Sarah Starkman
Houston,Texas
Summary
Dedicated detail-oriented Registered Nurse with extensive experience in concurrent clinical documentation review, real-time EHR data abstraction, utilization review support, and acuity-based level of care assessment. Expertise in remote monitoring and risk stratification, ensuring regulatory compliance and improved patient outcomes. Proven track record of interdisciplinary collaboration and patient education to enhance care pathways and resource utilization.
Overview
1
1
Certification
13
13
years of professional experience
Work History
Case Management Nurse
Cadence
10.2025 - Current
- Perform risk stratification and early clinical intervention to prevent emergency department visits and hospital admissions.
- Lead interdisciplinary care teams to optimize continuity of care and enhance coordination efforts.
- Utilize RPM data analysis to proactively identify clinical trends, enhancing early intervention strategies.
- Evaluate treatment plans and clinical documentation to assess medical necessity using established care frameworks.
- Identify and analyze care gaps through review of clinical documentation, claims data, and quality metrics, ensuring accurate capture of diagnoses, appropriate resource utilization, and alignment with regulatory and reimbursement guidelines to support optimal patient outcomes and organizational performance.
- Leverage extensive experience navigating insurance requirements, prior authorizations, and healthcare regulations to ensure compliance with utilization management guidelines, optimize patient outcomes, and support appropriate resource utilization.
- Document assessments, interventions, and outcomes in compliance with regulatory and quality standards.
- Monitor, triage, and resolve real-time physiological alerts for patients managing chronic conditions.
Remote Monitoring Nurse
Current Health
05.2024 - 09.2025
- Perform concurrent clinical record review utilizing biometric and patient-generated health data to identify risk factors, clinical deterioration, and escalation needs.
- Conduct ongoing documentation audits to ensure medical necessity support and regulatory compliance.
- Evaluate clinical trends in chronic disease and post-acute populations to support appropriate level of care and resource utilization.
- Communicate real-time clinical findings to providers to facilitate timely intervention and prevent avoidable escalations.
- Maintain HIPAA compliance and documentation accuracy within remote utilization workflows.
Remote Triage Nurse
Village Medical
09.2022 - 05.2024
- Documented comprehensive patient assessments in EHR systems supporting medical decision-making, utilization tracking, and quality metrics.
- Applied standardized protocols to classify acuity, risk, and level of care, ensuring clinically appropriate documentation.
- Collaborated virtually with providers to clarify and enhance documentation supporting treatment plans and patient safety.
- Supported continuity of care through accurate documentation aligned with organizational and regulatory requirements.
Rapid Response Nurse
HCA Houston Healthcare Clear Lake
Webster, USA
06.2021 - 09.2022
- Reviewed and analyzed EHR data related to rapid response activations to identify trends impacting patient outcomes and resource utilization.
- Produced documentation and quality reports using Word and Excel to support performance improvement initiatives.
- Advocated for accurate and complete documentation during transitions to higher levels of care, supporting medical necessity and regulatory compliance.
Emergency Room Nurse
HCA Houston Healthcare Clear Lake
Webster, USA
01.2014 - 06.2021
- Documented clinical information for high-acuity and trauma patients in fast-paced environment, enhancing quality care and compliance.
- Verified accuracy of diagnostic results, labs, and EKGs in medical records, facilitating informed care decisions and ensuring billing integrity.
- Finalized discharge documentation, ensuring compliance with regulatory, quality, and continuity-of-care standards for effective patient transitions.
Education
Bachelor of Nursing -
Galen College of Nursing
01-2021
Associate Degree - Nursing
Nassau Community College
01-2010
Skills
- Medical Necessity Awareness
- Level-of-Care Assessment
- Patient Risk Assessment
- Care coordination
- Documentation Integrity
- Concurrent Chart Review
- Regulatory Compliance
- EHR Data Abstraction
- Discharge planning coordination
- Data-Driven Decision Making
- Resource Utilization Awareness
- Proficient in Epic, Meditech, Athena Health
- Proficient in Virtual Care Platforms
- Interdisciplinary Communication
- Patient Education
- Documentation practices
- Time management
Certifications
- ACDIS CDI Apprenticeship
Certification
- AK
- CA
- CT
- DC
- HI
- IL
- MA
- MI
- MN
- NV
- NY
- OR
- TX (Compact)
Timeline
Case Management Nurse
Cadence
10.2025 - Current
Remote Monitoring Nurse
Current Health
05.2024 - 09.2025
Remote Triage Nurse
Village Medical
09.2022 - 05.2024
Rapid Response Nurse
HCA Houston Healthcare Clear Lake
06.2021 - 09.2022
Emergency Room Nurse
HCA Houston Healthcare Clear Lake
01.2014 - 06.2021
Bachelor of Nursing -
Galen College of Nursing
Associate Degree - Nursing
Nassau Community College