Dawn Hamilton
St. Louis
Summary
Registered Nurse with more than 10 years of progressive experience in critical care, home health case management, transplant coordination, behavioral health, and healthcare leadership. Extensive experience conducting clinical documentation review, coordinating complex patient care, evaluating treatment progression, supporting medical necessity determination, and facilitating transitions of care across multiple healthcare settings. Demonstrated expertise in utilization management support, discharge planning, resource utilization, regulatory compliance, quality improvement, and interdisciplinary collaboration. Skilled in reviewing clinical records, identifying barriers to care, reducing avoidable utilization, and ensuring accurate documentation to support quality outcomes and payer requirements. Proficient in EPIC and OASIS documentation systems.
Overview
1
1
Certification
11
11
years of professional experience
Work History
ICU TRAVEL NURSE
Aya Healthcare
St. Louis, MO
11.2025 - Current
- Conduct comprehensive clinical reviews of patient records, laboratory findings, diagnostic studies, and treatment plans to assess patient progression and support appropriate levels of care.
- Perform detailed documentation review within EPIC to ensure completeness, accuracy, regulatory compliance, and continuity of care.
- Collaborate with physicians, case managers, and interdisciplinary teams to identify barriers to discharge and facilitate efficient transitions of care.
- Evaluate patient acuity, treatment response, and clinical indicators impacting resource utilization and length of stay.
- Participate in multidisciplinary rounds to support care planning, discharge readiness, and appropriate utilization of healthcare resources.
- Maintain thorough documentation supporting medical necessity, patient outcomes, and quality performance initiatives.
RN HOME HEALTH CASE MANAGER
BJC Healthcare
St. Louis, MO
06.2024 - 11.2025
- Managed a complex caseload of high-risk patients requiring ongoing clinical oversight, care coordination, and utilization management support.
- Conducted comprehensive documentation review utilizing EPIC and OASIS to ensure regulatory compliance, reimbursement accuracy, and adherence to payer requirements.
- Reviewed physician orders, assessments, treatment plans, and clinical outcomes to evaluate appropriateness of services and patient progression.
- Identified barriers to care, social determinants of health, and gaps in treatment adherence while implementing interventions to improve outcomes.
- Coordinated medically necessary services among physicians, specialists, therapists, and community resources to support safe and effective care transitions.
- Performed medication reconciliation and patient education to reduce avoidable hospitalizations and emergency department utilization.
- Monitored utilization of home health services and adjusted care plans based on patient needs, functional status, and clinical outcomes.
- Ensured timely and accurate completion of documentation supporting quality measures, reimbursement, and regulatory standards.
BEHAVIORAL HEALTH RN
CenterPointe Hospital
St. Louis, MO
08.2024 - 01.2025
- Coordinated care for patients with psychiatric disorders, developmental disabilities, and substance use disorders.
- Reviewed clinical documentation and treatment plans to ensure continuity of care and compliance with regulatory requirements.
- Participated in interdisciplinary treatment planning, discharge coordination, and resource allocation activities.
- Assessed medication effectiveness, withdrawal symptoms, and patient progress while escalating concerns appropriately.
- Maintained accurate clinical documentation supporting quality metrics and patient safety initiatives.
RN TRANSPLANT COORDINATOR
SSM St. Louis University Hospital
St. Louis, MO
08.2022 - 06.2024
- Reviewed complex clinical documentation, laboratory results, diagnostic testing, and specialist evaluations to support transplant eligibility and ongoing care management.
- Coordinated utilization of healthcare services across multiple specialties to ensure medically necessary testing, consultations, and treatment milestones were completed efficiently.
- Conducted documentation review to ensure compliance with transplant program standards, regulatory requirements, and payer expectations.
- Evaluated patient progression through the transplant process and identified barriers impacting treatment timelines and care outcomes.
- Collaborated with physicians, financial coordinators, case managers, and external healthcare organizations to facilitate continuity of care.
- Maintained comprehensive clinical records supporting medical necessity, treatment compliance, patient education, and quality metrics.
- Coordinated post-transplant monitoring, laboratory testing, and specialty follow-up to improve outcomes and reduce avoidable readmissions.
DIRECTOR OF NURSING
First Rate Care
St. Louis, MO
01.2022 - 01.2023
- Directed clinical operations and supervised healthcare personnel to ensure quality patient care and regulatory compliance.
- Conducted chart audits and documentation reviews to maintain Medicaid compliance and reimbursement requirements.
