Quality Assurance Registered Nurse – Clinical Documentation, OASIS & Compliance

JENNA CAMILLE CANDELARIA

Quality Assurance Registered Nurse – Clinical Documentation, OASIS & Compliance

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Registered Nurse with a strong hospital background and experience in Quality Assurance, clinical documentation review, and regulatory compliance. Skilled in auditing medical records, OASIS assessments, and plans of care to ensure accuracy, compliance, and quality patient outcomes. Experienced in identifying documentation gaps, supporting ADR responses, and collaborating with interdisciplinary teams to improve documentation standards. Detail-oriented, analytical, and committed to maintaining the highest standards of patient safety, documentation integrity, and continuous quality improvement. Dedicated to delivering excellence through accuracy, accountability, and evidence-based nursing practice.



EXPERIENCE

-Quality Assurance Nurse | Abundant Home Health, LLC, Texas

- Per Diem Nurse | St. Therese De Lima Medical Center



SKILLS

-Clinical Documentation Review

-Quality Assurance & Compliance

-OASIS Review and Audit

-Regulatory Compliance (CMS, State & Federal Guidelines)

-ADR (Additional Documentation Request) Management

-Medical Necessity Validation

-Patient Assessment

-Evidence-Based Nursing Practice

-Patient Education

-Care Coordination



TECHNICAL SKILLS

-WellSky EMR/EHR

-Electronic Medical Records (EMR/EHR)

-Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)

-Google Workspace

-Data Entry & Documentation Management

-Medical Records Management



EDUCATION

- Bachelor of Science in Nursing