Andrea Dunn
Spring Hill,Tennessee
Summary
Seasoned bachelor prepared RN and certified nurse case manager with 22 years of nursing experience, including 8 years in case management. Expertise in both inpatient and outpatient care, as well as Telehealth and remote work, with a strong focus on patient-centered case management for acute and longitudinal patient needs.
Overview
23
23
years of professional experience
Work History
Registered Nurse Case Manager
Included Health
09.2020 - Current
- Senior RN in the Maternity Care and Case Management Program.
- Assisting in the hiring process, new hire preceptor, call, and documentation auditing for QA/QI.
- Regularly involved in focus groups to optimize program workflows, service line development, and improvements.
- Designed comprehensive care plans and workflows in collaboration with multidisciplinary teams and leadership.
- Provide telehealth care navigation for high-risk and routine maternity members, from preconception to postpartum, prior to graduating members to ongoing newborn support services.
- Connect members to employer benefits and community resources while collaborating with local providers and empowering members to self-advocate for improved health outcomes through education on diagnoses, best practices, and treatment plans, from routine to complex conditions.
Registered Nurse Case Manager
BlueCross BlueShield of Tennessee
04.2018 - 09.2020
- Engaged members with complex cases, including high-risk maternity, pediatric, and adult patients needing chronic care, as well as emergency room and inpatient high utilizers.
- Coordinated care for pediatric members with private duty nursing, transitioning them to their adult health plan benefits, and LTSS.
- Collaborated with Employment and Community First CHOICES, and CHOICES TennCare waiver programs.
Registered Nurse Care Coordinator
Ascension Care Management
05.2017 - 04.2018
- Embedded in a local PCP office as part of NCQA's PCMH model.
- Identified and managed complex patients within Medicare and Medicaid populations.
- Focused on quality assurance and HEDIS standards.
- Conducted physical, mental health, and socioeconomic assessments.
- Educated patients on chronic disease management and self-care.
- Provided referrals to appropriate resources, and closed service gaps.
Telephone Triage Registered Nurse
Vanderbilt Center for Women’s Health
02.2013 - 05.2017
- Provided telephonic triage and patient care for the OB/Gyn clinic.
- Collaborated with clinical staff for crisis intervention, symptom management, and care coordination for gynecological, menopause care, obstetrical, fertility, maternal addiction, and recovery patients.
- Worked on a multidisciplinary committee to develop protocols, algorithms, and standing orders for commonly addressed concerns in OB triage.
Registered Nurse, LDRP
Methodist LeBonheur Women’s Hospital
04.2005 - 07.2011
- I rotated work in L&D, OR, postpartum, antepartum, and well-baby nursery units as patient census demanded.
- Delivered inpatient care for gynecological, antepartum, obstetrical, perioperative, and neonatal patients.
Nurse Extern - NICU
Baptist Memorial Hospital, NICU
04.2004 - 04.2005
- Cared for newborns and their families requiring intensive and transitional care.
Licensed Practical Nurse
Baptist Memorial Hospital
05.2002 - 06.2003
- Provided inpatient care on the medical surgical/inpatient hospice oncology unit
Education
Bachelor of Science in Nursing -
Baptist College of Health Sciences
01.2005
Practical Nursing Certificate -
Baptist College of Health Sciences
01.2002
Skills
- Registered Nurse (NLC, all single states, plus DC) RN0000149226, April 22, 2005 - CURRENT
- CCM Certification – 4246501, January 2020 – CURRENT
- Awarded scholarship for certifications in quality and safety, and safety and quality improvement through the Institute for Healthcare Improvement (IHI) - in progress
- Integrated Care Management Training – CMSA, December 2019
- ACE Behavior Change Specialist Training - Completed 2018
Licenses Certifications Training
- Registered Nurse (NLC, all others plus DC), RN0000149226, 04/22/05, CURRENT
- CCM Certification, 4246501, 01/20, CURRENT
- Integrated Care Management Training, CMSA, 12/19
- ACE Behavior Change Specialist Training, Currently completing certifications for Quality and Safety and Safety and Quality Improvement through Institute for Healthcare Improvement (IHI)
- Licensed Practical Nurse, 07/02, 04/05, Not current
Timeline
Registered Nurse Case Manager
Included Health
09.2020 - Current
Registered Nurse Case Manager
BlueCross BlueShield of Tennessee
04.2018 - 09.2020
Registered Nurse Care Coordinator
Ascension Care Management
05.2017 - 04.2018
Telephone Triage Registered Nurse
Vanderbilt Center for Women’s Health
02.2013 - 05.2017
Registered Nurse, LDRP
Methodist LeBonheur Women’s Hospital
04.2005 - 07.2011
Nurse Extern - NICU
Baptist Memorial Hospital, NICU
04.2004 - 04.2005
Licensed Practical Nurse
Baptist Memorial Hospital
05.2002 - 06.2003
Bachelor of Science in Nursing -
Baptist College of Health Sciences
Practical Nursing Certificate -
Baptist College of Health Sciences
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