Stephanie Melton

• Managed dual-scope workload involving HCBA waiver eligibility assessments and home health clinical visits.
• Executed real-time, compliance-driven clinical tracking and charting using MatrixCare EMR software, ensuring accuracy for state and insurance audits.
• Conducted intensive intake diagnostics for medically fragile individuals to determine institutional placement risks, drafting complex, highly customized Plans of Treatment.
• Administered skilled nursing field services, including staging-specific wound care management, intravenous medication therapy, lab draws, and therapeutic monitoring.
• Registered Nurse with 4 years of dedicated experience managing complex California Medi-Cal Home and Community-Based Services (HCBS) waiver programs. Expert in conducting comprehensive clinical assessments, certifying Nursing Facility (NF) and Subacute levels of care, and building cost-neutral Plans of Treatment (POT). Proven track record of collaborating within multidisciplinary Care Management Teams (CMT) to successfully divert high-acuity patients from long-term institutionalized care into safe community living. EMR Medcompass.
• Conducted initial and annual comprehensive face-to-face clinical assessments for a diverse caseload of high-acuity Medi-Cal beneficiaries over 4 years, ensuring accurate certification for Nursing Facility (NF-A/B) and Subacute levels of care.
• Managed a consistent caseload of 120 complex waiver participants, consistently meeting all state-mandated timelines for re-certifications and plan updates to prevent service gaps.

Achieved fetal monitoring certification to ensure high standards of maternal-fetal health.

• Delivered direct, high-quality patient care and stabilization within an acute clinical nursing facility layout, building solid foundations in head-to-toe physical assessment.
• Led patient discharge planning, educating patients on medication compliance, symptom warning thresholds, and outpatient recovery navigation.
• Collaborated with medical teams to complete clinical tasks and execute emergency intervention protocols effectively.
• Assessed maternal-fetal status in hospital labor and delivery unit
• Monitored contractions, fetal heart patterns, and maternal vital signs
• Prepared delivery rooms for labor, birth, and emergency response
• Administered medications and IV therapies per provider orders
• Coordinated care with obstetricians, anesthesiologists, and newborn teams
• Educated patients on labor stages, postpartum care, and breastfeeding
• Documented assessments, interventions, and birth details in clinical records
• Supported cesarean deliveries and surgical recovery in labor and delivery unit
• Educated patients on labor process expectations and provided emotional support throughout labor.
• Consulted with physicians and other members of care team to identify and assist with complications.
• Maintained a safe environment for both mother, baby before, during and after labor, delivery.
• Assisted in the delivery of newborns, providing guidance and support to mothers during labor and delivery.
• Monitored fetal heart rate patterns using electronic fetal monitoring equipment.
• Provided assessment of high-risk obstetric patients on admission to Labor and Delivery Unit.
• Provided information, guidance and hands-on clinical care to support pregnant women.
• Cared for pregnant women expecting imminent birth and for babies immediately after birth in hospitals and health clinics.
• Performed emergency resuscitation measures such as cardiopulmonary resuscitation. Maintained NRP, ACLS, and BLS.
• Assessed and documented physical condition of mothers and babies and assisted doctors in identifying and treating preeclampsia.
• Documented patient progress notes according to hospital policy and procedures.
• Reviewed and tracked progress of mothers in labor, interpreted fetal heart monitor and informed delivering physician of status.
• Briefed next-shift nurses thoroughly on condition, status, and needs of mother and newborn.
• Trained and mentored staff members in obstetrics nursing and care.
• Complied with OSHA standards for healthcare professionals to minimize or eliminate risk of infection.
• Advocated for patients' needs and preferences during labor and delivery and cared for patients with a fetal loss.
• Recorded vital signs of patients to assess health status.
• Administered IV fluids and medications to manage labor pain and support labor progression.
• Collaborated with obstetricians, pediatricians, and other healthcare professionals to ensure comprehensive care.
• Implemented individualized nursing care plans for laboring mothers and newborns.
• Initiated breastfeeding techniques upon request from mother and family member.
• Evaluated patient's response to treatments administered by adjusting dosages accordingly.
• Contributed to quality improvement initiatives aimed at enhancing patient care outcomes.
• Demonstrated compassion and empathy towards all patients while maintaining professional boundaries at all times.
• Maintained accurate and detailed patient records and charts.
• Performed regular checkups on expectant mothers in order to monitor their health status.
• Identified complications during labor or delivery requiring medical attention or intervention.
• Observed strict safety measures, including checking medication dosages before administration to patients.
• Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
• Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
• Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
• Administered local, inhalation or intravenous anesthetics to patients undergoing procedures.