Asheena Tucker
Brandywine,Maryland
Summary
Passionate, professional nurse with 18 years of experience providing clinical consulting and leadership, support in post-op, preventative, complex critical nursing care, utilization reviews, and discharge planning across healthcare organizations. Anticipate and plan for routine and crisis situations during delivery of care. Strong communication skills, ability to obtain optimal patient outcomes and apply swift critical thinking skills during emergency situations. Effective leading, and training staff in performing patient medical assessments, establishing a plan of care, and managing cases to ensure patient needs are fully met.
Overview
18
18
years of professional experience
Work History
Nurse Case Manager
Inova Health System
01.2014 - Current
- Applying the utilization review process for patients across the span to include neonates, labor and delivery and psychiatry
- Accountable for communicating and working with payers to facilitate covered day reimbursement certification for assigned patients
- Maintain regulatory compliance requirements for a utilization review process
- Refer cases and issues to a Physician Advisor per department procedures and guidelines
- Investigate and follow up to resolve payer criteria issues on a case-by-case basis with clinical staff
- Improve processes and take actions to streamline and enhance LOS and ancillary resource functions on an ongoing basis
- Successfully apply approved clinical appropriateness criteria to monitor appropriateness of admissions and continued stays that included documenting findings based on department standards.
Assistant Nurse Director-Medical and Surgical Charge Nurse
Medstar Southern Maryland Hospital Center
01.2017 - 01.2021
- Promoted to provide support to the Nursing Director for a 24/7 nursing unit
- Accountable for patient care assessments, policies & procedures, personnel recruitment and development, and internal processes and controls
- Participate in continuous quality improvement and risk management programs
- Develop treatment plans for patients on a medical surgical unit alongside physicians
- Supervise the work of nursing assistants who provide basic patient care
- Direct, delegate and coordinate nursing activities to achieve effective and cost-effective patient/family care outcomes
- Serve as a clinical expert and resource for the nursing staff by acquiring new knowledge and maintaining current clinical competence
- Ensure that orientation, continuing education and hospital in-services training are provided to all staff members as directed by the Nurse Director
- Ensure that the competence of all staff members are assessed, maintained, demonstrated and improved continually as directed by the Nurse Director.
Emergency Room Case Manager
Medstar Southern Maryland Hospital Center
01.2017 - 01.2021
- Coordinate an overall interdisciplinary plan of care for patients from admission to discharge, and implement patient care through the nursing process
- Create a plan of care across the continuum while integrating patient and family needs, preference and values
- Achieve cost-effective patient and family care outcomes by developing, monitoring and administering unit operating and capital budgets supporting patient care processes
- Oversee key resources and resolution of complex problems to achieve optimal satisfaction and safety for the patient, their family, and the hospital
- Develop and implement an interdisciplinary patient care plan to support admission and discharge processes for ER patients
- Advocate for resources and removal of barriers through various problem-solving technique to achieve optimal satisfaction for the patient, family and hospital
- Track and manage the delivery of nursing care 24/7 for assigned inpatient units that include maintaining compliance with all federal, state and regulatory laws, while ensuring patient confidentiality.
Patient Service Representative
Zoll Life Vest
01.2014 - 01.2018
- Implemented the nursing process
- Educated patients and family members about the proper process and use of the life vest as it is prescribed to prevent sudden death
- Assessed patients' ability to properly use the life vest safely and effectively
- Provided home care to patients to facilitate technical support for malfunctioning devices to ensure and maintain adequate use.
Case Manager
Providence Hospital
01.2014 - 01.2016
- Served as a Case Manager responsible for planning and coordinating interdisciplinary plan of care for patients from admission to discharge
- Attended patient care-plan meetings
- Improved patient satisfaction by developing and implementing a discharge plan to set up home care with home care agencies to meet the needs of patients
- Charted, documented and reported changes in patient's condition regarding adverse reactions to medication or treatment
- Measured and recorded patients' vital signs, such as height, weight, temperature, blood pressure, pulse, and respiration in efforts to determine appropriate treatment and care
- Worked as part of a healthcare team to assess patient needs, plan and modify care, and implement interventions
- Advocated for resources and removal of barriers to achieve optimal satisfaction for the patient, family, and hospital
- Successfully placed patients in skilled nursing, acute rehab, sub-acute rehab, long-term acute and care facilities with focus on length of stay and prevention of readmission
- Prepared patients for examinations, tests, or treatments
- Provided family and patient education regarding disease prevention
- Processed insurance reviews and clinical information to meet criteria for hospitals.
Registered Nurse
Walter Reed National Military Medical Center
01.2009 - 01.2014
Registered Nurse
Washington Hospital Center
01.2009 - 01.2014
Registered Nurse
George Washington Hospital
01.2011 - 01.2012
Registered Nurse
Wellstar Kennestone Hospital
01.2006 - 01.2007
Education
Bachelors of Science in Nursing -
Walden University
Minneapolis, MN01.2016
Associate's of Science in Nursing -
Norfolk State University
Norfolk, VA01.2005
Skills
- McKesson
- Medication Administration
- Medical Protocols & Regulations
- Cerner
- Medical Exams & Histories
- Utilization Management
- Epic
- Emergency Care
- Clinical and Compliance Data Analyses
- InterQual
- Evidence-based Application of Principle
- Microsoft Office
- Milliman Care Guidelines
- Allscripts
Licensure Certification
- Registered Nurse License-Compact, Maryland Board of Nursing, 2006
- Basic Life Support Certificate
Asheena Tucker
Title: BSN, RN
Timeline
Assistant Nurse Director-Medical and Surgical Charge Nurse
Medstar Southern Maryland Hospital Center
01.2017 - 01.2021
Emergency Room Case Manager
Medstar Southern Maryland Hospital Center
01.2017 - 01.2021
Nurse Case Manager
Inova Health System
01.2014 - Current
Patient Service Representative
Zoll Life Vest
01.2014 - 01.2018
Case Manager
Providence Hospital
01.2014 - 01.2016
Registered Nurse
George Washington Hospital
01.2011 - 01.2012
Registered Nurse
Walter Reed National Military Medical Center
01.2009 - 01.2014
Registered Nurse
Washington Hospital Center
01.2009 - 01.2014
Registered Nurse
Wellstar Kennestone Hospital
01.2006 - 01.2007
Bachelors of Science in Nursing -
Walden University
Associate's of Science in Nursing -
Norfolk State University