Syanni Waters
Wilmington,DE
Summary
Registered nurse with over 7 years of experience in both clinical and administrative roles within healthcare. Strong skills in patient assessment, interdisciplinary care coordination, and clinical decision-making. Specialized in medical record review and EMR documentation, enhancing discharge planning and care outcomes. Proven ability to maintain regulatory compliance while managing complex patient care in dynamic settings.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Registered Nurse
The Birth Center
DE, DE
08.2025 - Current
- Conducted maternal and fetal risk assessments and evaluated clinical indicators to determine need for escalation of care or hospital transfer.
- Reviewed clinical data to ensure safe, evidence-based care decisions.
- Maintained thorough documentation in compliance with regulatory standards.
- Documented risk assessments and clinical findings to facilitate safe transfer decisions and ensure continuity of care.
- Reviewed patient charts, diagnostic findings, and provider documentation to support safe clinical decision-making and appropriate care transitions.
- Facilitated care transitions with hospitals and external providers.
- Assisted in labor and delivery, ensuring safety and comfort for patients.
- Monitored vital signs and health status of mothers and newborns consistently.
- Educated families on newborn care and breastfeeding techniques to promote maternal health.
- Administered medications and treatments, monitoring patients for reactions and side effects.
Registered Nurse, Medical-Surgical Unit
Christiana Care Health System
DE, DE
08.2023 - 08.2025
- Oversaw care for 5–6 high-acuity patients per shift, achieving quality and productivity benchmarks in a 25-bed acute care unit.
- Assessed, monitored and documented patient progress on a daily basis.
- Conducted thorough assessments to identify patient needs and initiate appropriate interventions.
- Coordinated discharge planning for 3–5 patients daily, ensuring collaboration with case management to streamline patient transitions.
- Contributed to interdisciplinary rounds with physicians, case managers, and social workers to assess patient progress and optimize discharge readiness.
- Collaborated with case management to support medical necessity documentation and continued stay justification.
- Communicated with providers to address documentation gaps impacting payer authorization and reimbursement.
- Ensured accurate, timely Epic documentation compliant with CMS and payer standards.
- Documented 20+ clinical notes per shift with 100% compliance to regulatory standards.
- Coordinated patient admissions, discharges, and transfers in a timely manner.
Licensed Practical Nurse, Medical-Surgical Unit
Christiana Care Health System
DE, DE
07.2022 - 08.2023
- Engaged in interdisciplinary rounds with physicians, case managers, and social workers to evaluate patient progress and discharge readiness, enhancing care coordination.
- Managed 5–6 high-acuity patients per shift while maintaining quality and productivity benchmarks in a 25-bed acute care unit.
- Administered medications and monitored patient responses for optimal care.
- Delivered patient care based on physicians' orders and nursing standards.
- Collaborated with case management to ensure accurate medical necessity documentation and justified continued patient stay, improving compliance with payer requirements.
- Reviewed provider documentation and treatment plans to assess appropriate level of care and identify discharge barriers, facilitating timely patient transitions.
- Supported discharge planning for 3–5 patients daily in collaboration with case management.
- Communicated with providers to address documentation gaps impacting payer authorization and reimbursement.
- Ensured accurate, timely Epic documentation compliant with CMS and payer standards.
Certified Clinical Medical Assistant, Per-Diem
Christiana Care
Maryland, Maryland
05.2018 - 07.2022
- Performed patient intake and clinical assessments, including vital signs, medical history updates, and documentation in the electronic medical record.
- Assisted healthcare providers with patient examinations and clinical procedures.
- Processed prior authorization requests for medications, imaging, and specialty procedures by compiling required clinical documentation and submitting to insurance payers.
- Coordinated peer-to-peer reviews between physicians and insurance medical directors to facilitate timely approval of medical services.
- Reviewed patient medical records and provided documentation in the EMR to ensure completeness and accuracy prior to insurance submission.
- Verified insurance eligibility and benefits to ensure accurate payer information and compliance with authorization requirements, minimizing delays in patient care.
- Coordinated referrals and specialty appointments while ensuring required authorizations and documentation were obtained.
- Supported outpatient clinical operations across multiple specialties, assisting providers with patient care coordination and administrative workflow management.
- Educated patients on medication administration and health maintenance.
- Assisted in scheduling appointments for patients over the phone or via email communication.
Education
Master of Science - Nurse Midwifery/Women's Health Nurse Practitioner
Georgetown University
Washington, DC12-2027
Bachelor of Science - Nursing
Wilmington University
New Castle, DE05-2025
Associate of Applied Science - Carneys Point, NJ
Salem Community College
Carneys Point, NJ05-2023
Certificate - Practical Nursing
Salem Community College
Carneys Point, NJ05-2022
Skills
- Utilization and clinical review
- Medical necessity assessment
- Level of care determination
- Clinical documentation analysis
- Prior authorization management
- Review tracking and support
- Appeals and denial preparation
- ICD-10 and CPT knowledge
- CMS and guideline awareness
- Interdisciplinary communication
- Payer interaction
- HIPAA and regulatory compliance
- Patient care coordination
- Patient and family advocacy
- Health care consultation
- Patient care planning
- Health screening
- Critical thinking
- Maternal health assessment
- KanTime software
- Patient management
- EMR systems
Affiliations
Sigma Theta Tau International Honor Society of Nursing, Omicron Gamma Chapter, 06/01/25, Present
Certification
• Registered Nurse, Delaware Board of Nursing, 09/30/27
• Basic Life Support Certification, American Heart Association, 03/01/27
• Neonatal Resuscitation Program, The Neonatal Resuscitation Program, 11/01/27
• Basic Life Support Certification, American Heart Association, 03/01/27
• Neonatal Resuscitation Program, The Neonatal Resuscitation Program, 11/01/27
Languages
English
Native/ Bilingual
Timeline
Registered Nurse
The Birth Center
08.2025 - Current
Registered Nurse, Medical-Surgical Unit
Christiana Care Health System
08.2023 - 08.2025
Licensed Practical Nurse, Medical-Surgical Unit
Christiana Care Health System
07.2022 - 08.2023
Certified Clinical Medical Assistant, Per-Diem
Christiana Care
05.2018 - 07.2022
Master of Science - Nurse Midwifery/Women's Health Nurse Practitioner
Georgetown University
Bachelor of Science - Nursing
Wilmington University
Associate of Applied Science - Carneys Point, NJ
Salem Community College
Certificate - Practical Nursing
Salem Community College