Description
SUMMARY OF QUALIFICATIONS: Nursing professional with diversified clinical and leadership background in case management, utilization review and discharge planning independent consultant as a Health and Wellness Advisor. * Experience with acute / critical care settings, insurance companies, skilled nursing and assisted living facilities. * Proven record in obtaining high quality outcomes, reduction in length of stay and cost-effective care delivery. * Utilize McKesson InterQual Criteria and Milliman Care Guidelines to support clinical determinations. * Strong interpersonal skills with demonstrated ability to cultivate multidisciplinary and community relationships. * Decision making that reflects sound analytic ability with dedication to obtaining and sustaining service excellence.
