Summary
Overview
Work History
Education
Skills
Certification
Interests
Timeline
Generic

Sabrina Davis-Krause

Missouri City,TX

Summary

Dynamic RN with extensive experience at Memorial Hermann Health System, excelling in clinical documentation and case management. Proven ability in quality improvement and patient assessment, enhancing documentation accuracy and optimizing care strategies. Strong clinical judgment and effective communication skills foster collaboration and drive successful patient outcomes.

Clinical documentation expert with strong analytical and organizational skills. Effective team collaborator focused on achieving results and adapting to changing needs. Skilled in medical terminology, coding, and compliance, ensuring accurate and thorough documentation. Reliable communicator with commitment to quality and precision.


Overview

35
35
years of professional experience
1
1
Certification

Work History

RN, BSN. - Clinical Documentation Specialist

Memorial Hermann Health System
04.2007 - Current
  • Communicated with healthcare providers to clarify information and resolve issues.
  • Used 3M Encompass and EPIC to input information into computerized patient record system.
  • Collaborated with team members to share knowledge and keep workflow moving smoothly.
  • Verified medical terminology and codes to deliver accurate and up-to-date information.
  • Used medical center hardware and software to produce required reports.
  • Implemented procedures for performance of quality audits for patient charts at three hospitals.
  • Questioned physicians regarding missing or unclear health record documentation and requested further information for clarification purposes.
  • Improved clinical documentation quality by conducting thorough reviews and providing feedback to healthcare providers.
  • Participated in continuous education programs, staying up-to-date on industry trends and best practices in clinical documentation management.
  • Served as a resource for healthcare professionals seeking guidance on various aspects of clinical documentation, fostering effective communication among team members.
  • Ensured compliance with regulatory standards and guidelines through meticulous attention to detail in completing clinical documentation tasks.
  • Carefully reviewed patient files for clarity on diseases, diagnoses and procedures to determine quality of care.
  • Contributed to revenue optimization by identifying opportunities for appropriate clinical documentation improvement.
  • 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.
  • Assisted in the development of policies and procedures related to clinical documentation processes, promoting consistency across the organization.
  • Assisted in reviewing clinical documentation for accuracy and compliance with regulatory standards.
  • Mentored and trained junior staff, fostering a culture of continuous improvement and professional growth.
  • Established key performance indicators to measure success and track progress toward strategic goals.
  • Facilitated communication between departments, enhancing collaboration and information sharing for better results.
  • Managed and motivated employees to be productive and engaged in work.
  • Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
  • Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
  • Maximized performance by monitoring daily activities and mentoring team members.

RN, CCDS Lead to Manager in Clinical Documentation

Memorial Hermann Health System
11.2017 - 04.2022
  • Streamlined documentation processes, improving workflow efficiency in nursing operations.
  • Trained staff on new technologies and evidence-based practices for patient care.
  • Collaborated with senior leadership to align departmental goals with organizational objectives, ensuring cohesive execution of strategies.
  • Maintained meticulous statistics for staff performance and evaluation in addition to maintaining multiple databases for physician engagement.
  • Attended various physician department staff meetings to impart new and revised information. Also to act as an educational source as needed.
  • Was a member of the Sepsis Protocol committee as an advisor to the administration and physician groups also represented.

RN Case Manager - CMS

Memorial Hermann Health System
04.2002 - 04.2007
  • Conducted comprehensive assessments to identify patient needs and develop individualized care strategies.
  • Managed complex cases by collaborating with multidisciplinary teams for efficient resource utilization.
  • Facilitated discharge planning by coordinating post-acute services and resources for patients transitioning home.
  • Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
  • Educated patients and families on available community resources, facilitating access to necessary support services.
  • Three years as an Emergency Department Case Manager and one year as a transplant program case manager.

Staff RN, CVICU & Neuro ICU

Memorial Hermann
08.1993 - 04.2002
  • Administered patient care in critical settings, ensuring adherence to established protocols and safety standards.
  • Collaborated with interdisciplinary teams to develop individualized care plans for diverse patient populations.
  • Mentored junior nursing staff, facilitating skill development and enhancing team performance in high-pressure environments.
  • Conducted comprehensive assessments, accurately documenting findings to inform treatment decisions and enhance patient safety.
  • Educated patients and families on health management strategies, promoting adherence to treatment regimens and recovery processes.
  • Consistently maintained accurate documentation of all relevant information related to patient progress, treatments administered and other pertinent data.
  • Assessed physical, psychological, physiologic, and cognitive status of patients.
  • Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
  • Considered a resource for coordinating emergency situations.
  • Was one of several RNs proficient at setting up and using all ICU machinery including CRRT, IABP, CNS monitoring and PAC readings, assisting with insertion.

RN Unit Manager for Neuro ICU

Memorial Hermann Health System
04.1996 - 1999
  • Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
  • Mentored new nursing staff, contributing to a supportive work environment and improved retention rates.
  • Managed complex cases of critically ill patients, ensuring optimal treatment plans were executed effectively.
  • Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
  • 24 Bed Level 1 Neurosurgery and Neurology unit in Level 1 academic hospital.
  • Coordinated patient flow, worked closely with physician leaders of the department, the OR, staffing office and admissions department. Was adept at quickly reassigning patient / nurse assignments to meet the acute needs of a level 1 emergency room and LifeFlight Dept.

Staff RN Emergency Room

Harris County Health Dept
01.1991 - 08.1993
  • Led emergency response efforts during critical situations, ensuring safety and effective care delivery.
  • Level 1 Trauma Center - one of two in the Houston area at that time.
  • Managed triage of new patients with efficiency and with minimal information and upfront testing available. Became the instructor for all nurses learning to handle the triage role. This included coordinating with the HFD paramedic system in person as their office was located directly across from the triage desk.
  • Was one of 3 RNs on my shift who were allowed to be the "Charge RN" for the shift.
  • Became very adept at working independently or with minimal staff support.

Education

Vocational Certification - Pastry Work / Chef

Houston City College
Houston, Tx
01-2007

Bachelor of Science - Nursing

University of Texas Medical Branch
Galveston, TX
05-1990

Skills

  • Quality improvement
  • Strong clinical judgment
  • Staff supervision
  • Case management
  • EMR / EHR
  • Emergency care
  • Medical records management

Certification

CCDS - 2013 to present

Texas RN - 1990 to present

I am approximately 60% thru the CCIS program provided by AAPC - online and at my own pace.

Certified Case Manager from 2004 to 2007

Interests

Creative Writing - I have taken online courses offered through the University of Houston and plan to take more when time allows

History and Archaeology and the Arts: I maintain full memberships in the Museum of Art Houston and The Museum of Natural Science



Timeline

RN, CCDS Lead to Manager in Clinical Documentation

Memorial Hermann Health System
11.2017 - 04.2022

RN, BSN. - Clinical Documentation Specialist

Memorial Hermann Health System
04.2007 - Current

RN Case Manager - CMS

Memorial Hermann Health System
04.2002 - 04.2007

RN Unit Manager for Neuro ICU

Memorial Hermann Health System
04.1996 - 1999

Staff RN, CVICU & Neuro ICU

Memorial Hermann
08.1993 - 04.2002

Staff RN Emergency Room

Harris County Health Dept
01.1991 - 08.1993

Vocational Certification - Pastry Work / Chef

Houston City College

Bachelor of Science - Nursing

University of Texas Medical Branch

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Sabrina Davis-Krause