Committed job seeker with a history of meeting company needs with consistent and organized practices. Seasoned nurse with experience in many areas of nursing.
Overview
29
29
years of professional experience
Work History
Clinical Documentation Specialist
McLeod Regional Medical Center
Florence, SC
05.2014 - Current
Reviewed medical records to ensure accuracy and completeness of clinical documentation.
Identified discrepancies in documentation with providers and resolved inconsistencies in a timely manner.
Analyzed data from multiple sources including laboratory, radiology and pathology reports.
Conducted patient interviews to obtain additional information for medical record entries.
Mcleod Home Health
McLeod Regional Medical Center
Florence, SC
06.2009 - 05.2014
Provided in-home nursing services to patients, including wound care, medication administration and patient education.
Assisted with coordinating home health services for patients and their families.
Conducted assessments of patient's physical and emotional needs to provide appropriate treatment plans.
Developed individualized plans of care based on assessment findings and physician orders.
Cardiac Cath Lab Registered Nurse
McLeod Regional Medical Center
Florence, SC
03.2005 - 2009
Prepared supplies needed for each procedure and maintained an adequate inventory of supplies at all times.
Actively participated in quality improvement activities within the department.
Assisted in the preparation of patients for cardiac catheterization procedures by reviewing medical history, administering medications and performing physical assessments.
Provided patient care during invasive diagnostic and therapeutic cardiovascular procedures.
Assessed patient's vital signs, including temperature, pulse rate, respiration rate and blood pressure prior to, during and after procedure.
RN|Pee Dee Cardiology Florence , SC | Feb 1995 - M
Pee Dee Cardiology
Florence, SC
02.1995 - 03.2000
Reviewed lab values
Communicated effectively with all levels of personnel within the healthcare setting regarding patient care issues.
Assessed and monitored patients' health condition, including vital signs, physical assessments, and laboratory test results.
Education
Associate of Applied Science - Nursing Science
Florence-Darlington Technical College
Florence, SC
11-1991
Skills
Healthcare staff interaction
Exemplary communication skills
Problem-solving capabilities
Electronic Health Records Management
Cerner, EPIC & 3M
Decision-Making
Written Communication
Self Motivation
Effective Communication
Time Management
Electronic Documentation Review
Clinical Indicator Review for Diagnosis
The Query Process Knowing when to query
Coding Guidelines
Timeline
Clinical Documentation Specialist
McLeod Regional Medical Center
05.2014 - Current
Mcleod Home Health
McLeod Regional Medical Center
06.2009 - 05.2014
Cardiac Cath Lab Registered Nurse
McLeod Regional Medical Center
03.2005 - 2009
RN|Pee Dee Cardiology Florence , SC | Feb 1995 - M
Director and Chief of Vascular Surgery at McLeod Regional Medical Center, Mcleod Vascular AsDirector and Chief of Vascular Surgery at McLeod Regional Medical Center, Mcleod Vascular As
Process Manager, Service Excellence at McLeod Health- McLeod Regional Medical CenterProcess Manager, Service Excellence at McLeod Health- McLeod Regional Medical Center