Registered Nurse with experience in hospice and home health clinical documentation, currently specializing in Quality Assurance and chart review. Skilled in reviewing patient records for accuracy, completeness, and compliance with regulatory standards.
Experienced in auditing admission, follow-up, and routine visit documentation, ensuring consistency between narrative notes, assessments, and clinical data. Strong attention to detail in identifying documentation gaps related to pain, respiratory status, functional decline, and overall patient condition.
Proficient in improving documentation quality by correcting inconsistencies, reducing templated charting, and ensuring clear, individualized patient narratives. Knowledgeable in care plan alignment and interdisciplinary documentation.
Detail-oriented, reliable, and able to work independently in remote settings while maintaining confidentiality and high-quality output.
