Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tomekia J Sampson

Red Oak,TX

Summary

Dependable Utilization Review/ Hedis Abstractor Nurse promoting over 9 years of expertise in healthcare industry. Knowledgeable in abstraction of clinical and hospital stay reviews.

Overview

13
13
years of professional experience

Work History

Assistant Director of Nursing

M&L Home Health and Hospice
04.2024 - Current
  • Supervise and provide directions to subordinates in an effort to ensure quality and compliance with Plan of Care
  • Promote compliance with all fiscal intermediary and/or other third-party payors through education, coaching and other assistance as necessary
  • Perform supervisory visits for HHA’s & LVN’s

RN Abstractor

Advantmed
02.2025 - 04.2025
  • Reviewed medical records and clinical data to ensure compliance with HEDIS measures
  • Organized patient records and identified data within the files that are pertinent to HEDIS measures
  • Facilitated member access to community resources
  • Assisted in providing education to member and or member’s family.

RN Case Manager Remote/Utilization Management

A-Line Staffing
04.2021 - 03.2024
  • Used MCG to determine length of stay and medical necessity for members.
  • Communicated with medical professionals to negotiate length of stay when ne
  • Provide care for Star Plus Medicaid members.
  • Assess member’s current health status to determine level of need.
  • Coordinate services between PCP, specialists, non-medical staff and DME companies to ensure members needs are met.
  • Performed Hedi measures during Hedis season
  • Assisted in providing education to member and or member’s family.

Psych Nurse PRN

Parkland Hospital
06.2020 - 08.2022
  • Completed behavior health assessments on patients referred for mental illness
  • Safely administered medication per protocol and educate patient about the use and importance of medication compliance.
  • Managed care for assigned patients
  • Transcribed and carried out treatment orders accordingly
  • Completed necessary documentation in Epic system

Assistant Director of Nursing

M&L Home Health and Hospice
01.2017 - 06.2020
  • Supervised and provided directions to subordinates in an effort to ensure quality, compliance with Plan of Care
  • Promoted compliance with all fiscal intermediary and/or other third party payors through education, coaching and other assistance as necessary
  • Performed supervisory visits for HHA’s & LVN’s
  • Performed head to toe assessments on patients and report any abnormal findings to the physician
  • Managed care for assigned patients
  • Completed necessary documentation in Kinnser’s software in a timely manner
  • Responsible for education of family regarding patient’s progress.

Skilled Nursing Unit RN

Heritage Oaks
09.2016 - 12.2018
  • Performed head to toe assessments on all newly admitted patients within four hours of admission
  • Responsible for using nursing process to provide excellent patient care
  • Participated in the care plan implemented to help patient recover and meet goals implemented by the health care team
  • Responsible for education of family regarding patient’s progress

Registered Nurse

Virtual Home Health
07.2016 - 07.2017
  • Performed head to toe assessments on patients and report any abnormal findings to the physician
  • Performed supervisory visits for HHA’s & LVN’s
  • Managed care for assigned patients
  • Completed necessary documentation in Kinnser’s software in a timely manner
  • Responsible for education of family regarding patient’s progress.

Patient Care Technician

Parkland Hospital
03.2012 - 05.2013
  • Took vital signs, collected specimens, assisted patients with eating, personal hygiene, and grooming
  • Documented all encounters made with each patient via Epic system
  • Assisted Nurse with any duties within my scope
  • Ensured availability of supplies and equipment

Education

Associate of Nursing -

El Centro College
Dallas, TX
08.2016

Associate of Science - Science

Mountain View College
Dallas, TX
05-2013

Skills

  • Case management
  • Clinical leadership
  • Clinical judgment
  • Discharge planning
  • Compassion and empathy
  • Quality improvement
  • Patient assessments
  • Strong clinical judgment
  • Licensed RN

Timeline

RN Abstractor

Advantmed
02.2025 - 04.2025

Assistant Director of Nursing

M&L Home Health and Hospice
04.2024 - Current

RN Case Manager Remote/Utilization Management

A-Line Staffing
04.2021 - 03.2024

Psych Nurse PRN

Parkland Hospital
06.2020 - 08.2022

Assistant Director of Nursing

M&L Home Health and Hospice
01.2017 - 06.2020

Skilled Nursing Unit RN

Heritage Oaks
09.2016 - 12.2018

Registered Nurse

Virtual Home Health
07.2016 - 07.2017

Patient Care Technician

Parkland Hospital
03.2012 - 05.2013

Associate of Nursing -

El Centro College

Associate of Science - Science

Mountain View College

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