Sheryl Rehmer
Red Bud,IL
Summary
Adept Clinical Documentation Specialist Registered Nurse with a proven track record at R1 RCM, enhancing patient care through effective collaboration and workflow streamlining. Demonstrated expertise in compliance documentation management and a strong clinical judgment. Excelled in reducing risk exposure and improving clinical documentation processes, showcasing exceptional organization skills and a commitment to excellence.
Overview
37
37
years of professional experience
Work History
Clinical Documentation Specialist Registered Nurse
R1 Rcm
09.2019 - Current
- Facilitated interdisciplinary collaboration between physicians, nurses, case managers, coders, and other relevant stakeholders regarding the appropriate representation of patient severity levels within EHRs.
- Analyzed data from audits to identify areas for improvement in clinical documentation processes, implementing targeted interventions for positive change.
- Expedited accurate clinical documentation completion by promptly responding to queries from healthcare providers and support staff, offering timely guidance and support.
- Reduced risk exposure by promptly addressing any identified discrepancies or inconsistencies within patient records.
- Communicated with physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
- Effectively managed multiple priorities while maintaining strict adherence to established deadlines, ensuring the consistent delivery of exceptional clinical documentation services.
Registered Nurse, Employee Health
St. Elizabeth's Hospital
12.1987 - 09.2019
- Streamlined medical documentation processes, ensuring accurate and timely record-keeping for optimal patient care.
- Conducted pre-employment physicals and screenings to ensure candidate fitness for job requirements.
- Established a strong rapport with employees, fostering trust in the nursing role as a key resource for occupational health support.
- Promoted a culture of safety within the organization by regularly conducting risk assessments and implementing corrective actions as needed.
- Evaluated employee illnesses or injuries to determine appropriate course of action while maintaining confidentiality of medical information.
- Improved employee health by developing wellness programs and promoting healthy lifestyle choices.
- Assisted in managing workers'' compensation cases, facilitating prompt return-to-work plans for injured employees.
- Reduced workplace injuries by providing training on proper body mechanics, ergonomics, and workplace safety protocols.
- Managed outbreak investigations to identify root causes while collaborating with public health agencies when necessary.
- Developed educational materials on various health topics that addressed specific needs of the workforce population.
- Educated employees about potential health hazards in the workplace and implemented preventive measures to reduce risk exposure.
- Supported regulatory compliance through continuous monitoring of occupational health policies, procedures, and practices.
- Administered immunizations and vaccinations as part of an overall employee health program to prevent illness outbreaks at work sites.
- Provided first aid treatment to employees during emergencies, minimizing downtime and ensuring swift recovery.
- Assisted with accident investigation program to identify root cause of incidents and near-misses.
- Educated all employees on flu symptoms, illness prevention, benefits of good hygiene and smoking cessation programs.
- Delivered array of employee health services at company, which included health screenings and immunizations.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
- Demonstrated expertise in wound management techniques resulting in accelerated healing times for patients with complex wounds or pressure injuries.
- Collaborated with interdisciplinary teams to develop comprehensive care plans for complex cases.
- Educated family members and caregivers on patient care instructions.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
Education
Associate of Science - Nursing
Southwestern Illinois College
Belleville, IL05.1986
Skills
- Compliance Documentation Management
- Workplace Health Services
- Workflow Streamlining
- Direct patient care
- Clinical judgment
- Audit Record Management
- Medical terminology proficiency
- Document Proofreading
Accomplishments
- Educational Training Library - Developed and organized 700+ charts for all new and current Clinical Documentation Specialists, Coders, Auditors, and Physicians. Routinely updating information for reference.
Timeline
Clinical Documentation Specialist Registered Nurse
R1 Rcm
09.2019 - Current
Registered Nurse, Employee Health
St. Elizabeth's Hospital
12.1987 - 09.2019
Associate of Science - Nursing
Southwestern Illinois College
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