Faith Okotieuro
Los Angeles,California
Summary
Detail-oriented Registered Nurse with 3+ years of acute-care and wound-care experience, holding a BSN and active California RN license. Expert in reviewing clinical documentation against payer guidelines to secure timely authorizations and minimize denials. Skilled at conducting chart audits in Epic/Cerner, collaborating with multidisciplinary teams to close documentation gaps, and generating data-driven utilization reports. Dedicated to optimizing care pathways, reducing length-of-stay variances, and improving reimbursement outcomes.
Overview
3
3
years of professional experience
1
1
Certification
Work History
RN
Kindred Hospital Los Angeles
04.2025 - Current
- Audited daily nursing documentation and treatment orders to ensure compliance with payer medical-necessity criteria; collaborated with case managers and physicians to secure timely authorizations and minimize denials.
- Participated in interdisciplinary rounds—reviewed chart notes, lab results, and treatment plans with physicians, therapists, and social workers to validate ongoing medical necessity and streamline care pathways.
- Monitored and documented patient condition changes, escalating to providers and supporting utilization-review teams with clear, thorough clinical rationale.
- Ensured all wound, ostomy, and ventilator care interventions were recorded in the EMR per CMS/NCQA standards, supporting retrospective utilization audits and quality-assurance reviews.
- Coordinated patient care and delegated tasks to licensed/unlicensed staff, maintaining safe staffing levels and reinforcing proper documentation practices across the unit.
Nurse
Longwood Manor Convalescent Hospital
06.2023 - Current
- Reviewed and processed clinical documentation for wound-care treatments against payer medical-necessity criteria, securing timely authorizations and reducing delays in patient care.
- Conducted detailed chart audits in Epic/Cerner to identify and resolve documentation gaps—collaborated with physicians and case managers to bolster appeal submissions.
- Submitted over 100 prior-authorization requests for advanced wound therapies and ostomy supplies, maintaining a first-pass approval rate above 90%.
- Analyzed utilization trends and length-of-stay variances for vascular and diabetic ulcer patients; produced monthly reports to guide interdisciplinary UR team decisions.
- Managed denials and appeals workflow, drafting clinical justification letters that recovered five-figure reimbursement amounts in Q1 2025.
- Educated nursing and ancillary staff on payer guidelines and best practices for documentation—improved departmental compliance with URAC/NCQA standards.
LVN
La Brea Rehabilitation Center
07.2022 - 05.2023
- Reviewed admission and ongoing wound-care documentation against clinical and payer criteria to identify medical-necessity gaps and ensure authorization compliance.
- Conducted comprehensive chart audits—including photographic wound assessments—for post-surgery ostomy care, vascular and diabetic ulcers, and pressure-ulcer prevention; collaborated with providers to secure timely prior authorizations.
- Prepared and submitted 80+ prior-authorization requests monthly for advanced wound therapies and ostomy supplies, achieving a first-pass approval rate above 92%.
- Analyzed utilization data and length-of-stay variances; generated monthly utilization review reports for the interdisciplinary team, highlighting opportunities to streamline care pathways and control costs.
- Managed denials and appeals workflows, drafting clinical justification letters that recouped five-figure reimbursement amounts and improved departmental URAC/NCQA compliance.
- Trained nursing staff on best practices for documentation of wound staging, stoma care, and treatment protocols—enhancing chart completeness and reducing documentation-related denials.
LVN
SHARON CARE CENTER
03.2022 - 07.2022
- Reviewed and validated daily medication administration records and clinical documentation to ensure accuracy and compliance with payer and regulatory requirements.
- Monitored patient condition changes and coordinated with physicians to update treatment orders—documented all escalations to support utilization-review and quality-audit processes.
- Conducted interdisciplinary rounds with clinical, rehabilitation, and case-management teams to evaluate care plans, identify utilization variances, and streamline authorization workflows.
- Prepared comprehensive care summaries and utilization reports for management and external reviewers, highlighting trends in length of stay and resource utilization.
- Served as a clinical documentation champion—trained licensed and unlicensed staff on proper charting practices, reducing documentation discrepancies by 20%.
- Advocated for patient needs by collaborating with families and care teams to adjust care plans, ensuring medical necessity criteria were met for ongoing authorizations.
- Delegated nursing tasks appropriately, maintaining safe staffing levels and supporting compliance with scope-of-practice guidelines.
Education
Bachelor of Science - Nursing
West Coast University
Los Angeles, CA11-2024
No Degree - Vocational Nursing
American Career College
CA03-2022
Skills
- Basic life support
- Authorization coordination
- Documentation review
- EMR proficiency (Epic/Cerner/etc)
- Data trend monitoring
- Clinical reasoning
- Stakeholder communication
- Compliance oversight
- Problem-solving
- Time management
- Quality assurance
- Compassion and empathy
Certification
CERTIFIED CPR & BLS
fire safety card
IV THERAPY
Sub acute acquired Mechanical ventilator
skin wound ostomy certified
Timeline
RN
Kindred Hospital Los Angeles
04.2025 - Current
Nurse
Longwood Manor Convalescent Hospital
06.2023 - Current
LVN
La Brea Rehabilitation Center
07.2022 - 05.2023
LVN
SHARON CARE CENTER
03.2022 - 07.2022
Bachelor of Science - Nursing
West Coast University
No Degree - Vocational Nursing
American Career College
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