hi there, I'm
Abigail Hamilton, LPN
Licensed Practical Nurse and healthcare operations leader with 9 years across clinical care, prior authorization, medical record review, care coordination and senior living operations.
About me
Caring for patients, and for the details behind their care
I've spent 9 years in healthcare, from bedside nursing in long-term care and assisted living to prior authorization, medical record review, care coordination and leading a senior living community.
Much of my work comes down to the record: evaluating clinical documentation, catching information that's missing or conflicting, keeping workflows compliant, and working with providers to close the gaps. Just as much of it is people: educating patients and families with clear, patient-centered communication.
As an Executive Director I led staffing, training, performance management, regulatory compliance and service quality. I'm now finishing a Bachelor of Science in Business at Western Governors University.
Bringing my clinical and operational background to clinical quality review, documentation improvement, audit support and quality management.
What I bring
Skills I use every day
Clinical documentation
Making sure the record is complete and right.
- Clinical documentation review
- Medical record analysis
- Chart abstraction
- Documentation completeness
- Clinical workflow review
- Electronic medical records
Quality and compliance
Finding the issue and fixing the process.
- Quality & compliance
- Process improvement
- Issue identification & resolution
- Prior authorization
- Insurance requirements
- Regulatory awareness
- Operational reporting support
People and care
Clear communication with everyone involved.
- Provider & patient communication
- Care coordination
- Team training & coaching
- Performance management
Experience
Where I've worked
-
Dec 2025 – Present
CDM Nurse, Chronic Disease Management
Phoenix Home Care & Hospice
- Evaluate patients with chronic or terminal illnesses to identify care needs and promote continuity of care.
- Coordinate with physician offices, patients and families to clarify needs and address barriers.
- Educate patients and families on disease progression, advance directives and care options.
- Coordinate referrals for in-home care, home health, physical and occupational therapy, and hospice.
-
Jan 2024 – Dec 2025
LPN Prior Authorization Nurse
CVS Health
- Reviewed prior authorization requests against medical records, clinical documentation, insurance requirements and policy criteria.
- Identified missing, incomplete or conflicting documentation and worked with provider offices to resolve gaps.
- Handled confidential health information in line with privacy and compliance expectations.
- Managed competing cases in a high-volume environment with consistent, timely, quality reviews.
-
Jun 2023 – Nov 2023
LPN Desk Nurse
Plastic Surgery Center, Wichita, KS
- Reviewed pre-operative records to confirm clearances, lab results and documentation were complete and accurate.
- Completed chart abstraction and post-operative documentation review.
- Coordinated time-sensitive clinical requirements to support procedure schedules and patient safety.
-
Feb 2022 – May 2023
Executive Director
Lakepoint / Omega Senior Living, El Dorado, KS
- Directed daily healthcare operations: staffing, regulatory compliance, service quality and resident experience.
- Led hiring, onboarding, training, coaching and performance management for multidisciplinary teams.
- Monitored occupancy against budget and put cost-conscious operational measures in place.
-
Earlier
LPN, Long-Term Care, Assisted Living & Clinical Settings
Progressive nursing experience
- Patient care, medication administration, care planning, wound care, clinical documentation, telehealth and interdisciplinary care coordination.
Education & licensure
Credentials
Licensed Practical Nurse
Kansas Compact License, current through March 2027
B.S. in Business
Western Governors University
Licensed Practical Nurse
Wichita Area Technical College
Medical Assistant
Vatterott College
COVID-19 Contact Tracing
Johns Hopkins University
Let's talk
Have a role in clinical quality, documentation review or care coordination? I'd love to hear from you.
Based in Wichita, Kansas