Mark Ray Espinoza
Clinical Review Nurse @Children's Healthcare of Atlanta
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WORK HISTORY
Clinical Review Nurse @Children's Healthcare of Atlanta
Atlanta, GA, US
Used InterQual criteria in EPIC to assess medical necessity and secure timely authorizations for pediatric patients across all units. Partnered with providers and payers to align care with InterQual standards, reduce denials, and support efficient throughput. Maintained accurate EPIC documentation and ensured compliance with InterQual guidelines, regulatory standards, and payer requirements.
EDUCATION
Xavier University - Ateneo de Cagayan
Bachelor of Science (BS), Nursing
Liceo de Cagayan University
Master's degree, Nursing
ABOUT MARK RAY ESPINOZA
ANCC Board-Certified Nurse Case Manager and Registered Nurse with a Master\'s degree in Nursing and over 10 years of experience in the healthcare industry. Comprehensive background encompasses healthcare across different paradigms-from the hospital and academic settings to nursing case management and utilization management review.
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