Aldina H
REGISTERED NURSE, BSN
Talent
USMember since November 4, 2026
Medical Record AnalysisUtilization Management
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Medical Record AnalysisUtilization Management
About
BSN with 10+ years in healthcare and 5+ years in remote clinical review and utilization management. Skilled in medical record analysis, evidence-based criteria, and HIPAA-compliant documentation.
Experience
Clinical Nurse Reviewer at ACENTRA HEALTH (FORMERLY KNOWN AS KEPRO) (2021-09 – 2026-10)
- Review complex medical records to assess medical necessity using evidence-based guidelines and payer criteria.
- Evaluate documentation for completeness, consistency, and accuracy; flag missing or conflicting information.
- Prepare detailed clinical determinations and physician referral documentation in a fully remote setting.
Registered Nurse at REGIONAL MEDICAL CENTER BAYONET POINT (2017-12 – 2021-09)
- Delivered acute and progressive-care nursing by integrating assessments, labs, medications, and treatment plans.
- Collaborated across disciplines to coordinate admissions, discharges, and continuity of care; precepted new nurses.
Certified Nursing Assistant at CONSULATE NURSING HOME CARE (2014-08 – 2017-10)
- Provided direct patient care and ADL support in a long-term care setting, prioritizing safety and dignity.
Education
Bachelor of Science in Nursing – Rasmussen University (2021)
Associate of Science in Nursing – Rasmussen College (2017)
Skills
REGISTERED NURSEBSN
