Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tracey Sanders

North Little Rock,AR

Summary

Experienced knowledgeable RN seeking position as Clinical Reviewer position to review medical records against appropriate criteria in conjunction with contract requirements to determine medical appropriateness. Strong clinical assessment and critical thinking skills. Medical record abstracting skills . Knowledge of the organization of medical records, medical terminology, and disease process. Active, unrestricted compact RN license .

Overview

25
25
years of professional experience

Work History

RN Field Assessor /telecommuter

Optum/United Health
06.2020 - Current
  • Conducts in home field based & video assessments when applicable utilizing the ARIA (Arkansas Independent Assessment )tool in collaboration with Arkansas Department of Human Services helping to determine the level of care a Medicaid beneficiary in Arkansas will receive.
  • communicates in a timely & accurately with beneficiaries /leadership team
  • Submits timely & accurate submissions including expense reports, timesheets, assigned training
  • Commits to excellence in all my work making quality my top priority and I constantly look for ways to improve to go above and beyond to those served and strive to complete high quality assessments.

Home Health RN Case Manager

Baptist Home Health
03.2014 - 12.2019
  • Managed complex caseloads efficiently by prioritizing tasks, delegating responsibilities to support staff, and maintaining detailed records.
  • Expedited wound healing using advanced wound care techniques such as negative pressure therapy or hydrocolloid dressings when appropriate.
  • Reduced hospital readmissions through diligent monitoring of patients'' progress and timely interventions in-home settings.
  • Promoted a safe living environment for patients by conducting thorough home safety evaluations and recommending necessary modifications or equipment upgrades.
  • Streamlined communication with physicians, ensuring accurate documentation and prompt updates on patient conditions.
  • Enhanced patient outcomes by developing personalized care plans and coordinating interdisciplinary team collaboration.
  • Prevented complications from chronic illnesses like diabetes or heart failure through targeted patient education initiatives tailored to individual needs.
  • Optimized clinical workflows by implementing electronic health record systems that improved documentation accuracy while reducing paperwork burden for staff members.
  • Ensured compliance with regulatory guidelines governing home healthcare practice through meticulous attention to detail in documentation processes and quality assurance measures.
  • Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
  • Determined and addresses individual home care needs by completing detailed assessments and reviewing documentation.
  • Educated patients and families on disease processes, medications and treatments.
  • Provided physical assessments, medication, and chronic disease management to home health patients.
  • Administered medications and treatments as prescribed by physicians.
  • Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.

Home Health RN Case Manager

St. Bernards Home Health
08.2000 - 02.2014
  • Improved medication adherence through thorough education on drug administration, interactions, and potential side effects.
  • Collaborated with external healthcare providers to facilitate seamless transitions between acute care settings and home environments.
  • Assessed patients' health status and developed individualized care plans to suit needs.
  • Monitored vital signs, developed and implemented care plans, and documented patient progress.
  • Documented patient vitals, behaviors, and conditions to communicate concerns to supervising nurse.
  • Administered different therapies and medications in line with physician orders and treatment plan.
  • Educated family members and caregivers on patient care instructions.
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies.
  • Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
  • Monitored patient reactions after administering medications and IV therapies.
  • Evaluated patient histories, complaints, and current symptoms.
  • Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
  • Recorded details regarding therapies to keep patient charts updated.
  • Expedited wound healing using advanced wound care techniques such as negative pressure therapy or hydrocolloid dressings when appropriate.
  • Reduced hospital readmissions through diligent monitoring of patients'' progress and timely interventions in-home settings.
  • Streamlined communication with physicians, ensuring accurate documentation and prompt updates on patient conditions.
  • Enhanced patient outcomes by developing personalized care plans and coordinating interdisciplinary team collaboration.
  • Prevented complications from chronic illnesses like diabetes or heart failure through targeted patient education initiatives tailored to individual needs.
  • Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.

Education

Nursing

Arkansas State University
Jonesboro, AR
06-1997

Skills

    Performs all applicable review types as workload indicates

    Adjusts work schedules daily to meet the workload demands of the department

    Attends training and scheduled meetings for maintenance and use of current/updated information

    Reads, understands, and adheres to all corporate policies including policies related to HIPAA and its Privacy and Security Rules

Timeline

RN Field Assessor /telecommuter

Optum/United Health
06.2020 - Current

Home Health RN Case Manager

Baptist Home Health
03.2014 - 12.2019

Home Health RN Case Manager

St. Bernards Home Health
08.2000 - 02.2014

Nursing

Arkansas State University

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Tracey Sanders