Holli Baker

Registered Nurse with 20+ years of multidisciplinary clinical experience specializing in medical record review, chronology development, clinical documentation analysis, and longitudinal patient assessment across pediatric, trauma, surgical, long-term care, and case management settings. Experienced in analyzing complex medical records, identifying documentation gaps and inconsistencies, tracking progression of clinical decline, and translating large volumes of healthcare information into concise, organized, and defensible summaries. Strong background in high-acuity pediatric trauma and surgical care, long-term care case management, interdisciplinary coordination, and standards-of-care focused documentation review.

Highly detail-oriented with extensive experience reviewing longitudinal patient histories involving falls, pressure injuries, infections, hospitalization trends, therapy progression, changes in condition, and end-of-life decline within medically complex populations.

Legal Nurse Consultant (Owner) at Nexa Legal Nurse Consulting (2025-01 – Present)

• Analyze medical records for chronology, documentation integrity, and standards-of-care related concerns
• Develop structured medical summaries and chronologies for case review
• Identify discrepancies, omissions, and inconsistencies within clinical documentation
• Translate complex healthcare information into concise, organized, and defensible summaries
• Review records involving long-term care, traumatic injury, surgical complications, and medically complex patient scenarios

Founder & Clinical Director at Nexa Trim Clinic (2023-01 – 2025-12)

• Oversaw clinical documentation, patient communication, chart review, and telehealth coordination workflows
• Maintained documentation accuracy and consistency across patient intake and follow-up systems
• Organized medication, laboratory, and treatment-related documentation processes

RN Case Manager at Amerigroup (2015-01 – 2023-12)

• Managed medically complex geriatric and long-term care patient populations across skilled nursing and long-term care facilities
• Conducted detailed medical record reviews for utilization review, care coordination, and longitudinal patient assessment
• Utilized PointClickCare (PCC) and Matrix extensively to review clinical documentation, assess patient status, and support interdisciplinary care coordination workflows
• Monitored longitudinal changes in patient condition including pressure injuries, falls, infections, weight fluctuations, hospitalization trends, therapy progression, functional decline, and end-of-life deterioration
• Reviewed therapy documentation, rehabilitation progression, mobility status, and interdisciplinary care plans involving physical, occupational, and speech therapy services
• Monitored evolving clinical documentation during the COVID-19 pandemic including rapid decline, hospitalization, care transitions, and end-of-life documentation review within high-risk geriatric populations
• Identified documentation gaps, inconsistencies, changes in condition, and potential standards-of-care concerns within medically fragile populations
• Worked independently in a high-volume remote documentation environment requiring strong analytical skills, organization, and attention to detail

Charge Nurse – Pediatric Trauma, Surgical & Medical-Surgical Unit at Cook Children's Medical Center (2005-01 – 2014-12)

• Coordinated care for high-acuity pediatric trauma, surgical, orthopedic, endocrine, gastrointestinal, neurological, and medically complex patients within a tertiary care environment
• Managed patients with traumatic injuries, fractures, spinal fusions, amputations, traction therapy, post-operative complications, GI obstructions, ostomies, neurosurgical conditions, endocrine disorders, accidental injuries, and non-accidental trauma cases
• Worked extensively with Child Protective Services (CPS) and child abuse/non-accidental trauma cases requiring detailed documentation, multidisciplinary coordination, and careful clinical assessment
• Maintained highly detailed clinical documentation and interdisciplinary communication across medically complex patient populations in Meditech EMR
• Coordinated discharge planning, continuity of care, patient/family education, and interdisciplinary care management workflows

Associate of Applied Science in Nursing – El Centro College