Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Samantha Porter

Overton,TX

Summary

I have nearly 20 years’ experience in the Nursing industry and have held many titles throughout these years serving patients and families including but not limited to; Case Manager, Telehealth Nurse/Telephone Triage Nurse, Field Case Manager, Clinical Nurse Consultant, Nursing Operations Consultant, Director of Nursing, Assistant Director of Nursing, Admissions Coordinator, Medical Record Utilization Nurse, Community Nurse Educator, State and RAC Nurse Liaison, Inpatient Rehabilitation Charge Nurse, Long Term Acute Care Coordinator, Transitional Care Liaison, Palliative Care Educator/Coordinator, Acute Need Patient/Family Advocate.

I currently hold a valid RN license in several states outside of those covered under my current Texas compact license due to necessity to practice in my current role as a Remote Telehealth/Triage Nurse including California, Nevada, Illinois, Oregon, and Minnesota.

I have seen a lot in my nearly 20 years of nursing experience , however I know I have not yet seen it all and it is my hunger/desire for more knowledge and more care that only a nurse can give those future patients/clients/families and even other nurses that makes me thrilled, eager to learn, and more than capable for anything new!

I am an experienced healthcare professional with a strong background in Utilization Review, Telehealth Services, Remote patient care, and Virtual healthcare delivery across multiple diverse digital health platforms and experience navigating a wide range of EMR's.

I am adept at fostering team collaboration and achieving optimal patient outcomes while efficiently adapting to changing healthcare environments and best practice measures/standards.

Overview

19
19
years of professional experience
1
1
Certification
1
1

Professional License

Work History

Clinical Nurse Reviewer

Acentra Health
11.2024 - Current
  • Review and completion of issued discharge notices alongside Physician Reviewers using a wide variety of Physical/Occupational/Speech Therapy notes as well as nursing and provider documentation throughout task line for ongoing client appeals as a Clinical Nurse Reviewer
  • Demonstrated expert knowledge of medical terminology, pharmacology, anatomy, and physiology while conducting accurate clinical assessments.
  • Adhered to strict timelines for case completion while maintaining a high level of accuracy and attention to detail during the review process.
  • Maintained strict confidentiality of patient information in accordance with HIPAA regulations throughout all interactions.
  • Managed a high volume of call determinations daily while maintaining a professional demeanor under pressure and throughout several different shifts.
  • Increased efficiency in the review process by streamlining workflows and implementing time-saving strategies for data collection and analysis.
  • Managed caseload efficiently while maintaining strict confidentiality of sensitive information per HIPAA regulations.
  • Optimized resource allocation by identifying areas of overutilization or underutilization within the healthcare system.
  • Supported continuous improvement initiatives by contributing to the development of policies, procedures, and training materials related to clinical review processes.
  • Ensured compliance with regulatory standards through meticulous documentation and timely reporting of clinical review findings.
  • Built trust among team members by consistently demonstrating professionalism, integrity, and commitment to excellence throughout the clinical review process.
  • Advanced organizational goals for quality improvement by serving as a liaison between nursing staff, physicians, administrators, and patients during the review process.
  • Strengthened professional development with ongoing education in disease management, treatment protocols, and emerging trends in nursing practice.
  • Exhibited strong analytical skills when interpreting complex medical records to evaluate patient care outcomes against established benchmarks.
  • Prepared and responded to requests for statistics and resource or service data.
  • Served as a subject matter expert on evidence-based practices for specific disease states, providing guidance and support to healthcare providers seeking to optimize patient care.
  • Participated in quality assurance initiatives by conducting peer reviews and providing constructive feedback to enhance overall team performance.
  • Contributed to cost containment efforts by identifying opportunities for more effective utilization of healthcare services without compromising patient outcomes.
  • Determined and authorized services for patients in accordance with guidelines and regulations.
  • Enhanced interdisciplinary communication by collaborating with healthcare providers to discuss case findings and develop optimal care plans.
  • Reviewed and documented relevant information into data system applications.
  • Evaluated patient histories, complaints, and current symptoms.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
  • Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.


