DANIELLE GRAHAM
University Park,IL
Summary
Dedicated Registered Nurse with 8+ years of experience in multiple settings including remote positions. Experienced in clinical documentation, utilization review support, care coordination, prior authorizations, and pediatric complex care. Skilled in EMR systems, chart abstraction, quality reporting, and evidence-based review. Strong ability to analyze clinical information, ensure regulatory compliance, and complete high-volume documentation with accuracy and timeliness. Holds an MSN with an Executive Nursing specialty track.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Private Duty Registered Nurse (Pediatrics)
Maxim Healthcare / Agency
01.2025 - Current
- Provide independent clinical care to a medically complex pediatric patient in the home setting.
- Perform continuous assessment, monitoring, and real-time clinical documentation.
- Coordinate with families and providers to maintain accurate care plans and ensure safety.
- Utilize EMR and paper charting tools to record interventions, medication administration, and status changes.
Medical Management Specialist – Remote (Contract)
W3R Consulting – HCSC
01.2025 - 07.2025
- Supported Medicaid members through electronic outreach and secure messaging.
- Documented all interactions in internal systems in accordance with state and federal guidelines.
- Identified gaps in care and coordinated follow-up resources.
- Maintained high documentation accuracy and productivity metrics.
Registered Nurse – Contract
Maxim Staffing Agency
08.2023 - 02.2024
- Managed health compliance documentation for school-aged children (IEP/504/medical plans).
- Performed assessments, administered medications, and maintained student health records.
- Ensured accurate daily charting and adherence to district protocols.
Registered Nurse – Pediatrics
Maryville Children’s Healthcare Center
05.2023 - 08.2023
- Delivered care to medically fragile pediatric patients (0–18).
- Completed detailed assessments, progress notes, and treatment documentation.
- Collaborated with interdisciplinary teams to support ongoing care plans.
Registered Nurse – Gastroenterology / Prior Authorizations
Lurie Children’s Hospital
09.2022 - 05.2023
- Processed prior authorizations and intake documentation for GI patients.
- Provided guideline-based patient education via triage and secure messaging.
- Ensured accurate, timely documentation across multiple EMR platforms.
Case Manager RN – Remote
Centene Corporation
03.2022 - 09.2022
- Developed and monitored care plans for pediatric and special needs populations.
- Conducted chart review, documentation audits, and member assessments.
- Coordinated services and ensured regulatory compliance for Medicaid programs.
School Nurse RN
Moving Everest
07.2020 - 02.2022
- Managed health documentation for students, including compliance for IEP/504 plans.
- Completed incident reports, daily logs, and medication administration records.
- Developed training materials for staff regarding health protocols.
- Older experience can stay as-is or be minimized — it already supports your background.
Registered Nurse
La Rabida Children's Hospital
10.2017 - 02.2020
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Monitored patient reactions after administering medications and IV therapies.
Registered Nurse
Sander's Court Pediatrics
03.2017 - 09.2017
- Assisted in outpatient pediatric operations including administering immunizations, collecting lab specimens, phone triage, administering breathing treatments and physical exams.
- Managed documentation
Education
Master of Science in Nursing - Executive Nursing Track
Chamberlain University
01.2021
Bachelor of Science - Nursing
Western Illinois University
01.2016
Skills
- Clinical Documentation & Chart Review
- Prior Authorizations
- Utilization Review Support
- Quality & Compliance
- Care Coordination
- EMR Systems (Epic, Cerner, etc)
- Medical Record Abstraction
- Medicaid/Managed Care Processes
- Case Management
- Telehealth Tools
- Time Management & Detail Accuracy
Certification
- Illinois RN License — Active
- Indiana RN License — Active
Timeline
Private Duty Registered Nurse (Pediatrics)
Maxim Healthcare / Agency
01.2025 - Current
Medical Management Specialist – Remote (Contract)
W3R Consulting – HCSC
01.2025 - 07.2025
Registered Nurse – Contract
Maxim Staffing Agency
08.2023 - 02.2024
Registered Nurse – Pediatrics
Maryville Children’s Healthcare Center
05.2023 - 08.2023
Registered Nurse – Gastroenterology / Prior Authorizations
Lurie Children’s Hospital
09.2022 - 05.2023
Case Manager RN – Remote
Centene Corporation
03.2022 - 09.2022
School Nurse RN
Moving Everest
07.2020 - 02.2022
Registered Nurse
La Rabida Children's Hospital
10.2017 - 02.2020
Registered Nurse
Sander's Court Pediatrics
03.2017 - 09.2017
Bachelor of Science - Nursing
Western Illinois University
Master of Science in Nursing - Executive Nursing Track
Chamberlain University