Sandra Barnes
Jacksonville
Summary
Dedicated Registered Nurse with over 25 years of experience, which includes case management and utilization review. I am a well-diverse Registered Nurse in skilled nursing, dialysis, and home health—experienced Registered Nurse with a proven track record delivering exceptional patient care.
Patient-centered Nurse competent at helping patients with daily living needs, administering medications, and collecting vital signs. Offers exceptional clinical knowledge and abilities, sound judgment, and excellent documentation skills. Compassionate in helping patients with medical and emotional support.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Floor Nurse-Renal Care Unit
UF Health Flagler
02.2025 - Current
- Administered basic patient care and treatments by dressing wounds, treating bedsores, giving enemas and performing catheterizations.
- Collaborated with healthcare team members to assess, implement and evaluate nursing care plans.
- Modified patient health treatment plans by observing patient conditions and responses.
- Examined and treated patients' injuries and pressure wounds to promote healing.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Birth Assistant
Transitions Birth Center
01.2025 - Current
- Assisted nurses and physicians with exams or treatments.
- Kept accurate medical records by documenting patient prenatal care, labor and delivery and postpartum care.
- Provided prenatal care by monitoring mother and baby health, identifying potential health concerns and providing advice to support mothers.
- Performed neonatal assessments by checking baby's vital signs and performing physical exams to determine overall health at birth.
- Watched vital signs, checked for comfort levels and monitored emotional states of mothers before, during, and after labor.
- Assisted in calming and reorienting patients in difficult situations.
Billing and Coding
Quality Bill Pay
06.2023 - Current
- Provided medical billing and coding duties.
- Assessed and forwarded procedure and service details to correct coding staff to best categorize for insurance purposes.
- Resolved problems with communication and billing to foster seamless services.
- Updated daily transaction records to assist with payroll and billing administration.
- Updated claim database system with proper and adequate coding and documentation.
- Reviewed records and coding batches for accurate reporting and adherence to standards.
Utilization Review Nurse
Sunshine Health
01.2016 - 12.2023
- Examined patient treatment services with a critical eye.
- Reviewed clinical records and provided authorizations to facilities via fax or phone while maintaining compliance.
- Performed prior authorization review of services requiring notification.
- Researched patient care for medical necessity, quality of care, appropriateness of decision-making, place of service, and length of hospital stay.
- Guided discharge planning upon admission to provide and coordinate Home Health, Physical Therapy, and DME as needed
- Uphold a high level of ethical conduct regarding confidentiality, dual relationships, and professional stature
- Participates in continuing education activities, remaining knowledgeable in the area of expertise
RN Nurse Case Manager
MCCI Medical Group
08.2012 - 01.2016
- Managed care from admission to discharge.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Assisted clients in navigating housing and public benefits to gain access to valuable resources.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
- Participated in community events to promote services and engage with public.
RN/Floor Nurse
Fleet Landing
08.2004 - 08.2012
- Successfully cared for an 18-bed unit as an RN supervisor
- Relieved house supervisor for a 130-bed facility and independent retirement community
- Supervised team of 20 skilled CNA and LPN staff including scheduled staff meetings and assigned patient care responsibilities
- Actively participated in developing and implementing individual treatment plans for patients
- Facilitated admissions, organized transfers and provided discharge education to patients and families
- Spearheaded new hire orientation and training for new staff members
- Directed home care of diabetic and disabled pediatric patients
- Guided families and patients with long-term illness
- Carefully documented the progress of patients
- Educated patients and families on healthcare needs
- Offered patient support, comfort, and pain relief
Home Health Nurse
Maxim Healthcare
08.2002 - 08.2004
- Provided physical assessments, medication, and chronic disease management to home health patients.
- Determined and addresses individual home care needs by completing detailed assessments and reviewing documentation.
- Administered different therapies and medications in line with physician orders and treatment plan.
- Documented patient vitals, behaviors, and conditions to communicate concerns to supervising nurse.
- Provided emotional support and kind companionship to patients and families to increase overall wellness.
- Administered medications and treatments as prescribed by physicians.
- Monitored vital signs, developed and implemented care plans, and documented patient progress.
LPN/Floor Nurse
Renal Care Group
01.1999 - 08.2002
- Initiated hemodialysis treatments Monitored patients throughout treatments (Vitals, hypovolemia, etc).
- Maintained monitoring of bio-medical equipment.
- Obtained and documented patient information in online files.
- Monitored PT/INR levels for all patients on Coumadin therapy and reviewed with MD as scheduled.
Med Nurse
Salem Nursing and Rehab Center
04.1997 - 08.1999
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Performed routine wound care and dressing changes on schedule.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
- Evaluated patient histories, complaints, and current symptoms.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
Med/Surge Nurse
Pickens County Medical
02.1997 - 12.1997
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Initiated and maintained intravenous therapy.
- Administered tracheal and G-tube care.
- Operated 12-lead EKG.
- Remained calm during high-stress, critical situations, demonstrating sustained focus and problem-solving in real-time.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Provided care for patients from trauma, respiratory failure and all ranges of ailments on the med/surg level.
- Gained experience in ICU, surgical, and ER levels of care.
- Performed routine wound care and dressing changes on schedule.
Education
Associates of Science - Nursing, R.N
Florida State College of Jacksonville
Jacksonville, FL12.2006
Career Certication - Licensed Practical Nurse
Bevill Sate Community College
Fayette, AL12.1996
Skills
- Critical Thinking
- Patient Needs Assessment
- Strategic Planning
- Case Management
- Interqual
- Clinical judgment
- MCG
- Epic
- Athena
- Allscripts
Certification
BLS, NRP, NIHSS
Timeline
Floor Nurse-Renal Care Unit
UF Health Flagler
02.2025 - Current
Birth Assistant
Transitions Birth Center
01.2025 - Current
Billing and Coding
Quality Bill Pay
06.2023 - Current
Utilization Review Nurse
Sunshine Health
01.2016 - 12.2023
RN Nurse Case Manager
MCCI Medical Group
08.2012 - 01.2016
RN/Floor Nurse
Fleet Landing
08.2004 - 08.2012
Home Health Nurse
Maxim Healthcare
08.2002 - 08.2004
LPN/Floor Nurse
Renal Care Group
01.1999 - 08.2002
Med Nurse
Salem Nursing and Rehab Center
04.1997 - 08.1999
Med/Surge Nurse
Pickens County Medical
02.1997 - 12.1997
Career Certication - Licensed Practical Nurse
Bevill Sate Community College
Associates of Science - Nursing, R.N
Florida State College of Jacksonville
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