Erin Winings RN, BSN, C-EFM
Ormond Beach,FL
Summary
BSN-prepared Registered Nurse with experience in Labor & Delivery, Psychiatric, and Ambulatory Surgery settings. Skilled in medical necessity review, clinical documentation analysis, care coordination, discharge planning, prior authorization, and interdisciplinary collaboration. Strong knowledge of evidence-based guidelines, regulatory compliance, quality improvement, and patient advocacy. Detail-oriented critical thinker transitioning into Utilization Management to support cost-effective care and optimal patient outcomes.
Overview
14
14
years of professional experience
Work History
Labor and Delivery Registered Nurse
Halifax Health
Daytona Beach, FL
06.2021 - Current
- Performed comprehensive maternal-fetal assessments to support appropriate level of care determination and clinical decision-making.
- Collaborated with interdisciplinary teams to ensure evidence-based, cost-effective care and appropriate resource utilization.
- Monitored high-risk obstetric patients, identifying clinical indicators impacting medical necessity and treatment planning.
- Reviewed and maintained accurate, detailed clinical documentation to support regulatory compliance and quality standards.
- Coordinated patient care transitions, discharge planning, and postpartum education to reduce readmissions and improve outcomes.
- Applied critical thinking skills in emergent situations to evaluate patient status and support timely interventions.
- Participated in quality improvement initiatives focused on patient safety, risk reduction, and performance metrics.
- Ensured compliance with CMS regulations, hospital policies, and maternal-newborn clinical guidelines.
- Communicated effectively with providers, case management, and ancillary departments to optimize care coordination.
Pre-Op Nurse, Post-Op Nurse
Surgery Center of Volusia
Port Orange, FL
03.2021 - 08.2021
- Conducted pre- and post-operative assessments to support medical necessity and appropriate level of care.
- Coordinated preauthorization and verified payer requirements to ensure coverage compliance.
- Maintained accurate clinical documentation to support audits, reimbursement, and regulatory standards.
- Collaborated with surgeons and interdisciplinary teams to optimize care coordination and discharge planning.
- Supported quality improvement initiatives to enhance patient outcomes and resource utilization.
Labor and Delivery Nurse
Advent Health Daytona Beach
02.2016 - 12.2020
- Assisted doctors in monitoring baby and mother health during labor.
- Able to work quickly during obstetrical emergencies to help ensure the safety of both mother and baby from admission, antepartum, labor and post partum.
- Review post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit to achieve optimal outcomes..
- Monitored surgical patients and delivered quality level of care before, during and after cesarean operations to promote positive outcomes.
Psychiatric Registered Nurse
New Horizons of the Treasure coast
02.2012 - 11.2015
- Performed comprehensive behavioral health assessments to support medical necessity and appropriate level of care determination.
- Monitored patients in acute and crisis settings, identifying clinical indicators impacting admission, continued stay, and discharge planning.
- Collaborated with interdisciplinary teams to coordinate care transitions and ensure regulatory compliance.
- Maintained detailed clinical documentation to support quality standards, audits, and reimbursement requirements.
- Participated in treatment planning and quality improvement initiatives to optimize patient outcomes and resource utilization.
Education
Bachelor of Science - Nursing
Daytona State College
Daytona Beach, FL12.2024
Associate of Science - Nursing
Daytona State College
Daytona Beach, FL2011
Skills
- Care Coordination
- Level of care determination
- Critical thinking
- Quality Improvement
- Team management
- Microsoft office
- Epic, Cerner, Meditech, OB Tracevue, Surginet
- Surgical patient care
- Medical necessity determination
- Strong clinical judgment
- Prior authorizations
- Assessing patients
- ACLS, BLS, C-EFM
Timeline
Labor and Delivery Registered Nurse
Halifax Health
06.2021 - Current
Pre-Op Nurse, Post-Op Nurse
Surgery Center of Volusia
03.2021 - 08.2021
Labor and Delivery Nurse
Advent Health Daytona Beach
02.2016 - 12.2020
Psychiatric Registered Nurse
New Horizons of the Treasure coast
02.2012 - 11.2015
Associate of Science - Nursing
Daytona State College
Bachelor of Science - Nursing
Daytona State College