Danielle Sturgill

CCRN-certified Registered Nurse with ICU, stroke, and trauma experience, combined with a strong background in clinical operations and insurance coordination. Skilled in utilization review, prior authorizations, and payer guideline compliance. Proven ability to analyze clinical documentation for medical necessity, communicate effectively across teams, and work independently in remote environments.

Registered Nurse – Intensive Care Unit - Hazard Appalachian Regional Hospital - Hazard, KY

(2022-10)

• Deliver high-acuity care to critically ill patients including neurologic and trauma populations
• Perform comprehensive assessments including NIHSS and continuous monitoring
• Manage ventilators, IV infusions, central lines, and complex medications
• Document detailed clinical findings in EHR systems
• Collaborate with interdisciplinary teams and support discharge planning

Nurse Extern - Hazard Appalachian Regional Hospital - Hazard, KY

(2022-01 - 2022-10)

• Assisted nursing staff with patient care, documentation, and education.

Operations Manager - Jenkins Family Clinic

(2016-12 - 2022-12)

• Managed clinic operations, staffing, scheduling, and workflows
• Oversaw billing, coding, and insurance processes
• Ensured compliance with CMS and payer guidelines
• Acted as a member of case management to aid patients with needs related to healthcare and ADL's. Arranged DME orders and provided patients with resources when needed.

Medical Assistant / Billing & Coding - Jenkins Family Clinic

(2016-10 - 2016-12)

• Completed prior authorizations and managed claims
• Worked with Medicaid, Medicare, and commercial insurance to log care gaps and arrange wellness visits for patients when needed.
• Provided hands-on care alongside the provider relating to injections, obtaining vital signs, triaging patients, assisting the provider with medical procedures, and more.
• Processed and Scrubbed Insurance Claims, processed medical records to match billing and ICD10 coding of claims being processed.
• Assisted with quality care gaps

BSN - Northern Kentucky University (2023-12)

ADN - Galen College of Nursing (2022-09)