Rachel Sawvell
Blue Springs
Summary
Compassionate and experienced RN with a strong background in Emergency Care, Labor and Delivery, Covid Response, and Home Health Case Management. Skilled in conducting medical necessity assessments, and facilitating interdisciplinary care coordination to ensure optimal patient outcomes. Proficient in navigating Medicare, Medicaid payer guidelines, with technical proficiency in EMRs such as Cerner, Epic, and Meditech. Eager to leverage critical thinking, documentation skills, and utilization review experience in a dedicated utilization review nurse role.
Overview
8
8
years of professional experience
1
1
Certification
Work History
RN Case Manager
Faith Home Health
Gladstone
10.2024 - 03.2025
- Independently managed home health caseloads, creating and executing individualized care plans based on OASIS assessments, and Medicare regulations.
- Collaborated with interdisciplinary teams, patients, and families to ensure appropriate services, optimizing outcomes, and resource utilization.
- Performed utilization reviews to assess the appropriateness of services and ensure compliance with payer guidelines.
- Maintained timely and accurate documentation to support medical necessity, and reduce the risk of payer denials.
ER RN (Travel and Staff Roles)
HCA / HealthTrust Workforce Solutions
Lee’s Summit
01.2022 - 11.2024
- Delivered acute care in high-volume, Level II trauma ER settings, using critical thinking to prioritize and rapidly triage patients, along with assessing patient needs, then adjusting treatment plans accordingly.
- Reviewed diagnostic results and patient histories to advocate for appropriate interventions, avoiding unnecessary procedures.
- Documented care accurately using Meditech and supported patients and families in high stress, including behavioral health crises and holding situations.
Community Health RN – COVID Clinic
Truman Medical Center
09.2020 - 10.2021
- Coordinated mobile COVID testing and vaccine clinics.
- Communicated patient education and clinical recommendations in alignment with evolving CDC protocols.
- Provided education, triage, and post-vaccine monitoring in a community setting.
Labor & Delivery RN (Staff and Travel roles)
St Luke's Hospital / Truman Medical Center
Kansas City
03.2017 - 10.2020
- Managed care during labor and antepartum/postpartum phases, including emergency and surgical interventions.
- Conducted assessments, monitored fetal/maternal well-being, and collaborated with OB teams for appropriate interventions.
Education
Bachelor of Science - Nursing
Graceland University
Independence, MO12.2016
Skills
- Utilization Review & Medical Necessity Justification
- Medicare/Medicaid Guidelines
- Interdisciplinary Care Coordination/Communication
- EMRs: Cerner, Meditech, Epic
- Chart Review & Clinical Documentation
- Home Health/ OASIS/ Plan of Care Development
- Case Management & Care Coordination
- Acute Care/ER/L&D experience
- Behavioral Health Support
- Patient Advocacy & Education
Certification
- RN License – Compact Multi-State, MO, CA, NY, 05/01/27
- BLS, NRP, TNCC, CPI, ENPC, NIHSS Certified
Timeline
RN Case Manager
Faith Home Health
10.2024 - 03.2025
ER RN (Travel and Staff Roles)
HCA / HealthTrust Workforce Solutions
01.2022 - 11.2024
Community Health RN – COVID Clinic
Truman Medical Center
09.2020 - 10.2021
Labor & Delivery RN (Staff and Travel roles)
St Luke's Hospital / Truman Medical Center
03.2017 - 10.2020
Bachelor of Science - Nursing
Graceland University
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