Stephanie Edwards
Pflugerville
Summary
Highly skilled and dedicated Registered Nurse with 14 years of progressive experience across diverse healthcare settings, including acute care, medical-surgical units, home health, case management, hospice, and utilization review management. Demonstrated leadership in nursing management roles, with a strong track record of coordinating high-quality patient care, leading interdisciplinary teams, and optimizing clinical operations. Experienced in developing individualized care plans, conducting comprehensive assessments, and ensuring appropriate resource utilization to support both patient outcomes and organizational goals. Recognized for clinical expertise, compassionate care, and ability to adapt in fast-paced, dynamic environments. Actively pursuing opportunities in nursing leadership or healthcare administration to contribute to system-wide improvements in patient care delivery, compliance, and cost efficiency.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Clinical Manager
New Century Hospice/ Gentiva
Austin
2024.12 - Current
- Provide clinical supervision and leadership to RNs, LVNs, Social Workers, Chaplains, HHAs, and patient care coordinator.
- Review clinical documentation for all new patient referrals, verify insurance coverage, input new referrals into HCHB, and assign admissions to appropriate staff.
- Manage and oversee clinician schedules to ensure timely completion of visits and overall schedule compliance.
- Track and ensure timely completion of Face-to-Face (FTF) encounters and recertification requirements.
- Serve as the Alternate Administrator in the absence of the Administrator.
- Prepare for and facilitate Interdisciplinary Group (IDG) meetings.
- Oversee and maintain clinical and administrative documentation, including Medicaid certification compliance.
- Manage Durable Medical Equipment (DME) and supply orders; review and approve medication and pharmacy orders.
- Monitor and process workflows in the Homecare Homebase (HCHB) system, including: New admissions, (HIS) documentation, Certification of Terminal Illness (CTI) processing, Coordination notes, Quality Improvement (QI) reporting, Death notifications and documentation.
- Maintain Quality Improvement (QI) binders and support QAPI initiatives.
- Provide oversight and delivery of nursing and HHA training, including compliance, in-service education, and annual competency assessments.
RN Case Manager
St. David's RRMC
Round Rock
2023.05 - 2025.05
- Coordinated activities that promote quality outcomes and ensure timely utilization review.
- Facilitated care progression and transition using established clinical criteria in collaboration with the multidisciplinary team.
- Performed comprehensive assessments of patients' psychosocial, medical, and discharge needs, including evaluation of available resources for patients and families.
- Utilized the InterQual system to determine whether patients meet observation or inpatient status requirements, and assist in facilitating appropriate care transitions.
- Coordinated and drive the plan of care and discharge planning by working closely with the healthcare team and attending physicians to ensure safe and effective transitions of care.
Registered Nurse, Field Nurse PRN
JOL Home Health and Hospice
Austin
2019.01 - 2023.12
- Conducted comprehensive patient assessments to determine clinical needs and develop appropriate care plans.
- Completed OASIS documentation for Start of Care (SOC) admissions, recertifications, resumptions of care, and discharges.
- Performed routine skilled nursing visits and supervisory visits for LVNs and home health aides.
- Delivered a wide range of skilled nursing care, including: Foley catheter care, PICC line dressing changes and management, IV antibiotic administration, Wound care, Tracheostomy care, Additional nursing duties as assigned.
- Provided patient and caregiver education on disease processes and coordinated care with the Interdisciplinary Team (IDT).
- Communicated and collaborated with physicians and other healthcare providers to ensure optimal patient care management.
- Participated in case conferences to review and support patient care progression and planning.
Patient Care Manager /Clinical Supervisor
Accent Care formerly Texas Home Health
Austin
2020.05 - 2023.05
- Provided clinical supervision and utilization management to ensure quality and cost-effective patient care.
- Reviewed daily staffing against census and managed patient overflow to maintain appropriate staff-to-patient ratios.
- Served as Backup Administrator, supporting executive operations and ensuring continuity of leadership.
- Oversaw PTO and payroll review and approval for clinical staff.
- Supervised and coached field staff, including RNs, LVNs, PTs, PTAs, OTs, OTAs, and HHAs through: Training and orientation, Field supervision and in-person evaluations, Ongoing performance coaching and development.
