Dedicated Nurse Leader committed to meeting the members and patients where they are while improving health outcomes through affordable means. Lifelong learner, possessing a Master’s in Business Administration and a Master’s in Science of Nursing. Registered Nurse with 15 years of progressive and diverse experience in healthcare. Skilled in providing leadership to high functioning nursing teams including utilization management nurses, complex care managers, oncology nurse navigators, and high-cost claimant nurses with focus on case management, utilization review, non-clinical customer support team, cost containment, quality improvements, discharge planning, community health, leading through change, and emotional intelligence. Extensive knowledge of commercial insurance guidelines and regulations. Good understanding of Medicare and Medicaid guidelines and regulations. Patient care nursing focused on oncology, compassionate hospice care, palliative care, home health, and preventative-wellness care. Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success. Dedicated Nurse professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Collaborative leader with dedication to partnering with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings.