
Detail-oriented Registered Nurse with extensive experience evaluating patient acuity, coordinating care progression and supporting discharge planning in high-acuity environments. Demonstrated ability to review clinical documentation, collaborate with interdisciplinary teams and support appropriate level of care decisions. Seeking to leverage strong clinical judgment and analytical skills in a Utilization Review or Clinical Reviewer role.
Participated in daily interdisciplinary rounds evaluating patient progression, length of stay factors, and discharge barriers
Partnered with case management to coordinate discharge planning and ensure appropriate transitions of care
Assessed patient acuity and clinical indicators to support appropriate level of care decisions
Maintained detailed documentation supporting medical necessity, regulatory compliance, and quality standards
Assessed patient readiness for discharge using clinical indicators and established criteria to support safe care transitions
Reviewed patient charts to ensure documentation supported treatment plans, quality standards, and regulatory requirements
Coordinated with physicians and case management to facilitate appropriate patient progression and discharge planning
Conducted advanced clinical assessments of high-acuity patients to determine appropriate transport and level of care needs
Maintained detailed documentation to support continuity of care and clinical decision making during patient transfers
Coordinated patient placement and care transitions with referring providers, receiving hospitals, EMS, fire departments, and law enforcement to ensure appropriate level of care and continuity of treatment
Delivered critical care to high-acuity patients across multiple healthcare systems while maintaining compliance with facility policies and standards of care
Rapidly adapted to new EMR systems, workflows, and clinical protocols while maintaining documentation accuracy
Collaborated with interdisciplinary teams to support safe transitions of care and appropriate patient progression
Provided care for high-acuity trauma and surgical ICU patients while monitoring clinical indicators impacting level of care
Served as charge nurse coordinating staffing, patient flow, and resource utilization
Collaborated with interdisciplinary teams to support patient progression and discharge planning
Served as clinical coach supporting staff education and clinical standards
Participated in quality improvement initiatives including early mobility protocols to improve patient outcomes and reduce complications
Clinical Documentation Review
Medical Necessity Awareness
Level of Care Evaluation
Care Coordination
Discharge Planning
Quality Improvement
Interdisciplinary Collaboration
Critical Thinking
Patient Progression Monitoring