- Monitored and tracked Key Performance Indicators (KPIs) daily to ensure agency goals were met.
- Completed daily OASIS documentation reviews and TIF (Transfer/Interim/Final) documentation for accuracy and compliance.
- Followed up on patient complaints, ensuring timely resolution and service recovery.
- Managed staff productivity, ensuring efficiency and compliance with visit standards.
- Facilitated case conference meetings to coordinate interdisciplinary care and patient progression.
- Conducted HCAPS review and staff education to improve patient satisfaction and survey scores, QAPI preparation.
- Coordinated with staff and physicians to ensure timely and accurate OASIS documentation for CMS submission.
- Oversaw face-to-face encounter compliance to meet regulatory requirements.
- Acted as On-Call Administrator, overseeing referral intake, staff scheduling, and urgent patient issues.
- Approved new patient referrals and ensured timely scheduling and assignment of care.
- Interviewed and evaluated new onboarding staff as needed to maintain high-quality team performance.
Utilization Prior Authorization RN, Remote
United Health Group
Austin
2018.10 - 2021.10
- Conducted timely and accurate reviews of precertification and prior authorization requests submitted by medical providers.
- Utilized clinical software and guidelines to evaluate the medical necessity of proposed treatment plans.
- Collaborated with medical providers to obtain additional documentation required for authorization decisions.
- Prepared and submitted peer-to-peer review requests and handled correspondence with providers, including faxing required documents.
- Created detailed clinical summaries and documentation for Medical Director review to support approval or denial of treatment.
- Consistently met or exceeded daily productivity and performance benchmarks.
Registered Nurse
Seton Hospital
Austin
2018.07 - 2020.03
- Provided acute care to post-surgical orthopedic and medical-surgical (Med-Surg) patients in a fast-paced hospital setting.
- Performed comprehensive patient assessments, monitored vital signs, and documented clinical status.
- Administered medications, including IV therapy, and performed skilled procedures such as: Foley catheter care, PICC line care, PEG tube care, Tracheostomy care.
- Delivered patient and caregiver education to promote safe care and recovery at home.
- Supervised Patient Care Technicians (PCTs) to ensure quality and timely patient care.
- Precepted and trained newly hired nursing staff, supporting onboarding and clinical development.
- Actively participated in code calls, providing critical support during emergency situations.
- Served as Skin Care Liaison for the unit, promoting pressure ulcer prevention and conducting skin assessments.
Registered Nurse, Case Manager
Optum Health United Health Care
Austin
2017.07 - 2019.10
- Completed OASIS documentation for Start of Care (SOC), Resumption of Care (ROC), Recertifications, and Discharges, ensuring compliance with CMS guidelines.
- Conducted supervisory visits for LVNs, monitoring performance and maintaining high standards of patient care.
- Trained and mentored newly onboarded staff, supporting their clinical development and successful integration into the team.
- Participated in the on-call rotation, managing urgent patient concerns, coordinating care, and assisting field staff during after-hours situations.
- Provided direct skilled nursing care, including: Foley catheter insertion and care, PICC line dressing changes and site monitoring, Venipuncture and lab draws, Wound care, assessments, and dressing changes, Medication administration and management, including patient education.
Clinical Supervisor RN
HealthSense HomeCare
Austin
2016.02 - 2018.04
- Case managed a caseload of approximately 110 patients in an office-based setting, ensuring continuity and quality of care.
- Supervised and coordinated care with interdisciplinary field staff, including RNs, LVNs, CNAs, PTs, OTs, and field nurses.
- Participated in hiring, training, and performance evaluations of clinical staff to maintain high standards and support professional development.
- Organized and facilitated case conferences, promoting collaborative care planning and patient progress review.
- Reviewed and corrected OASIS documentation and other clinical notes submitted by field staff for accuracy and compliance with regulatory standards.
- Provided direct patient care in the field as needed to support staff coverage and maintain quality of service.
RN Case Manager
Encompass Home Health
Austin
2013.02 - 2016.01
- Provided direct patient care, including: Tracheostomy care, IV site care and maintenance, Foley catheter management, Medication administration and management.
- Coordinated comprehensive patient care by collaborating with staff, physicians, families, and supervisors to ensure continuity and quality of care.
