Alecia Fisher
Meridianville
Summary
Highly-motivated Nurse with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
21
21
years of professional experience
Work History
Quality Auditor/Medical Advisor
Somatus, Inc.
10.2020 - Current
- Assist Directors of Quality to ensure organization's goals, objectives, accreditation, and regulatory requirements meet standards for service level agreements, HEDIS, CMS guidelines, and NCQA accreditation standards.
- Review member charts and effectively document audit results and record findings with 98% or greater accuracy.
- Collaborate with the care team and report findings from audits and provide guidance on meeting the members' needs, as well as internal and external standards.
Certified Case Manager
Somatus, Inc.
10.2020 - Current
- Completed Telephonic and telehealth Comprehensive and Transition of Care Assessments.
- Provided case management for complex cases including Chronic Kidney Disease, End Stage Kidney Disease, Congestive Heart Failure, Diabetes, DSNP, CSNP, mental health conditions, substance abuse, and other chronic illnesses.
- Enhanced client outcomes by developing comprehensive care plans tailored to individual needs.
- Provided motivational interviewing, patient advocacy and care coordination to assist with meeting the needs of the members.
- Decreased emergency room and hospital admissions by providing education, completing medication reconciliation, and following up based on members priority.
Clinic Manager
Fresenius Kidney Care
11.2018 - 10.2020
- Coordinated the daily operations of an inpatient dialysis clinic, including supervising the staff.
- Monitored adherence to standards and guidelines for dialysis treatments, ensuring all documentation was accurate and audited regularly.
- Promoted a culture of safety in the clinic by participating in quality improvement initiatives, identifying potential hazards, and providing feedback for best practices in nursing care delivery.
Registered Nurse Cap II
Fresenius Kidney Care
11.2018 - 10.2020
- Conducted thorough patient assessments to identify any changes in condition and initiated appropriate dialysis treatment.
- Provided education related to all chronic illnesses and medication reconciliation to ensure client was taking the correct medication including dosages and frequency.
- Assessed patient's knowledge of their renal condition and educated them on self-management care.
Program Coordinator/RN Case Manager
District 4 Public Health
10.2007 - 08.2018
- Completed home and telephonic case management for chronically ill patients aged 0-21 years old.
- Completed Transition of Care Assessments post discharge including medication reconciliation.
- Provided advocacy, education and implemented a Plan of Care for chronically ill members.
- Performed medical claims reviews, approvals and denials on submitted CMS-1500 and prior authorization requests for medically complex services that required approval for reimbursements from the programs budget.
- Supervised a team of nurses, social workers, and administration staff.
LPN/Registered Nurse
Randolph Medical Center Authority
12.2003 - 01.2008
- Hospital inpatient care for all age groups, including ICU and Med surgical nursing.
- Home Health Care for acute and chronically ill adults in home settings.
- Treatments, education, advocacy, and medication administration.
Education
bachelor's - nursing
Columbus State University
01.2019
associated - nursing
Southern Union Community College
01.2006
licensed Practical Nurse -
Gadsden State Community College
01.2003
Skills
- Regulatory compliance
- Audit documentation
- Accreditation standards
- Patient education
- Care coordination
- Risk assessment
- Team collaboration
- Process improvement
- Effective communication
- Attention to detail
- Problem solving
- Time management
- Critical thinking
- Documentation review
- Corrective action planning
- Root-cause analysis
- Motivational interviewing
- Medication reconciliation
- Comprehensive assessments
- Quality improvement
- Crisis intervention
- Patient advocacy
- Documentation accuracy
- Care planning
- Ethical considerations
- Community resources
- Clinical record reviews
- Transition planning
- Discharge planning
Awards
- Florence Nightengale Nursing Award Recipient 2003
- Core Value Award for collaboration in 2021
- Honor Society Cum Laude 2019
Credentials
- RN
- BSN
- CDN
- CCM
Timeline
Quality Auditor/Medical Advisor
Somatus, Inc.
10.2020 - Current
Certified Case Manager
Somatus, Inc.
10.2020 - Current
Clinic Manager
Fresenius Kidney Care
11.2018 - 10.2020
Registered Nurse Cap II
Fresenius Kidney Care
11.2018 - 10.2020
Program Coordinator/RN Case Manager
District 4 Public Health
10.2007 - 08.2018
LPN/Registered Nurse
Randolph Medical Center Authority
12.2003 - 01.2008
bachelor's - nursing
Columbus State University
associated - nursing
Southern Union Community College
licensed Practical Nurse -
Gadsden State Community College