Angela Hicks
Woodstock,GA
Summary
Experienced RN with over 30 years experience specializing in both clinical and case management roles. Proficient in ER skills, including Vascular Access for infusion therapies. Extensive experience in Case Management for special needs children. Takes a multidisciplinary approach to patient care, combining clinical expertise with compassionate understanding of both medical and psychological needs. Builds excellent rapport with patients and their families. Committed to lifelong learning, continually developing knowledge and skills to provide the highest quality care.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Family Case Manager and Caregiver
Family Case Manager and Caregiver
01.2012 - 12.2023
- Provided comprehensive care and case management for aging parents.
- Coordinated medical appointments, follow-up care, and nursing services,
- Enabled parents to age and pass away at home per their wish, thus avoiding the need for nursing home care.
Care Manager
CRAWFORD & COMPANY
07.2006 - 01.2012
- Developed and implemented individualized care plans, coordinating necessary services to ensure quality care.
- Addressed clients’ psychosocial, environmental, financial, legal, and other health-related needs.
- Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing, and other enabling services.
- Served as a liaison among patients, families, physicians, insurance providers, and other healthcare professionals for seamless care coordination.
Utilization Review Nurse – Worker’s Compensation
Crawford & Company/Broadspire
09.2005 - 07.2006
- Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities
- Performed prior authorization review of services requiring notification, thereby reducing healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures
- Created a database bridge between UR and Bill Review to ensure payment approval or denial when applicable
- Member of team to evaluate the most efficient and cost-effective paperless database for companywide use
ER Staff RN
Emory Crawford Long Hospital
01.2005 - 09.2005
- Delivered critical care in a fast-paced emergency department, performing triage, administering medications, and collaborating with a multidisciplinary team to treat acute illnesses and injuries
- Utilized critical thinking skills to make quick decisions in high-pressure situations, prioritizing patient needs and addressing emergent issues promptly.
- Monitored vital signs, lab results, and other indicators to detect changes in patients'' conditions promptly.
Staff Nurse, ER
St. Joseph's Hospital of Atlanta
01.2003 - 12.2004
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Mentored new nursing staff, supporting their professional growth and development.
Transport Nurse
Medway Air Ambulance
02.2005 - 09.2005
- Coordinated with healthcare providers at receiving facilities to ensure seamless continuation of care upon arrival.
- Ensured patient safety during transport by closely monitoring vital signs and administering appropriate interventions.
- Devised personalized medication administration schedules for patients undergoing long-distance transports, maintaining therapeutic drug levels throughout the journey.
- Promoted a safe working environment for all members of the transport team by adhering to established protocols and guidelines at all times.
Worker’s Compensation Case Manager, Supervisor, Manager (TCM/FCM)
CorVel Corporation
04.2000 - 12.2002
- Assess injured workers’ conditions and create care plans
- Coordinate medical appointments and treatments
- Liaise between injured workers, employers, and healthcare providers to facilitate safe return-to-work plans
- Transitioned to TCM Supervisor and ultimately Manager of both TCM/FCM
Long Term and Short Term Disability Nurse Case Manager
Hartford
05.1997 - 04.2000
- Obtained and reviewed client medical records to determine medical disability eligibility
- Oversaw successful transitions from short-term disability claims to long-term ones when necessary, ensuring continuity of care for clients facing extended periods out of work due to disabilities
- Part of Hartford team dedicated to establishing company disability guidelines by ICD-9 and CPT codes
- Served as a knowledgeable resource in disability-related medical matters for adjusters and other co-workers, contributing to a well-informed, high-performing team
- Participated in ongoing professional development courses to stay abreast of industry trends and best practices in disability case management. Took courses to obtain certification as a Managed Healthcare Professional, and qualified for licensure as a Certified Case Manager
Short Term Disability Nurse Case Manager
John Hancock/Unicare/Wellpoint
06.1996 - 05.1997
- Gathered and recorded patient health information and data to assess, identify and determine medical disability eligibility
- Applied critical thinking skills during case reviews to identify potential risks or challenges before they escalated into larger issues
Assistant Director of Nursing
Woodstock Nursing and Rehabilitation
08.1995 - 06.1996
- Led the setup and launch of a new 26-bed sub-acute rehabilitation facility
- Managed post-opening operations, including Medicare patient reviews, interdisciplinary care plan meetings, staffing, inventory, and budget management
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Performed rounds to observe care and interview staff, residents, and families.
- Ensured compliance with state and federal regulations, contributing to the accreditation process for Sub-Acute facility standards.
Staff RN/Charge Nurse, Skilled Nursing Facility
Lenoir Memorial Hospital
07.1994 - 07.1995
- Oversaw patient care and supervised nursing staff in a 24-bed Skilled Nursing Facility.
- Expedited patient recovery by performing accurate assessments, developing appropriate interventions, and evaluating progress regularly.
- Ensured quality care for patients with complex medical conditions, utilizing critical thinking skills in decision-making processes.
- Collaborated with physicians to develop personalized treatment plans for optimal patient outcomes.
Education
BSN - Nursing
Queen’s College School Of Nursing
Charlotte, North Carolina04.1994
Skills
- Microsoft Suite
- Microsoft Teams
- Problem-Solving
- Multidisciplinary Approach
- EMR / EHR
- IV Therapy Administration
- Compassionate and Caring
- Patient Education
- Continuous Education
- Vascular Access
- Special Needs Pediatric Case Management
Accomplishments
- Coordinated cross-departmental efforts to bridge Utilization Review and Bill Review, ensuring proper payment of approved and denied claims.
- Selected to collaborate with a Hartford team to develop company standards for approving disability claims using ICD-9 and CPT codes.
Certification
GA unencumbered Nursing License- RN
Certified Case Manager - CCM
Trauma Nurse Core Curriculum - TNCC
Managed Healthcare Professional - MHP
References
Included
Timeline
Family Case Manager and Caregiver
Family Case Manager and Caregiver
01.2012 - 12.2023
Care Manager
CRAWFORD & COMPANY
07.2006 - 01.2012
Utilization Review Nurse – Worker’s Compensation
Crawford & Company/Broadspire
09.2005 - 07.2006
Transport Nurse
Medway Air Ambulance
02.2005 - 09.2005
ER Staff RN
Emory Crawford Long Hospital
01.2005 - 09.2005
Staff Nurse, ER
St. Joseph's Hospital of Atlanta
01.2003 - 12.2004
Worker’s Compensation Case Manager, Supervisor, Manager (TCM/FCM)
CorVel Corporation
04.2000 - 12.2002
Long Term and Short Term Disability Nurse Case Manager
Hartford
05.1997 - 04.2000
Short Term Disability Nurse Case Manager
John Hancock/Unicare/Wellpoint
06.1996 - 05.1997
Assistant Director of Nursing
Woodstock Nursing and Rehabilitation
08.1995 - 06.1996
Staff RN/Charge Nurse, Skilled Nursing Facility
Lenoir Memorial Hospital
07.1994 - 07.1995
GA unencumbered Nursing License- RN
Certified Case Manager - CCM
Trauma Nurse Core Curriculum - TNCC
Managed Healthcare Professional - MHP
BSN - Nursing
Queen’s College School Of Nursing
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