
Analytical and detail-oriented RN with 15 years bedside experience. Strong clinical judgement to evaluate medical necessity and optimize hospital resource allocation. Expert at analyzing complex clinical documentation, identifying acute changes in patient status and collaborating with multidisciplinary teams to facilitate safe and efficient care management. Highly proficient in Cerner with introductory exposure to Epic documentation systems. Proven ability to enhance accuracy through thorough chart audits, interpreting diagnostic data and communicating effectively with physicians, ensuring adherence to national standards.
Staff Education: Provided ongoing training to clinicians on documentation best practices and regulatory compliance.
Medical Necessity & Level of Care Assessment: Evaluated presenting clinical data in triage environments to determine appropriate patient placement and medical necessity for acute inpatient admission
Clinical Documentation & Chart Auditing: Conducted rigorous real time electronic medial record audits to ensure compliance with regulatory, legal and CMS standards
Resource Management & Care Coordination: Coordinated high-risk obstetric cases by collaborating with the multidisciplinary team to align care plans and optimize resource allocation and anticipated resource demands during rapid acuity changes ensuring efficient sequencing of interventions to manage hospital length of stay
Discharge Planning and Denial Prevention: Managed comprehensive care transitions for postpartum and neonatal populations, proactively identifying social determinants of health to mitigate 30-day readmission risks through thorough education and documentation of verified learning comprehension including barriers to learning
Registered Nurse Certified- Inpatient Obstetrics