Annette Flemings
Jacksonville,IL
Summary
Reliable, caring, hardworking and service-oriented Registered Nurse with more than 20 years of patient care experience. Well-versed in offering evidence-based, therapeutic care for patients dealing with cancer, kidney failure and many other medical issues. Collaborative and motivational leader with expertise in training new nursing staff while providing top-notch service to adult patient populations.
Overview
12
12
years of professional experience
Work History
Hospice Registered Nurse Case Manager
Compassus
INDIANAPOLIS, Indiana
07.2019 - Current
- Provides education to patients and families regarding recongnizing potential sypmptoms and providing safe and competent care for the patient.
- Provide emotional and practical support to patients and families/caregivers.
- Coordinate and provide care to terminally ill patients that is safe, timely, effective, efficient, and client-centered.
- Excellent problem-solving, and critical thinking skills.
- Communicating with interdisciplinary team and hospice nursing staff to understand the challenges faced in emergency situations for long term patients.
- Providing advice to patients' families on progress of the disease, symptom management, and end of life care.
Oncology Case Manager
Aetna/CVS
New Albany, OH
10.2018 - Current
- Provided excellent service and attention to customers through phone conversations.
- Earned reputation for good attendance and hard work.
- Attended departmental meetings, providing feedback to enhance future performance.
- Coordinated resources from diverse providers for intervention plans.
- Coordinated support services and optimized communication between healthcare workers and patient.
- Determined and coordinated appropriate level of care to meet individual patient needs.
- Developed appropriate care plans for at-risk individuals and high-risk families.
- Reviewed effectiveness of treatment for individual and family situations.
- Informed patients and families of treatment options and at-home care strategies to reduce unnecessary burden on hospital resources.
- Documented plans, findings and results and submitted to employers and insurance carriers.
- Optimized program resource utilization to prevent unnecessary hospital admissions.
- Identified gaps or barriers in treatment plans.
- Educate members and families on treatment plans and disease processes.
- Utilization management through evaluating appropriateness and efficiency of requested healthcare services, procedures, and cancer treatments under the provisions of the applicable health benefits plan.
Telephonic Nurse Educator
Express Scripts/Accredo
Whitestown, IN
11.2016 - 10.2018
- Recognized by management for providing exceptional customer service.
- Perform clinical assessments and provide disease and drug specific education to the patient and caregiver.
- Responsible for documenting the assessment and any clinical interventions according to the clinical program and nursing scope of practive and guidelines.
- Report adverse drug events that have been experienced by the patient in accordance with the FDA and pharmaceutical requirements when clinically necessary.
- Assist with new hire training.
- Conduct peer-to-peer quality documentation audits and provide feedback to management.
Med Surg RN
Prolink Staffing
INDIANAPOLIS, IN
07.2016 - 10.2016
- Used facility EMR system to update patient records, transmit prescriptions and transfer files.
- Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services.
- Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
- Treated patients using pharmacological and non-pharmacological treatment modalities to address various disorders, diseases and injuries.
- Executed appropriate steps for patient treatment following careful review of physician medical regimen.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Reached out to patients to convey lab results and provide care instructions.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Answered patient questions and provided take-home materials for further information.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Monitored post-op vitals, set up PCA, fluids, reviewed post-op orders and assimilated patients to unit.
- Treated patients by administering various types of medications and therapies.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Counseled caregivers and families on end-of-life planning and educated on patient care options.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Maintained infection control logs, streamlined charting process, and improved patient outcomes through training and leadership.
HEDIS Registered Nurse Quality Analyst
HealthCare Support Staffing
INDIANAPOLIS, IN
02.2016 - 07.2016
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Extensive and accurate review of medical records to validate data accuracy and ensure compliance with HEDIS technical specifications while maintaining a less than 1% error rate at all times.
- Coordinated retrieval of medical records with providers via phone and fax.
- Documented findings in HEDIS database tool.
- Reviewed and signed off on finished records submitted by other nurses to ensure accuracy and completion.
Utilization Review Nurse
Maxim Healthcare Agency
INDIANAPOLIS, IN
07.2015 - 02.2016
- Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations.
- Responsible for meeting all state and federal regulations as well as CMS mandates related to claims and preauthorizations.
- Responsible for accurate and timely medical review of claims.
- Responsible for special projects.
- Responsible for performing medical review to ensure correct dispositions according to all contracts, related endorsements, government regulations and CMS policies.
Dialysis Charge Nurse/Backup FA
Davita Healthcare Partners
INDIANAPOLIS, IN
05.2014 - 06.2015
- Earned reputation for good attendance and hard work.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Executed appropriate steps for patient treatment following careful review of physician medical regimen.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Overseen the treatment plan and implementation for 24 patients.
- Performed chart and medical record review for accuracy.
Education
Associate of Applied Science - Nursing
Lincoln Land Community College
Springfield, IL4 2000
Skills
- Reliable, compassionate registered nurse with over 20 years of experience caring for patients in dialysis, oncology, med surg, PCU and neurology
- Well versed with computer programs such as word, excel and powerpoint
- Sound knowledge of medical terminology, ICD 10 codes, EMR's, including Cerner, Medisoft, and Meditech
- Provide safe and compassionate care
- Excellent communication skills
- Supervisory/Management experience
Education and Training
other
Timeline
Hospice Registered Nurse Case Manager
Compassus
07.2019 - Current
Oncology Case Manager
Aetna/CVS
10.2018 - Current
Telephonic Nurse Educator
Express Scripts/Accredo
11.2016 - 10.2018
Med Surg RN
Prolink Staffing
07.2016 - 10.2016
HEDIS Registered Nurse Quality Analyst
HealthCare Support Staffing
02.2016 - 07.2016
Utilization Review Nurse
Maxim Healthcare Agency
07.2015 - 02.2016
Dialysis Charge Nurse/Backup FA
Davita Healthcare Partners
05.2014 - 06.2015
Associate of Applied Science - Nursing
Lincoln Land Community College