Thorough team contributor with strong organizational capabilities. Experienced in handling numerous projects at once while ensuring accuracy. Effective at prioritizing tasks and meeting deadlines.
Overview
41
41
years of professional experience
1
1
Certification
Work History
ED RN Case Manager
St Anthony North CommonSpirit
01.2024 - Current
Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
Educated patients and families on available community resources, facilitating access to necessary support services.
RN ED and Inpatient Case Manager/Utilization Review
Saint Anthony North Hospital
05.2022 - Current
Case management/discharge planning in inpatient and emergency room patient. Utilization review using Cortex for inpatient and observation.
Clinical Documentation Specialist
UC Health
05.2016 - 05.2022
Daily review of inpatient medical records. Query the physician via written and verbal communication for any clarification.
Clinical Documentation Specialist
SCL Health Systems
11.2014 - 05.2016
Perform daily concurrent review on inpatient medical records to identify potential gaps in provider documentation to ensure the medical record accurately reflects the clinical condition of the patient.
Pediatric Primary Care Clinic RN
Children’s Hospital Colorado
08.2008 - 11.2011
Performed telephone triage, for special needs, primary care, and adolescent maternity programs. Coordinated care, which included supervision of medical assistants, daily chart reviews, immunizations, minor procedures, asthma treatment and teaching, care of pregnant adolescents. Oriented new employees.
Reviewed care of patients with CHF, COPD and Diabetes. Provided patient education and promoted wellness through motivational interviewing. Telephone triage for adult to pediatric populations.
Registered Nurse Medical Review Analyst
Blue Cross Blue Shield of North Carolina
07.2006 - 04.2007
Processed claims referred for medical necessity, pre-existing determination. Prepared medical necessity cases for submission to the medical director.
Registered Nurse Labor & Delivery
University Of North Carolina
02.2006 - 07.2006
Managed the laboring and postpartum patient. Circulating in the operating room. Antepartum care for high-risk patients.
Registered Nurse Labor & Delivery, Postpartum and Nursery
Denver Health Medical Center
01.2002 - 02.2006
Relief Charge Nurse. Managed the laboring and postpartum patient. Circulating in the operating room. Preceptor and mentor for new employees.
Registered Nurse Postpartum Care
Lutheran Medical Center
05.2001 - 12.2001
Performed physical assessment, treatments and teaching for mothers and newborns.
Registered Nurse Rehabilitation
Spalding Rehabilitation Hospital
11.1995 - 12.1996
Care of patients with brain and spinal cord injuries.
Lead Medical Claims Processor
Prudential Insurance Company
02.1984 - 01.1988
Computerized processing of medical claims. Supervised claims processors.
Education
B.S - Nursing
Metropolitan State University of Denver
05.2004
A.A.S. - Nursing
Front Range Community College
05.1995
Skills
Discharge planning, writing the initial discharge planning flowsheet on all patient admitted to the hospital Providing community resources for the unhoused, cessation resources, etc
Providing resources and discharge planning for long term care
Arranging placement in skilled nursing facilities, acute rehab, and hospice Arranging outpatient therapy services
Clinical Documentation Specialist Experience in coding, assigned the correct DRG, detailed chart review, communication and collaboration with providers