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Alyssa Costa

@alyssacosta

I am an experienced RN in clinical care and utilization review.

United States
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What I'm looking for

I seek a role that leverages my clinical nursing and utilization review skills in a collaborative, patient-focused organization offering professional growth and measurable impact.

I am a registered nurse with a Bachelor of Science in Nursing who holds active RN licenses in CA, CO, NV, IN, and NC. I combine clinical experience with utilization review expertise to support safe, evidence-based care.

In my current role as Nurse Reviewer I, I evaluate requests for services, conduct medical necessity reviews for exception preauthorization requests, and ensure thorough documentation and provider communication while meeting department standards and performance metrics.

Previously, as a Clinical Nurse I in medical-surgical settings, I provided patient and family education, performed comprehensive head-to-toe assessments, delivered IV therapy, managed complex wound care, and maintained accurate EMR charting to optimize patient treatment plans.

I also served as a COVID RN performing testing and patient registration with full PPE compliance. I am driven to improve care quality and operational efficiency by applying clinical judgment, strong computer skills, and clear communication across care teams.

Experience

Work history, roles, and key accomplishments

EH
Current

Nurse Reviewer I

Elevance Health

Sep 2021 - Present (4 years 1 month)

Conducts medical necessity and exception preauthorization reviews, ensuring accurate documentation and provider communication to meet departmental performance metrics.

LI

COVID RN

Logistics Health Incorporated

May 2021 - Aug 2021 (3 months)

Performed COVID testing using appropriate PPE, registered and checked in patients via electronic systems, and maintained infection-control and documentation standards.

Education

Degrees, certifications, and relevant coursework

California Baptist University College of Nursing logoCN

California Baptist University College of Nursing

Bachelor of Science in Nursing, Nursing

Bachelor of Science in Nursing conferred December 2016 from California Baptist University College of Nursing.

Tech stack

Software and tools used professionally

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Alyssa Costa - Nurse Reviewer I - Elevance Health | Himalayas