Alyssa Costa
@alyssacosta
I am an experienced RN in clinical care and utilization review.
What I'm looking for
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
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.
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.
Clinical Nurse I
Community Hospital of San Bernardino
Sep 2017 - Dec 2020 (3 years 3 months)
Provided medical-surgical nursing including head-to-toe assessments, IV therapy, complex wound care, and patient/family education while coordinating care and documenting via EMR.
Education
Degrees, certifications, and relevant coursework
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.
Availability
Location
Authorized to work in
Job categories
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