch is listed as Senior Utilization Review Nurse at Netsmart.

What is Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch's email address?

AeroLeads has found 1 work email signal at @emoryhealthcare.org for Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch at Netsmart.

What is Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch's phone number?

AeroLeads has found 1 phone signal(s) with area code 866 for Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch at Netsmart.

Where is Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch based?

Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch is based in Atlanta Metropolitan Area, United States, United States while working with Netsmart.

What companies has Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch worked for?

Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch has worked for Netsmart, Elevate Soul And Science, Aya Healthcare, Emory Healthcare, and Unitedhealth Group.

Who are Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch's colleagues at Netsmart?

Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch's colleagues at Netsmart include Kadi Kerr, Sandy Martinez, Jerry Koop, Janene Rowe, and Dom Simonetta.

How can I contact Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch?

You can use AeroLeads to view verified contact signals for Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch at Netsmart, including work email, phone, and LinkedIn data when available.

What schools did Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch attend?

Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch holds Bachelor'S Of Science, Nursing from University Of Michigan.

What skills is Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch known for?

Nicole Rivera, Bsn, Rn, Hwnc-Bc, Ch is listed with skills including Nursing, Critical Care, Healthcare, Home Care, Patient Education, Telemetry, Orthopedic, and Medical/Surgical.

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