Miranda Besecker, ASN, RN
Summary
Registered Nurse with experience in pediatric emergency care, case management, and quality assurance auditing. Skilled in retrospective clinical documentation review, compliance with CMS and Medicaid guidelines, and identifying documentation discrepancies impacting reimbursement and patient care. Experienced in collaborating with interdisciplinary teams to support accurate, cost-effective care delivery. Known for strong clinical judgment, attention to detail, and ability to manage complex cases in fast-paced environments.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Home Health RN Case Manager
AbbyCare
09.2025 - Current
- Perform retrospective reviews of clinical documentation to ensure compliance with CMS, Medicaid, and regulatory standards
- Audit visit notes, care plans, and assessments to identify documentation discrepancies, omissions, and compliance risks
- Collaborate with nurses, caregivers, and leadership to resolve documentation issues and maintain audit-ready records
- Apply clinical judgment to evaluate quality of care and identify risks impacting patient outcomes and reimbursement
- Review documentation for alignment with billing and coding requirements, supporting accurate reimbursement
- Support quality assurance initiatives by ensuring consistency in audit application and documentation standards
- Partner with interdisciplinary teams to improve care coordination and documentation accuracy
Registered Nurse, Pediatric Emergency Department
Johns Hopkins All Childrens
St. Petersburg
02.2024 - Current
- Provide high-acuity care to critically ill and injured pediatric patients in a fast-paced emergency setting
- Perform rapid assessments and triage patients to ensure timely, life-saving interventions
- Interpret clinical data, diagnostics, and treatment plans to support appropriate care decisions
- Perform advanced clinical skills including IV placement, central line use, blood product administration, and airway management
- Collaborate with physicians and multidisciplinary teams to deliver coordinated, patient-centered care
- Maintain composure in high-stress situations while supporting patients and families
Registered Nurse, Emergency Department
Advent Health
Tampa
10.2022 - 10.2023
- Interpreted laboratory values, imaging, and patient assessments to guide clinical decision-making
- Delivered care in a high-volume emergency setting with a focus on prioritization and efficiency
- Collaborated with physicians, advanced practice providers, and nursing staff to optimize patient outcomes
- Ensured accurate and timely documentation in compliance with regulatory standards
- Facilitated diagnostic testing and specialty referrals based on patient needs
Licensed Practical Nurse, Emergency Department
Advent Health
Tampa
05.2022 - 10.2022
- Provided direct patient care with focus on high-acuity and emergency cases
- Administered medications in accordance with clinical guidelines and safety standards
- Assisted with diagnostic testing and specimen collection
- Maintained a safe and organized clinical environment
Education
Associate - Nursing
Rasmussen University
Tampa01-2022
Licensed Practical Nurse -
Wilkes-Barre Technical
Wilkes-Barre, PA01-2020
Skills
- Clinical Documentation Review & Auditing
- CMS & Medicaid Compliance
- Retrospective Chart Review
- Case Management & Care Coordination
- Quality Assurance & Process Improvement
- Regulatory Standards & Documentation Accuracy
- Interdisciplinary Collaboration
- High-Acuity Clinical Decision Making
- Electronic Health Records (EHR)
Certification
Registered Nurse (RN), Compact License & Florida
Basic Life Support (BLS)
Advanced Cardiac Life Support (ACLS)
Pediatric Advanced Life Support (PALS)
Trauma Nurse Core Course (TNCC)
Emergency Nurse Pediatric Course (ENPC)
Certified Pediatric Trauma Nurse
Basic Life Support (BLS)
Advanced Cardiac Life Support (ACLS)
Pediatric Advanced Life Support (PALS)
Trauma Nurse Core Course (TNCC)
Emergency Nurse Pediatric Course (ENPC)
Certified Pediatric Trauma Nurse
Professional Development
- Currently pursuing advanced knowledge in clinical documentation improvement and coding practices
Timeline
Home Health RN Case Manager
AbbyCare
09.2025 - Current
Registered Nurse, Pediatric Emergency Department
Johns Hopkins All Childrens
02.2024 - Current
Registered Nurse, Emergency Department
Advent Health
10.2022 - 10.2023
Licensed Practical Nurse, Emergency Department
Advent Health
05.2022 - 10.2022
Associate - Nursing
Rasmussen University
Licensed Practical Nurse -
Wilkes-Barre Technical