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Britany Waddell

Britany Waddell

Clinical Quality Reviewer | Utilization Management | Regulatory Compliance

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Warm SpringsMember since May 28, 2026
Clinical Documentation ReviewUtilization ReviewQuality Improvement InitiativesHome HealthAcute Care
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Clinical Documentation ReviewUtilization ReviewQuality Improvement InitiativesHome HealthAcute Care

About

Registered Nurse with 15+ years of experience in acute care, home health, clinical operations, and healthcare quality oversight. Extensive expertise in medical record review, clinical documentation auditing, regulatory compliance, utilization review, and quality-of-care evaluation. Strong background analyzing patient records against CMS, Medicare, and clinical practice standards to identify gaps in care, determine medical necessity, and support quality improvement initiatives.

Experienced collaborating with physicians, interdisciplinary teams, and executive leadership to ensure adherence to healthcare regulations and clinical protocols.

Experience

Weekend Clinical Manager / Interim Director at CenterWell Home Health (2021-05 – Present)

  • Provide weekend clinical and operational oversight for six home health branches supporting 50+ clinicians and over 2,000 patients.
  • Served twice as Interim Director for a combined total of 18 months, overseeing branch operations, regulatory compliance, staffing coordination, clinical performance, and quality initiatives during leadership transitions.
  • Conduct comprehensive medical record reviews, chart audits, and clinical documentation evaluations to ensure compliance with CMS, Medicare, and organizational standards.
  • Identify documentation deficiencies, quality-of-care concerns, and opportunities for clinical improvement.
  • Evaluate patient care records for medical necessity, appropriateness of services, and adherence to established clinical protocols.

Chief Nursing Officer at Warm Springs Medical Center (2021-03 – 2021-05)

  • Directed nursing operations and quality initiatives for a 28-bed inpatient/swing bed unit and 4-bed emergency department.
  • Oversaw regulatory compliance, patient safety initiatives, incident review processes, and accreditation readiness.
  • Collaborated with physicians and department leaders to address quality-of-care concerns and implement corrective action plans.

Branch Director at CenterWell Home Health (2017-07 – 2021-03)

  • Managed clinical operations for a high-volume home health branch serving 175+ patients.
  • Performed chart audits and clinical documentation reviews to ensure compliance with Medicare regulations and internal quality standards.
  • Monitored quality metrics and implemented process improvement initiatives to enhance patient outcomes and reduce risk.

Director of Clinical Management at CenterWell Home Health (2016-06 – 2017-07)

  • Supported five home health branches through clinical oversight, quality review, and regulatory compliance activities.
  • Conducted detailed documentation audits and medical record reviews to identify gaps in care and ensure compliance with healthcare standards.

Clinical Manager at CenterWell Home Health (2014-10 – 2016-06)

  • Provided clinical oversight for 50+ employees and 300+ patients while reviewing documentation and supporting interdisciplinary care coordination.

ICU Registered Nurse at Columbus Regional Medical Center (2011 – 2014)

  • Delivered critical care nursing services in a Level II Trauma Center ICU caring for high-acuity patients.
  • Collaborated with interdisciplinary teams to ensure adherence to evidence-based standards of care.

Education

Bachelor of Science in Nursing in Nursing – Columbus State University (2016-05)

Associate Degree in Nursing in Nursing – Columbus Technical College (2010-12)

Licensed Practical Nurse in Nursing – Columbus Technical College (2008-05)

Skills

Clinical Quality ReviewerUtilization ManagementRegulatory Compliance

Reviews