CCDS with over 15 years of RN experience in various settings. Experienced in CDI, case management, and staff education. Focus on quality, efficiency, and communication.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Clinical Documentation Specialist III, Second Level Reviewer
Lahey Hospital, Beth Israel Lahey Health (BILH) Shared Services
04.2024 - Current
Performed concurrent, second level, and mortality reviews at a level 1 trauma center
Chosen to participate in second level review team to pilot new workflows and AI software
Clinical Documentation Specialist
Anna Jacques Hospital, BILH
04.2021 - 04.2024
Performed concurrent, retrospective, second level, and mortality reviews
Attended rounds and advocated for appropriate LOS and level of care
Reviewed DRG denials
Oriented new CDI staff and oriented new providers to CDI program
Worked closely with lead physician advisor and surgical physician advisor; played key role in rollout of queries to surgical team
RN Care Manager & Team Lead, Behavioral Health Community Partners
Riverside Community Care
01.2018 - 01.2021
Case Manager for over 100 Medicaid members; supervised team of 3 RNs
Assisted with training and supervision of 15 Care Coordinators, lead team meetings/case conferences, audited documentation, interpreted Masshealth guidelines and eligibility rules
Assisted with development of policy, procedures, and program strategy
Covered Program Director duties up to several months at a time, including supervision of approx. 20 staff
Float Resource RN
North Shore Physicians Group, Mass General Brigham
01.2015 - 01.2018
Provided case management, triage, anticoagulation management and direct care
Covered internal and family medicine, urgent care, rheumatology, OBGYN
Trained/precepted newly hired and new graduate nurses
Implemented in-house anticoagulation management program for newly incorporated practice
Member of Patient Quality and Safety Committee
RN
North Shore Medical Center, Mass General Brigham
01.2014 - 01.2017
RN Case Manager & Clinical Coordinator
Massachusetts General Hospital
01.2014 - 01.2017
Senior Health and Wellness Specialist, RN
North Suffolk Community Services
01.2009 - 01.2012
Education
B.A. - Psychology
Boston University
Boston, MA
A.S. - Nursing
North Shore Community College
Danvers, MA
Skills
Proficient in Smarter DX/ AI software
Use of 3M encoder
Low Acuity Reviews
Mortality Reviews
Vizient scoring
DRG Validation
Certification
CCDS
Publications
Ocañez, K. L. S., Kathryn McHugh, R. and Otto, M. W. (2010), A meta-analytic review of the association between anxiety sensitivity and pain. Depression and Anxiety, 27: 760–767
Timeline
Clinical Documentation Specialist III, Second Level Reviewer
Lahey Hospital, Beth Israel Lahey Health (BILH) Shared Services
04.2024 - Current
Clinical Documentation Specialist
Anna Jacques Hospital, BILH
04.2021 - 04.2024
RN Care Manager & Team Lead, Behavioral Health Community Partners
Riverside Community Care
01.2018 - 01.2021
Float Resource RN
North Shore Physicians Group, Mass General Brigham
Liver Transplant Anesthesiology Fellow at Lahey Hospital Medical Center, Beth Israel Lahey HealthLiver Transplant Anesthesiology Fellow at Lahey Hospital Medical Center, Beth Israel Lahey Health
Registered Nurse (Per Diem) at Winchester Hospital (Beth Israel Lahey Health) A3 Post Surgical UnitRegistered Nurse (Per Diem) at Winchester Hospital (Beth Israel Lahey Health) A3 Post Surgical Unit