Keara Ehrhart
Deland
Summary
Registered Nurse with experience in case management, medical-surgical nursing, and medical claims processing, specializing in clinical documentation review, medical necessity evaluation, and interdisciplinary care coordination. Skilled in assessing level of care, supporting authorization processes, preventing denials, and ensuring compliance with regulatory and payer guidelines. Strong background in high-volume review environments, remote collaboration, and evidence-based decision-making. Seeking a Utilization Review or Medical Management role where clinical judgment and administrative precision support quality outcomes and reimbursement integrity.
Overview
9
9
years of professional experience
1
1
Certification
Work History
School Board Nurse
Seminole County Public Schools
Seminole County, FL
08.2024 - Current
- Oversaw operations of multiple school health clinics, prioritizing urgent and non-urgent medical needs.
- Collaborated with families and healthcare providers to develop and implement individualized health plans (IHPS) for students managing chronic conditions.
- Maintained comprehensive and compliant records to support seamless continuity of care and adhere to regulatory requirements.
- Managed interdisciplinary communication and care strategies to guarantee patient safety and appropriate medical follow-up.
- Exercised clinical judgment to evaluate patient acuity and identify necessary care escalation.
- Reviewed and submitted Medicaid claims with accurate ICD coding to facilitate timely reimbursements.
- Monitored student health records, maintaining accurate documentation for regulatory purposes.
Registered Nurse Case Manager
AdventHealth
Palm Coast, FL
07.2023 - 08.2024
- Coordinated patient care plans, ensuring alignment with organizational protocols and patient needs.
- Conducted thorough assessments to develop individualized care strategies for diverse patient populations.
- Collaborated with interdisciplinary teams to optimize resource allocation and enhance patient outcomes.
- Monitored patient progress, adjusting care plans based on evolving health conditions and treatment responses.
- Educated patients and families on healthcare processes, fostering understanding and adherence to treatment regimens.
Registered Nurse, Medical-Surgical Unit
AdventHealth
DeLand, FL
06.2022 - 07.2023
- Administered medications and treatments according to physician orders and established protocols.
- Monitored patient vital signs, identifying changes and escalating concerns to healthcare teams promptly.
- Collaborated with interdisciplinary teams to develop and implement individualized patient care plans.
- Educated patients and families on post-discharge care instructions, enhancing understanding and compliance.
Medical Claims Processor
Davita Labs
DeLand, FL
12.2016 - 05.2020
- Processed and adjudicated medical claims with attention to detail and compliance standards.
- Reviewed documentation for accuracy, ensuring timely resolution of discrepancies.
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Managed large volume of medical claims on daily basis.
Education
Medical Billing And Coding
Seminole State College of Florida
Sanford, Florida, FL10.2026
Associate of Science - Nursing
Keiser University
Daytona Beach12.2021
Skills
- Patient assessment
- Clinical documentation
- Patient education
- Clinical judgment
- Licensed RN
- Care plan implementation
- Nursing staff leadership
- Treatment Planning
- RN case management
- HIPAA protocol adherence
- Medical chart management
- Electronic health records management
Accomplishments
Rising Star Award at Seminole County Public Schools
Certification
Basic Life Support- BLS
Timeline
School Board Nurse
Seminole County Public Schools
08.2024 - Current
Registered Nurse Case Manager
AdventHealth
07.2023 - 08.2024
Registered Nurse, Medical-Surgical Unit
AdventHealth
06.2022 - 07.2023
Medical Claims Processor
Davita Labs
12.2016 - 05.2020
Medical Billing And Coding
Seminole State College of Florida
Associate of Science - Nursing
Keiser University