HOUSE SUPERVISOR
Select Specialty Hospital (OneStaff Medical)
St. Charles, MO
04.2021 - 05.2022
- Coordinated admissions, transfers, discharges, and patient placement activities to optimize healthcare resource utilization.
- Reviewed clinical documentation for accuracy, completeness, and regulatory compliance.
- Collaborated with physicians, nursing leadership, and case management teams to address barriers to patient progression.
- Facilitated interdisciplinary communication supporting efficient patient flow and care coordination.
- Led rapid response and emergency situations while ensuring timely documentation and escalation procedures.
ICU TRAVEL NURSE
Advantis Medical Staffing
St. Louis, MO
12.2020 - 04.2021
- Provided care for critically ill patients while maintaining accurate clinical documentation and supporting interdisciplinary care planning.
- Reviewed patient records and treatment plans to identify changes in condition and support clinical decision-making.
- Collaborated with healthcare teams to facilitate care transitions and discharge planning.
ICU NURSE / CHARGE NURSE
Nexus Specialty Hospital
The Woodlands, TX
06.2019 - 12.2020
- Coordinated patient flow, admissions, and discharge activities while supporting continuity of care.
- Maintained high-quality documentation and communicated patient status changes to interdisciplinary teams.
- Assisted with staffing coordination, operational oversight, and quality improvement initiatives.
REGISTERED ICU NURSE
Supplemental Health Care
Baltimore, MD
02.2017 - 02.2020
- Delivered critical care services while maintaining comprehensive documentation and supporting continuity of care.
- Collaborated with interdisciplinary teams to coordinate treatment plans and optimize patient outcomes.
ICU NURSE LEAD
University of Maryland Charles Regional Medical Center
La Plata, MD
09.2017 - 04.2019
- Coordinated rapid response, code blue, and stroke team activities.
- Facilitated interdisciplinary communication and ensured accurate clinical documentation during high-acuity patient events.
- Supported quality improvement and patient safety initiatives.
REGISTERED ICU NURSE
St. Agnes Hospital
Baltimore, MD
12.2015 - 02.2017
- Delivered comprehensive critical care nursing services while maintaining documentation accuracy and supporting coordinated patient care.
Education
Master of Science - Nursing Administration
University of Phoenix
Associate of Science - Nursing
Community College of Baltimore County
Bachelor of Science - Management Information Systems
Winston-Salem State University
Skills
- EPIC
- OASIS
- Microsoft Office Suite
- Telephonic Case Management
- Electronic Medical Records
- Clinical Documentation Review
- Quality Auditing
- Care Coordination Systems
Certification
- Missouri Compact RN License #2024009372
- BLS
- ACLS
CORE COMPETENCIES
- Utilization Review & Utilization Management Support
- Clinical Documentation Review
- Medical Necessity Evaluation Support
- Concurrent Review
- Case Management
- Care Coordination
- Transitions of Care (TOC)
- Discharge Planning
- Resource Utilization Management
- Length of Stay Management
- Clinical Appeals & Denial Prevention Support
- Prior Authorization Support
- Risk Stratification
- Quality Improvement
- Regulatory & CMS Compliance
- Interdisciplinary Collaboration
- Population Health Management
- EPIC Electronic Medical Records
- OASIS Documentation
- Patient Advocacy & Education
Languages
English
Native or Bilingual
Timeline
ICU TRAVEL NURSE
Aya Healthcare
11.2025 - Current
BEHAVIORAL HEALTH RN
CenterPointe Hospital
08.2024 - 01.2025
RN HOME HEALTH CASE MANAGER
BJC Healthcare
06.2024 - 11.2025
RN TRANSPLANT COORDINATOR
SSM St. Louis University Hospital
08.2022 - 06.2024
DIRECTOR OF NURSING
First Rate Care
01.2022 - 01.2023
HOUSE SUPERVISOR
Select Specialty Hospital (OneStaff Medical)
04.2021 - 05.2022
ICU TRAVEL NURSE
Advantis Medical Staffing
12.2020 - 04.2021
ICU NURSE / CHARGE NURSE
Nexus Specialty Hospital
06.2019 - 12.2020
ICU NURSE LEAD
University of Maryland Charles Regional Medical Center
09.2017 - 04.2019
REGISTERED ICU NURSE
Supplemental Health Care
02.2017 - 02.2020
REGISTERED ICU NURSE
St. Agnes Hospital
12.2015 - 02.2017
Bachelor of Science - Management Information Systems
Winston-Salem State University
Associate of Science - Nursing
Community College of Baltimore County
Master of Science - Nursing Administration
University of Phoenix