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Angela Zimmerman

@angelazimmerman

I improve behavioral health utilization review, authorization, compliance, and care coordination through 20+ years of nursing practice.

United States
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What I'm looking for

I'm seeking remote, part-time opportunities in behavioral health utilization management, clinical compliance and accreditation coordination, prior authorization review, denial and appeals management, clinical risk management, or care coordination.

I've delivered behavioral health, detox, crisis stabilization, and care-coordination nursing across organizations including Gallus Detox Services, Denver Health, Denver Springs Behavioral Health, and AspenPointe. I use clinical criteria, ASAM-informed level-of-care assessment, and real-time documentation to support treatment authorization, transitions, and discharge planning.

At Advanced Orthopedic Associates, I handled outpatient surgical precertification and prior authorization, CPT, ICD, and HCPCS coding, charge posting, and insurance denial appeals. I also coordinated payer requirements, referrals, and reimbursement issues for surgical and durable medical equipment claims.

I've helped open residential, detox, inpatient opiate-treatment, and rehabilitation programs at Red Rock Recovery Center, Recovery Village at Palmer Lake, and Health Solutions. My work included building clinical policies and workflows, training staff, supporting Joint Commission and state compliance, and strengthening documentation and quality-improvement practices.

I'm seeking remote, part-time work where I can apply my RN background in behavioral health utilization management, clinical review, prior authorization, denial and appeals management, risk management, compliance, accreditation, or care coordination.

Experience

Work history, roles, and key accomplishments

GS

Registered Nurse - Detox & Withdrawal Management

Gallus Detox Services

Oct 2021 - May 2023 (1 year 7 months)

Administered and monitored CIWA-Ar and COWS protocols; assessed level of care needs and applied clinical criteria to guide medication titration. Documented clinical rationale supporting continued stay, level of care transitions, and treatment authorization in real-time EMR entries.

Education

Degrees, certifications, and relevant coursework

Angela hasn't added their education

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Tech stack

Software and tools used professionally

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