Samantha Coates
Kershaw,SC
Summary
Organized and knowledgeable Registered Nurse with over 9 years experience in medical review at PalmettoGBA Part A, PCR and RCD.
Overview
24
24
years of professional experience
Work History
Registered Nurse, Medical Reviewer II
PalmettoGBA
Columbia, SC
07.2016 - Current
- Perform medical reviews using clinical information provided by physicians/providers.
- Document decisions using indicated protocol sets and guide.
- Determine medical necessity of coverage and reimbursement.
- Documents medical rationale to justify payment or denial of services.
- Call providers to provide education and request additional documentation.
- Maintained accuracy, completeness and security for medical records and health information.
- Communicate effectively with staff and providers by email and telephone.
Registered Nurse, Holding Area
KershawHealth
Camden, SC
04.2016 - 07.2016
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
- Administered medications and treatments to patients and monitored responses.
- Monitored patient condition, including interpreting and tracking EKG reading, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
- Secured controlled narcotics and distributed medications on schedule to meet patient needs and minimize misuse opportunities.
- Accurately document all elements of the nursing assessment, including treatment, medication and IV's administered, discharge instructions and follow-up care.
- Updated patient charts using EMR with data such as medications to keep records current and support accurate treatments.
- Prepared patients for surgery, educating patients and family members on surgical procedure.
- Provided post op care and instructions when needed in that area.
Pre-Op Interview Nurse
KershawHealth
Camden, SC
04.2010 - 04.2016
- Accurately document all elements of the nursing assessment.
- Interview patients, collect labs, ekg, x-rays, clearances if needed.
- Collaborated with Anesthesiologists on the information gathered to determine the best care for the patients pre-op, intra-op and post-op from an anesthesia standpoint.
- Contacted physicians/providers throughout the United States to collect health information (usually cardiac) to clear patients for surgery.
- Contacted patients with educational instructions for upcoming surgeries and answered any questions.
- Used ICD-10 codes for pre-op procedures.
G. I. Lab Nurse
KershawHealth
Camden, SC
08.2007 - 04.2010
- Communicated with care and compassion to help patients feel comfortable with procedures and increase compliance with health directives.
- Improved patient health, wellness and outcomes through proactive education on conditions and optimal lifestyle choices.
- Listened to patients' concerns, current symptoms and medical histories to triage health issues.
- Provided conscious sedation as directed by the physician during EGD, colonoscopy, bronchoscopy, ERCP, PEG placement.
- Prepared patients for endoscopy procedures.
- Provided educational instructions to patients/caregivers post procedure.
- Contacted providers for follow-up /referral appointments.
- Adhered closely to physician direction and medication guidelines in administration of medications to patients.
- Charge duties as needed.
- Advocated for the patient.
Pre-op Interview Nurse
KershawHealth
Camden, SC
07.2005 - 08.2007
- The first pre-op interview nurse at KershawHealth.
- Involved in the development of the pre-op interview job requirements.
- Accurately documented all elements of the nursing assessment.
- Interviewed patients, collected labs, EKG, x-ray, clearances if needed.
- Collaborated with Anesthesiologists on the information gathered to determine the best care for the patients pre-op, intra-op and post-op from the anesthesia standpoint.
- Contacted physicians/providers throughout the United States to collect health information (usually cardiac) to clear patients for surgery.
- Contacted patients with educational instructions for upcoming surgeries and answered questions.
- Used ICD-9/ICD-10 codes for pre-op procedures.
G.I. Lab Nurse
KershawHealth
Camden, SC
09.2002 - 07.2006
- Communicated with care and compassion to help patients fell comfortable with procedures and increase compliance with health directives.
- Improved patient health, wellness and outcomes through proactive education on conditions and optimal lifestyle choices.
- Listened to patients' concerns, current symptoms and medical histories to triage health issues.
- Provided conscious sedation as directed by the physician during EGD, colonoscopy, bronchoscopy, ERCP, PEG placement.
- Prepared patients for endoscopy procedures.
- Provided educational instructions to patients/caregivers post procedure.
- Contacted providers for follow-up/referral appointments.
- Adhered closely to physician direction and medication guidelines in administration of medications to patients.
- Charge nurse duties as needed.
- Advocated for the patients.
Med/Surg Nurse
KershawHealth
Camden, SC
09.2001 - 09.2002
- Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care.
- Recorded patients' medical history, vital statistics and test results in electronic medical records.
- Developed care plans complete with effective nursing measures to improve patients' mental and physical health.
- Evaluated patients to develop and update treatment plans while anticipating day-to-day needs.
- Observed nurse administration of oral, intramuscular and IV medications to patients as prescribed, monitoring responses for adverse reactions.
- Facilitated transition to home care by providing patients with continued care information and discharge instructions.
- Conducted patient assessments and diagnostic tests to provide physician with important patient health information.
- Trained new nurses in in proper techniques, care standards, operational procedures, and safety protocols to optimize performance and safety.
- Served as charge nurse as scheduled.
- Maintained constant communication with physician and other members of care team.
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patients orders and communication with amcillaru departments and assisting staff.
- Demonstrated and instructed patients and family members on proper protocols for home maintenance and care after discharge.
- Helped patients eat and drink when necessary for safe consumption of food consistent with recovery guidelines.
- Adhered to treatment plan instructions when administering medications and treatments to patients.
- Followed proper procedure for installation and removal of catheters and IV's.
- Strictly protected confidentiality of all information related to patient care activities.
- Recognized and understood specific stages of dying process, providing comfort-based care during vulnerable times.
- Delegated tasks and provided leadership for 8 nurses and support personnel when providing chare duties.
- Documented vitals and medical histories in patient charts when assessing patients and communicated patient information to physicians and other nurses for care continuity.
Education
Bachelor of Science - Nursing
Lander University
Greenwood, SC05.2001
Skills
- HIPPA compliance
- Attention to detail
- Critical thinking
- Strong written and verbal communication
- Medical record review
- FISS
- IFLOW
- EMS
- Excel
- Effective time management
Timeline
Registered Nurse, Medical Reviewer II
PalmettoGBA
07.2016 - Current
Registered Nurse, Holding Area
KershawHealth
04.2016 - 07.2016
Pre-Op Interview Nurse
KershawHealth
04.2010 - 04.2016
G. I. Lab Nurse
KershawHealth
08.2007 - 04.2010
Pre-op Interview Nurse
KershawHealth
07.2005 - 08.2007
G.I. Lab Nurse
KershawHealth
09.2002 - 07.2006
Med/Surg Nurse
KershawHealth
09.2001 - 09.2002
Bachelor of Science - Nursing
Lander University
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