Open to opportunities

catherine mcbride

@catherinemcbride

Message

Registered nurse with 10+ years in utilization review, prior authorization, and HIPAA-compliant clinical documentation.

United States

Message

What I'm looking for

I’m seeking a remote role focused on utilization review, case management, and clinical documentation—where I can ensure coding accuracy, support prior authorization, and collaborate with physicians and payers in high-volume, deadline-driven work.

I’m a Registered Nurse with 10+ years of clinical experience in medical record review, prior authorization, insurance verification, and HIPAA-compliant documentation. I focus on utilization review and documentation accuracy, including coding support for ICD-10, CPT, and HCPCS to help reduce discrepancies and support timely payer decisions.

In perioperative roles, I maintain audit-ready EMR documentation while coordinating across surgeons, anesthesia, vendors, and multidisciplinary teams. I’m known for critical thinking, fast systems adoption, and clear communication, and I’ve also supported independent remote/hybrid operations using Excel, Word, and data entry to keep processes organized and efficient.

Experience

Work history, roles, and key accomplishments

Current

Operating Room Registered Nurse

Current

Surgicare of Freehold

Aug 2020 - Present (5 years 11 months)

Provided perioperative nursing care across multiple surgical specialties while maintaining accurate, real-time EMR documentation. Reviewed medical records to support prior authorization and coordinated care with surgeons, anesthesia, vendors, and multidisciplinary teams.

Perioperative Care Prior Authorizations Medical Record Review Insurance Verification Cross functional Coordination Mentoring

Operations Manager / Ops Assistant

Keeper Cup Group

Jan 2022 - Apr 2025 (3 years 3 months)

Managed scheduling, cross-team communication, and administrative workflows across remote and on-site stakeholders. Maintained organizational databases and produced financial documentation and reporting using Excel and Word.

Scheduling Workflows Database Management Financial Documentation Reporting Microsoft Word Excel

Operating Room Registered Nurse

Monmouth Medical Center

Aug 2016 - Aug 2020 (4 years)

Provided perioperative nursing care in a high-volume academic medical center while maintaining audit-ready EMR documentation for quality and regulatory compliance. Coordinated with case management and administrative staff to support timely, accurate patient record turnaround.

Perioperative Care Compliance Case Management

Assistant Brand Manager

FDM Marketing

Jul 2014 - Jun 2016 (1 year 11 months)

Coordinated nationwide health education events as a brand ambassador for the Women's Day Live Longer & Stronger Tour. Managed event logistics across dispersed teams.

Event Logistics Brand Ambassador