Courtney Lancaster
About
Detail
St. Peters, Missouri, United States
Résumé
Jobs
verified_user
0% verified
- MNeurology Stepdown RNMissouri Baptist Medical CenterSep 2024 - Current (1 year 11 months)As a Neurology Stepdown RN, I provided specialized nursing care to patients recovering from neurological procedures and conditions, ensuring adherence to healthcare regulations to maintain the highest standards of patient safety and quality. My role involved closely monitoring patients' neurological status and collaborating with interdisciplinary teams to develop comprehensive care plans. Additionally, I frequently encountered behavioral health patients, as our unit served as the initial point of contact for those requiring assessment before any medical diagnoses were ruled out. This experience allowed me to enhance my skills in managing complex cases that intersected with both neurological and behavioral health needs, ensuring holistic pat
Hospice Nurse Case ManagerSSM HealthApr 2024 - Sep 2024 (6 months)- Acute Adult Psychiatric RNSSM HealthSep 2022 - Apr 2024 (1 year 8 months)Assessed continued medical necessity and appropriate level of care in a tertiary care academic medical center for assigned complex high-acuity psychiatric patients daily, ensuring documentation captured clinical rationale to support utilization review criteria and compliant reimbursement. Served as a resource nurse and preceptor, guiding unit triage decisions and supporting staff on complex documentation protocols and care plan compliance. Collaborated with interdisciplinary teams (psychiatrists, social workers) to ensure care plans reflected appropriate level of care determination and supported coordinated, timely transitions. Supported concurrent utilization review processes by ensuring clinical documentation captured detailed rationale f
- MDirector of Clinical ServicesMed-Staff Home HealthJun 2021 - Dec 2021 (7 months)As the Director of Clinical Services, I directed clinical operations and utilization review activities, performing telephonic clinical assessments to evaluate risk, determine medical necessity, and support appropriate level-of-care decisions for home health services. I provided clinical leadership to a team of 8 field clinicians, conducting comprehensive chart audits (OASIS) and Quality Assurance (QA) reviews to ensure documentation accuracy, Clinical Documentation Integrity (CDI), and compliance with payer, CMS, and regulatory requirements. I maintained high-velocity case production while ensuring 100% compliance with HIPAA and data privacy protocols in a hybrid environment. Additionally, I reviewed 100% of referrals and admissions for med
- MMedical Psychiatric RNMercy HospitalJan 2021 - Sep 2022 (1 year 9 months)
- Private Duty SupervisorMaxim HealthcareSep 2019 - Dec 2020 (1 year 4 months)As a Private Duty Supervisor, I served as the primary point of clinical oversight, conducting telephonic and retrospective chart reviews to ensure clinical adherence, care plan integrity, and regulatory compliance. I evaluated patient acuity, service frequency, and care plans against payer requirements and coverage parameters to ensure appropriate utilization, support authorization requests, and maintain ongoing eligibility for covered services. Additionally, I managed the case intake process, ensuring appropriate risk stratification and proper coordination of services to meet client needs while adhering to payer requirements. I conducted documentation gap analysis and synthesized complex clinical data from EMRs to ensure clinical records a
- Travel Corrections Psychiatric RNMaxim HealthcareJun 2019 - Sep 2019 (4 months)
- Travel Psychiatric RNTRS HealthcareMay 2018 - Aug 2018 (4 months)
- CPsychiatric Charge RNCrestwyn Behavioral HealthDec 2017 - May 2018 (6 months)
- LHospice Nurse Case ManagerLegacy HospiceJul 2016 - Dec 2017 (1 year 6 months)Assessed eligibility, continued stay, and appropriateness of hospice services through ongoing evaluation of clinical status against Medicare hospice criteria (terminal prognosis less than 6 months), supporting compliant utilization and coverage determinations. Collaborated with clinical teams to review 15-20 cases weekly & clarify medical necessity, documentation needs, and care decisions. Delivered extensive patient and family education on disease progression and regulatory guidelines, mitigating risk and ensuring adherence to the care plan. Streamlined communication between providers, social workers, and other community partners to facilitate integrated care delivery and efficient utilization of resources.
- SAdult/Geriatric Psychiatric RNSt. Francis HospitalSep 2015 - Jul 2016 (11 months)
- PResidential Adolescent Psychiatric RNParkwood Behavioral HealthOct 2014 - Sep 2015 (1 year)
- TPsychiatric RNTri Lakes Behavioral HealthJun 2013 - Nov 2013 (6 months)
Education
verified_user
0% verified
- NAssociate's Degree, Nursing (RN)Northwest Mississippi Community CollegeAug 2008 - May 2012 (3 years 10 months)Senatobia, Mississippi
Projects (professional or personal)
verified_user
0% verified
- MDocumentation Improvement InitiativeMed-Staff Home HealthJun 2021 - Dec 2021 (7 months)I identified significant documentation gaps through chart audits that failed to capture clinical severity and risk factors, placing the company at regulatory and reimbursement risk. I then developed comprehensive educational materials and taught in-services to clinical staff on documentation standards, regulatory requirements, and payer guidelines. Through this initiative, our documentation quality and compliance improved by 30%, ensuring accurate representation of patient acuity and medical necessity for appropriate reimbursement.