Telehealth Nurse

Intellatriage
09.2022 - 03.2025
  • • Performed phone triage for a high-volume medical practice, assessing patient symptoms and providing
    appropriate medical advice and determining the appropriate next steps within each client/agencies. defined and implemented procedures/protocols.
    • Recruited for training new phone triage nurses on best practices for handling different types of calls, using company procedures and protocols correctly, and acting as a new employee liaison/advocate for
    the company within 6 months of hire.
    • Effectively prioritized incoming calls based on urgency and severity of symptoms, ensuring timely response to critical cases.
    • Utilized strong communication skills to gather accurate and pertinent patient information over the phone, including medical history, current medications, allergies, and current questions/concerns in which. nurse assistance is needed.
    • Provided compassionate and empathetic support to patients during phone consultations, addressing their concerns and alleviating anxiety.
    • Demonstrated proficiency in using several different electronic health/medical records (EHR)/(EMR) systems to document patient interactions accurately and efficiently.
    • Educated patients in self-care measures they can take at home to manage their symptoms effectively before seeking further medical attention if necessary.
    • Maintained strict confidentiality of patient information in accordance with HIPAA regulations throughout all interactions.
    • Managed a high volume of calls daily while maintaining a professional demeanor under pressure and throughout several different shifts.
    •Demonstrated excellent problem-solving skills by quickly assessing complex situations over the phone and making sound decisions regarding appropriate care.
  • Participated in quality improvement initiatives related to telehealth nursing practice, enhancing service delivery and patient experience.
  • Provided emotional support to patients during difficult times, promoting trust between nurse and patient through compassionate virtual interactions.
  • Assisted in the development of telehealth protocols and procedures, contributing to the overall success of the program.
  • Prioritized patient safety through diligent monitoring of vital signs while discussing any concerning changes or trends with appropriate healthcare providers promptly.
  • Evaluated patient histories, complaints, and current symptoms.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
  • Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
  • Utilized evidence-based practices when delivering telehealth nursing services, ensuring safe and effective care for all patients.
  • Promoted continuity of care by maintaining accurate documentation and sharing relevant information with multidisciplinary team members.
  • Conducted remote patient education sessions on topics such as disease management, nutrition, and self-monitoring techniques for improved health outcomes.
  • Demonstrated adaptability by quickly adjusting to new telehealth technologies and platforms for optimal performance in virtual care settings.
  • Acted as a liaison between patients and other healthcare providers, facilitating seamless communication and coordination of care efforts.
  • Improved patient outcomes with thorough assessment, identification of potential issues, and prompt intervention via telehealth consultations.
  • Enhanced patient satisfaction by providing comprehensive telehealth nursing services in a timely and efficient manner.
  • Utilized critical thinking skills when assessing patient needs, swiftly identifying potential concerns and implementing appropriate interventions remotely.
  • Counseled patients via telephone according to established guidelines and protocols, advising on provider-established plans of care.
  • Relayed triage information and facilitated communication between provider and patient concerning patient disposition.
  • Obtained case history and gathered triage information to determine appropriate avenue for care.
  • Delivered orientation and training of less experienced clinic staff in specific clinic operations and procedures.

Case Manager, Medical Record Utilization Nurse, Weekend/After Hours Manager, Triage Nurse

Heart to Heart Hospice
03.2012 - 09.2023
  • Heart to Heart became my family early on and I stayed employed with this company throughout my career as a RN either in a full-time role, PRN, or for consultation needs.
  • Following several years of practicing in the field as a Case Manger providing direct patient care, I became specifically responsible for assisting our Medical Director with all ADR's pulled by Medicare for reimbursement purposes.
  • I quickly became familiar and even more so, comfortable with using all standardized utilization process, procedures, and standards for the purpose of patient driven outcomes and best practice goals to assure each patient had and continued to be appropriately treated for their individualized conditions.
  • This role at times required attending house calls with our physician to get a more in depth look at our difficult cases struggling to comply with ongoing criteria needs prior to recertification.
  • I performed managerial duties on weekends overseeing staff and satisfactory completion of duties.

