Seasoned Utilization Management Registered Nurse, Certified Case Manager, and resilient active-duty military spouse, with 10-years experience managing inpatient concurrent and prospective hospital claim reviews and initiating discharge plans. I help healthcare companies efficiently utilize healthcare dollars by using my SME (subject-matter expert) utilization experience and evidence-based criteria to determine hospital and alternative care facility appropriate LOC (level of care) and LOS (length of stays). My highlights:I have been a SME in utilization review processes, business acumen and referrals through years of gained knowledge and experience; I have achieved “outstanding” status in all business goals while also exceeding expectations in my 2023 manager evaluation.I have a proven record of completing timely and high-quality reviews, achieving year-after-year IRR (Interrater Reliability) testing scores of 100% on InterQual and MCG; Achieving year-after-year quality audit score of 99-100% (benchmark 95%); Achieving National Audit Scores of 100%.I have been a CCM (certified case manager) since 2018 and I have 14-years of experience in complex discharge management, navigating Medicare, Medicaid and Commercial Insurance coverage and benefit issues.I have been a trainer and coach of an average of 4-5 new UR nurses every year as evidenced by their consistent highly-positive feedback and peer reviews. I have received year-after-year company-wide recognitions for my dedication to relationships, compassion, leadership, collaboration, and performance.I have proactively set a personal goal to improve NPS (Net Promoter Scores) by using my professional verbal and written communication skills, driven by my personality of using integrity and providing empathy, with every interaction with others.I have been a natural leader and relationship-builder as being a mother of 3 and a wife of an active-duty military officer for 11-years, taking pride in proactively assisting others on my work team, including my Senior ICM and my direct manager, and others in my community.My interests: Using my love of exercise and strength training to maintain my quality of life and health with a hope to inspire others to make healthy lifestyle choices. Volunteering at schools to inspire children through my love of reading and learning.