- Reviewed OASIS documentation for Start of Care, Discharge, Recertification, and Resumption of Care to ensure accuracy and compliance with CMS regulations.
- Performed routine nursing supervisory visits to monitor care delivery and support field staff.
- Obtained and documented physician orders for updates or changes to the plan of care.
- Precepted onboarding staff, providing mentorship and clinical guidance during orientation.
- Participated in the on-call rotation, handling after-hours patient needs and supporting field staff.
RN Staff Nurse/ Charge Nurse/ Float Pool
St. David's Medical Center
Austin
2011.06 - 2014.02
- Delivered comprehensive nursing care across multiple inpatient units, including: Medical-Surgical (Med-Surg), Neurology, Cardiology, Postpartum, Rehabilitation, Oncology.
- Performed skilled nursing duties such as: IV medication administration, PICC line management and care, Foley catheter insertion and maintenance, Medication administration and management, Other assigned clinical responsibilities based on patient needs.
- Served as Charge Nurse, overseeing unit operations, managing staffing assignments, and ensuring quality patient care and staff coordination during shifts.
- Acted as a preceptor for new staff, providing training, mentorship, and clinical guidance throughout orientation.
- Collaborated closely with physicians, case managers, and therapy teams to coordinate patient care and facilitate effective discharge planning.
PCT (Patient Care Technician)
St Davids RRMC
Austin
2010.09 - 2011.06
- Provided Activities of Daily Living (ADL) care to patients, assisting with hygiene, mobility, and comfort needs as a Certified Nursing Assistant (CNA).
- Supported nursing staff by assisting with Foley catheter removals under supervision.
- Assisted in lab draws to help facilitate timely diagnostic testing.
- Monitored and recorded vital signs, reporting changes promptly to nursing staff to ensure patient safety and timely interventions.
PHC Supervisor/ Hospice CNA
Accent Care Home & Health Services and Hospice
Austin
2007.12 - 2010.10
- Supervised and managed a caseload of 120 Medicaid-funded clients receiving Activities of Daily Living (ADL) care services.
- Oversaw hiring, training, and supervision of care providers, including conducting background checks for all new hires supporting Medicaid-eligible clients.
- Conducted home visits to monitor client satisfaction and ensure timely completion of care duties.
- Processed timesheets and payroll for care providers, ensuring accurate and timely compensation.
- Coordinated care efforts with nursing staff and other healthcare disciplines involved in client care to promote comprehensive service delivery.
- Provided direct ADL care for hospice patients as needed during periods of staff shortages, ensuring continuity of compassionate care.
Education
BSN -
Austin Community College
Skills
- Case Management
- Home Health/ Hospice experience
- EMR Systems, HCHB, Kinnser, Meditech
- Oasis Review
- Staff Nurse
- Hospital experience
- Discharge planning
- Office Administration
- Leadership
- Training/ Clinical Education
- Insurance verification
- Utilization Management
- QAPI experience
- Supervising experience
- Interviewing
- Medication Administration
- Documentation review
- Hospice Care
- Catheterization
Certification
- BLS Certification
- RN License
<Enter your own>
Authorized To Work: US for any employer
Timeline
Clinical Manager
New Century Hospice/ Gentiva
2024.12 - Current
RN Case Manager
St. David's RRMC
2023.05 - 2025.05
Patient Care Manager /Clinical Supervisor
Accent Care formerly Texas Home Health
2020.05 - 2023.05
Registered Nurse, Field Nurse PRN
JOL Home Health and Hospice
2019.01 - 2023.12
Utilization Prior Authorization RN, Remote
United Health Group
2018.10 - 2021.10
Registered Nurse
Seton Hospital
2018.07 - 2020.03
Registered Nurse, Case Manager
Optum Health United Health Care
2017.07 - 2019.10
Clinical Supervisor RN
HealthSense HomeCare
2016.02 - 2018.04
RN Case Manager
Encompass Home Health
2013.02 - 2016.01
RN Staff Nurse/ Charge Nurse/ Float Pool
St. David's Medical Center
2011.06 - 2014.02
PCT (Patient Care Technician)
St Davids RRMC
2010.09 - 2011.06
PHC Supervisor/ Hospice CNA
Accent Care Home & Health Services and Hospice
2007.12 - 2010.10
BSN -
Austin Community College