Clinical Nurse Consultant

Legacy
02.2019 - 07.2023
  • As a community Liaison I provided in-services to all surrounding facilities, specifically educating on the hospice delineation of duties and our contribution to the facility with the desired team approach.
  • In this role I worked alongside hospitals, home health, palliative care, and hospice agencies as we worked to appropriately assess and treat our patients at every stage of their medical care.
  • I worked daily with state auditing processes, as well overseeing a variety of complex or challenging patient/nurse situations.
  • I became specifically designated to conduct all meetings with family/nurse/agency representatives where perceived complicated family, and or, patient dynamics were involved, and a specific type of nurse advocate was beneficial.

LVN Charge Nurse, RN Charge Nurse, RN Case Manager, Director of Nursing

QRM
04.2006 - 03.2012
  • Upon my initial employment as a Charge nurse for their LTC facilities I held all Charge nurse responsibilities including medication administration/supervision, patient care and management of symptoms, and CNA Management
  • Following my work as a LTC charge nurse I agreed to take on the company’s challenging Hospice patients as well as performed the duties of a Continuous Care Nurse for actively dying patient in which 24-hour symptom management was required.
  • I then agreed to be relocated to San Antonio Tx in order to accept a DON position for them at Kerns Nursing and Rehab. My experiences as DON and ADON have helped me to garner extensive knowledge in recognizing, treating, and improving/stabilizing a wide variety of Chronic Health Conditions, in both Med Surg and rehab/skilled nurse settings.
  • Upon completion of the assignment and after training my replacement for the Director of Nursing position I returned home to work for this agency doing any Quality Assurance, training, and or Liaison work necessary to their company's growth and success.

Education

Associate of Applied Science - Nursing

Kilgore College
Kilgore, TX

Skills

  • Utilization Review
  • EMR Systems
  • Experience Administering Injections
  • RN
  • Hospice Care
  • Home Health
  • Employee Orientation
  • Care Management
  • Nursing
  • Utilization Management
  • Nurse Management
  • Quality Assurance
  • Home Care
  • Patient Care
  • Triage
  • Medication Administration
  • Vital Signs
  • Medical Records
  • Managed Care
  • Critical Care Experience
  • Epic
  • HCHB
  • Medical Office Experience
  • Hospital Experience
  • Medical record review
  • Nursing documentation
  • Clinical judgment
  • Utilization review
  • Evidence-based practice
  • Time management
  • Reliability
  • Excellent communication
  • Critical thinking
  • Strong clinical judgment
  • Patient and family advocacy
  • Clinical documentation
  • Infection control
  • Geriatric care
  • Patient advocacy
  • Intake and discharge
  • Palliative care
  • Patient counseling
  • Student precepting
  • Professional demeanor
  • Clear patient communication
  • Dementia care
  • Decision-making
  • Effective communication
  • Multitasking
  • Teamwork
  • Teamwork and collaboration
  • Care coordination
  • Quality improvement
  • Continuing education
  • HIPAA
  • Patient safety

Certification

  • Kilgore College Licensed Vocation/Practical Nurse Issued: 2006-10-10- Current License Number: 206862 Unencumbered Compact Multistate
  • Kilgore College Registered Nurse Issued: 2011-02-01- Current License Number: 796408 Unencumbered Compact Multistate

Timeline

Clinical Nurse Reviewer

Acentra Health
11.2024 - Current

Telehealth Nurse

Intellatriage
09.2022 - 03.2025

Clinical Nurse Consultant

Legacy
02.2019 - 07.2023

Case Manager, Medical Record Utilization Nurse, Weekend/After Hours Manager, Triage Nurse

Heart to Heart Hospice
03.2012 - 09.2023

LVN Charge Nurse, RN Charge Nurse, RN Case Manager, Director of Nursing

QRM
04.2006 - 03.2012

Associate of Applied Science - Nursing

Kilgore College

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Samantha Porter