Hamad Ahmed
Saint Cloud
Summary
Compassionate and detail-oriented Registered Nurse with a strong foundation in both acute care and behavioral health. Proven ability to analyze clinical documentation, ensure compliance with payer guidelines, and contribute to effective care coordination. Experienced in claims review, utilization management, and supporting vulnerable populations through evidence-based practices. Adept at working independently in remote settings while maintaining a high standard of patient-centered care.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Registered Nurse
CentraCare Health - St. Cloud Hospital
Saint Cloud
06.2023 - Current
- Delivered comprehensive nursing care to patients in high-acuity settings, including cardiac, surgical, and psychiatric units.
- Conducted detailed chart reviews to ensure clinical documentation supported medical necessity and billing accuracy.
- Collaborated with physicians and case managers to develop individualized treatment plans that aligned with payer requirements.
- Participated in quality assurance audits to reduce claim denials and improve documentation compliance.
- Educated patients and families on discharge plans, medication management, and follow-up care.
- Used EPIC to document nursing interventions, update patient status, and track care coordination.
- Identified discrepancies in coding and documentation that could lead to billing errors or compliance issues.
- Assisted in reviewing insurance pre-authorizations and appeals for denied claims.
- Worked cross-functionally with utilization review and billing departments to ensure accurate claim submissions.
- Demonstrated a strong understanding of CMS guidelines, HIPAA regulations, and reimbursement models.
Mental Health Practitioner
Libin Health
Saint Cloud
01.2025 - Current
- Provided direct mental health services to clients with complex psychiatric diagnoses, including Schizoaffective Disorder, Bipolar Disorder, and Major Depression.
- Facilitated individual and group skill-building sessions focused on symptom management, emotional regulation, and daily living skills.
- Collaborated with multidisciplinary teams—including RNs, therapists, and social workers—to develop and implement Individual Treatment Plans (ITPs).
- Monitored client behavior, documented progress, and communicated changes to the clinical team to support treatment adjustments.
- Supported discharge planning by coordinating with county case managers and helping clients identify housing and community resources.
- Conducted crisis intervention and de-escalation strategies for clients experiencing acute psychiatric symptoms.
- Maintained accurate and timely clinical documentation in compliance with 245I and DHS standards.
- Assisted in medication administration education and supported adherence through reminders and check-ins.
- Participated in quality assurance activities, including chart audits and program evaluations.
- Advocated for client needs during care team meetings and contributed to holistic, person-centered care approaches.
Education
Associate of Science - Nursing
Rasmussen University
Saint Cloud, MN05-2022
Skills
- Quality assurance and patient advocacy
- Patient education and referrals
- Chart auditing and documentation review
- Problem solving and data analysis
- Multicultural competence in healthcare
- Treatment plan development
- Progress documentation
- Electronic health records management
Accomplishments
- Youth Leadership Award – Iqra Education Center (2024): Recognized for exceptional mentorship and development of community youth programs.
Certification
- Registered Nurse (RN) – Minnesota Board of Nursing
- Basic Life Support (BLS) – American Heart Association
Languages
English
Full Professional
Somali
Professional
Arabic
Professional
References
References available upon request.
Timeline
Mental Health Practitioner
Libin Health
01.2025 - Current
Registered Nurse
CentraCare Health - St. Cloud Hospital
06.2023 - Current
Associate of Science - Nursing
Rasmussen University
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