Kristen M DeLong
Castle Rock
Summary
Experienced registered nurse with 30 years of clinical and healthcare operations expertise focused on advancing AI-driven healthcare solutions. Proficient in clinical nursing, pediatric intensive care, clinical documentation integrity, and healthcare quality improvement. Demonstrated ability to evaluate medical reasoning, identify documentation inconsistencies, and produce high-quality clinical content. Committed to evidence-based practices that enhance healthcare outcomes.
Overview
1
1
Certification
33
33
years of professional experience
Work History
Clinical Documentation Integrity Specialist – RN
Intermountain Healthcare
01.2011 - Current
- Collaborated with physicians to enhance documentation quality and ensure regulatory compliance.
- Identified documentation opportunities that facilitated accurate coding and optimized reimbursement.
- Reviewed complex inpatient records to ensure documentation accurately reflected severity of illness, risk of mortality, diagnoses, and medical necessity.
- Apply expert clinical reasoning to evaluate patient cases across multiple specialties.
- Maintained high-quality standards while independently reviewing large volumes of clinical documentation.
Nurse Case Manager
Intermountain Healthcare
Utah
01.2009 - 01.2011
- Managed communication among physicians, patients, families, healthcare teams, community resources, and payers to facilitate comprehensive care.
- Coordinated patient discharge plans and community re-entry, ensuring seamless transitions with interdisciplinary medical teams.
- Conducted daily clinical reviews based on medical necessity guidelines, relaying payer determinations to hospitals and patients for informed decision-making.
Pediatric ICU Nurse
Intermountain Healthcare, Primary Children’s Medical Center
Salt Lake City
01.2007 - 01.2009
- Crafted nursing care plans for critically ill pediatric patients, ensuring tailored interventions in intensive care.
- Managed care for patients with complex conditions, including multi-system organ failure.
- Provided comprehensive nursing care for diverse diagnoses, such as respiratory distress and sepsis.
- Administered targeted treatments for neurological disorders, including seizures and brain tumors, to stabilize patient conditions.
- Monitored renal failure patients requiring dialysis, managing electrolyte imbalances to support recovery.
- Supported patients with cardiovascular defects requiring specialized interventions.
- Collaborated with interdisciplinary teams to ensure optimal patient outcomes in ICU setting.
Pediatric ICU Travel Nurse
MedStaff Inc.
01.2005 - 01.2007
- Secured nationwide contracts for pediatric intensive care assignments, enhancing access to specialized care.
- Completed assignments at leading facilities, including Primary Children’s Medical Center, Salt Lake City, Utah; Tripler Army Medical Center, Honolulu, Hawaii; Hasbro Children’s Hospital, Providence, Rhode Island; Seattle Children’s, Seattle, Washington.
- Monitored patient vital signs and reported changes to healthcare team.
- Administered medications and treatments as prescribed by physicians.
- Assisted in patient assessments and developed care plans with nursing staff.
Pediatric ICU Nurse / Transport Nurse
Hasbro Children’s Hospital
Providence
01.2000 - 01.2005
- Credentialed in transport, serving as an integral member of the transport team.
- Executed pediatric assessments across hospitals statewide, collaborating with physicians and EMTs to ensure patient stabilization for transport to Rhode Island hospital.
- Delivered comprehensive care for critically ill and managed chronic trached and ventilated patients, ensuring optimal patient outcomes.
- Trained caregivers of trached and ventilated patients, enhancing their readiness for safe home discharge.
Nursing Unit Manager and Quality Assurance Consultant
HMS Inc.
North Kingstown
01.1994 - 01.2000
- Supervised and evaluated nursing staff 24 hours a day to enhance patient care quality.
- Conducted regular audits to ensure adherence to federal, state, and local nursing standards.
- Directed nursing staff to ensure quality patient care and compliance standards.
- Coordinated schedules and staffing to optimize unit efficiency and coverage.
- Implemented training programs for staff on best practices and safety protocols.
Education
Bachelor of Science - Nursing
St. Anselm College
Manchester, NH01-1994
Skills
- Clinical documentation integrity
- ICD-10 compliance
- Medical record review
- Healthcare quality assurance
- Healthcare data analysis
- Evidence-based practices
- Clinical decision-making
- Patient care coordination
- Interdisciplinary collaboration
- Performance improvement strategies
- Continuous improvement
- Analytical thinking
- Critical thinking
- Team collaboration
Certification
Professional Nurse Licensure, Colorado
Timeline
Clinical Documentation Integrity Specialist – RN
Intermountain Healthcare
01.2011 - Current
Nurse Case Manager
Intermountain Healthcare
01.2009 - 01.2011
Pediatric ICU Nurse
Intermountain Healthcare, Primary Children’s Medical Center
01.2007 - 01.2009
Pediatric ICU Travel Nurse
MedStaff Inc.
01.2005 - 01.2007
Pediatric ICU Nurse / Transport Nurse
Hasbro Children’s Hospital
01.2000 - 01.2005
Nursing Unit Manager and Quality Assurance Consultant
HMS Inc.
01.1994 - 01.2000
Bachelor of Science - Nursing
St. Anselm College