Shahara Willis
Amedisys Home Health Services
FLORENCE,SC
5
years of professional experience
Registered Nurse with 5 years of experience in clinical documentation, medical record review, care coordination,disease management, and medication management. Skilled in reviewing clinical records and ICD-10 codes to support prior authorization requests and insurance appeal. Strong clinical judgment, analytical skills, and knowledge of Medicare documentation requirements.
Work History
Home Health Registered Nurse Case Manager
5 Months- Coordinated follow-up and provider communication for approximately 40–50 patients within assigned caseload; scheduled and tracked skilled nursing visits.
- Performed detailed environmental and clinical assessments to determine readiness for start-of-care resumption and recertification, including evaluation of clinical status, functional ability, safety risks, and barriers to care.
- Reviewed patient status during recertification, assessed skilled nursing needs, and documented patient progress, continued care needs, and clinical justification for services.
- Developed individualized care plans based on assessment findings, clinical documentation, physician orders, and established patient goals.
- Monitored performance against established goals, assessed effectiveness of interventions, and reported changes in patient condition to appropriate care providers.
- Managed communication and care coordination with physicians, therapists, social workers, and other healthcare professionals to maintain continuity of care and ensure appropriate follow-up.
- Reviewed medication lists, reconciled prescribed regimens, identified and documented discrepancies, and delivered patient and caregiver education on medication adherence, disease management, symptom monitoring, and complication prevention.
- Managed end-to-end clinical recordkeeping to ensure accurate, complete, and timely documentation aligned with agency policies and applicable Medicare and CMS requirements.
Infusion Nurse
11 Months- Measured and documented patient weight and vital signs at prescribed intervals before and during infusion therapy.
- Established peripheral IV access and accessed implanted ports for administration of ordered infusion treatments.
- Administered ordered medications in alignment with medication-safety protocols, confirming provider instructions and completing required safety checks to support safe patient care.
- Prepared, measured, and mixed medications while following physician orders and established procedures.
- Monitored patients for adverse reactions during infusion therapy to maintain safety and ensure execution of company protocols when concerns or adverse events occurred.
Home Health Registered Nurse Case Manager
10 Months- Performed OASIS assessments and reassessments, documenting clinical status, functional ability, safety risks, and home health need determinations.
- Maintained accurate clinical records of assessments, interventions, patient responses, and treatment goal progress to support continuity of care.
- Performed in-home assessments to track clinical status changes, evaluate effectiveness of treatment, and deliver medication adherence and disease-management education.
Cardiac ICU Registered Nurse
7 Months- Conducted detailed critical-care assessments, monitored patient condition for changes, and identified needs for timely clinical attention.
- Monitored cardiac rhythms, vital signs, hemodynamic parameters, and prescribed treatment responses to support ongoing assessment of clinical stability.
- Reviewed laboratory results, diagnostic findings, medication regimens, and treatment plans to guide clinical decision-making and maintain patient safety.
- Monitored for acute changes in condition and implemented interventions to support timely clinical care per established protocols.
- Maintained complete documentation by recording assessments, delivered interventions, monitored patient responses, and captured clinical outcomes in electronic health record.
- Provided patient and family education regarding diagnoses, medications, treatment plans, and ongoing care needs.
Registered Nurse Clinical Coordinator
7 Months- Managed physician call intake and clinical message triage to address inquiries and coordinate timely follow-up among patients, providers, and healthcare personnel.
- Performed telephone nursing assessments to evaluate reported symptoms and clinical status changes, provide education, and determine when follow-up or escalation was needed.
- Analyzed medical records and physician office notes, verified clinical documentation, and reviewed ICD-10 diagnosis codes to extract relevant details for medication authorization requests and insurance appeals.
- Coordinated pharmaceutical patient-assistance applications to support access to prescribed medications by verifying eligibility, submitting clinical documentation, and validating income verification.
Medical Surgical Registered Nurse
4 Months- Reviewed medical records, including diagnostic results, medication profiles, and treatment plans, to verify alignment for patient safety and continuity of care.
- Evaluated patient condition through nursing assessments and clinical judgment to develop individualized plans of care to meet treatment needs and follow established clinical guidance.
- Tracked responses to prescribed treatments and medications, assessed for potential complications, and communicated condition changes for prompt escalation to healthcare team.
- Followed established clinical policies, procedures, and medication-safety standards to ensure safe patient care delivery.
- Collaborated with interdisciplinary healthcare professionals to coordinate care and adjust plans based on clinical status and progress toward goals.
- Coordinated discharge planning with interdisciplinary team to ensure continuity of services and address post-discharge needs for safe transitions.
Education
Associate of Applied Science - Nursing
Skills
Documentation standards
Clinical documentation
Medication Reconciliation
Clinical data analysis
Interdisciplinary Collaboration
Medicare documentation
ICD-10 review
Home Health Regulations
Electronic Health Records
Care Coordination Strategies
Patient Advocacy
Information analysis
Timeline
Home Health Registered Nurse Case Manager
Amedisys Home Health Services
05.2026 - CurrentRead More
Infusion Nurse
Palmetto Infusion
06.2025 - 05.2026Read More
Home Health Registered Nurse Case Manager
MUSC Health at Home by Bayada
03.2023 - 01.2024Read More
Cardiac ICU Registered Nurse
McLeod Regional Hospital
07.2022 - 02.2023Read More
Registered Nurse Clinical Coordinator
HopeHealth Center
12.2021 - 07.2022Read More
Medical Surgical Registered Nurse
Medical University South Carolina
08.2021 - 12.2021Read More
Florence-Darlington Technical College
Associate of Applied Science from Nursing
Read More