At Molina Healthcare, I lead care review operations by conducting complex medical necessity reviews, auditing cases, mentoring staff, and supporting regulatory compliance. I previously completed initial, concurrent, and continued-stay reviews using MCG criteria while partnering with medical directors, providers, and care teams.
I've also managed inpatient utilization review and discharge planning at UnitedHealthcare, coordinated home health care at Life Care at Home, and led outpatient oncology and infusion services at Northwest Medical Specialties. My nursing background spans managed care, acute care, oncology, home health, patient advocacy, and interdisciplinary care coordination.
