Ashley P. Kay
Lyman
Summary
Dynamic healthcare professional with a proven track record at Community Health Solutions, excelling in staff development and program management. Skilled in clinical supervision and community coordination, I have significantly enhanced patient care and staff training programs. Expertise in budget management and long-term planning, demonstrating a strong ability to lead and innovate in challenging environments. Detail-oriented Medical and Health Services Manager passionate about facilitating excellent patient care. Adept at designing and implementing policies and procedures. Motivated team builder and supervisor focused on driving team collaboration.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Director of Care Coordination/Team Lead
Community Health Solutions
04.2019 - Current
- Provides ongoing assessment of the training needs of MCCW clinical staff and develops training opportunities to address identified needs
- Assumes caseload overflow for areas that may be short staffed or where unexpected vacancies occur
- Assist Enhanced Provider Operations Director in identifying, addressing and resolving clinical needs of the enhanced provider program needs
- Participate in QMC and other committee/agency/organizational meetings as may be necessary
- Identifies any complaints and/or grievances and escalates to appropriate CHS staff
- Serves as liaison for SCDHHS program
- Assist with policy and procedure development for the MCCW
- Works with Provider services to promote program and physician contracting
- Oversight of compliance with confidentiality of all clinical information collected or viewed during the medical review process
- Manages Preadmission process and program
- Manages population volumes and staffing to serve programs
- Oversight of daily functions of 24 of the On-site MCCW nurses
- Resource to onsite nurses to assist in securing the services approved on the care plan
- Maintains availability to family/guardian and providers to coordinate any required services
- Serves as onsite nurse when indicated
- Orientation of new On-site nursing staff
- Develops and reviews staff performance objectives
- Provide staff education and development based on audit results, program changes and individual developmental needs
- Identifies any complaints and/or grievances and reports appropriately
- Participate in QMC, PRC and other committee/organizational meetings
- Evaluates compliance with program requirements with monthly audit reports to management
- Manages transportation/travel expenses
- Manages care coordinator staff payroll and performance evaluations
Nurse Case Manager, Personal Care and Support Services
Interim Healthcare
04.2014 - Current
- Manage home health aids and LPNs in the home setting for private pay as well as CLTC clients
- Provide in-service trainings for home health aides, and conduct orientation for new employees biweekly
- I also am a contracted care manager for the Humana at Home program and have a caseload of those clients that are seen weekly to assist with needs
- Provide in-home injection training visits for medications such as Forteo and Humira
- I also conduct long term care assessments for long term care insurance providers and provide drug screenings and PPD testing for Greenville Technical College’s CNA program
RN Care Coordination
Community Health Solutions
05.2015 - 04.2019
- Provided targeted case management to a caseload of medically complex children
- I was responsible for the initial assessment to determine qualification, then followed client’s progress monthly
- Was responsible for working with SCDHHS to determine if the children qualified to receive nursing and/or PCA services
- Reasonable for weaning/increasing those services as necessary
RN Care Coordinator
Community Health Solutions, MCCW program
07.2012 - 04.2014
- Provided targeted case management to a caseload of medically complex children
- I was responsible for the initial assessment to determine qualification, then followed client’s progress monthly
- Was responsible for working with SCDHHS to determine if the children qualified to receive nursing and/or PCA services
- Reasonable for weaning/increasing those services as necessary
Preoperative Holding RN
Upstate Surgery center
10.2011 - 07.2012
- Provide skilled nursing care for both adult and pediatric patients in the preoperative area of a small ambulatory surgery center
- Duties include: assessment, starting IV's, administering preoperative medications, collaborating with other members of the health-care team regarding patient status
- Have also been assigned team leader duties for the preoperative team
Home Health Nurse
Interim Healthcare
06.2005 - 10.2011
- Provided skilled nursing visits to a wide variety of patients
- Skills included assessment, intravenous therapy, wound care, disease process teaching and management, and medication teaching and management
- Communicated and case-conferenced with all other members of the multidisciplinary team regarding patient needs and progress on a regular basis
- Coordinated all patient needs with appropriate team members, physicians and vendors as needed
Staff Nurse
Shriner’s Hospital For Children
06.2004 - 05.2005
- Cared for special need children ages birth to eighteen years of age before and after orthopedic surgery
- Also, cared for pediatric patients during a scheduled rehab stay at the hospital
- Skills included, but were not limited to: assessment and monitoring, intravenous therapy, cast care, fitting of orthotic devices, wound care, bowel and bladder programs, and pain management
- Also participated in mentor training and was a certified mentor for new staff members as well as nursing students
- Acted as charge nurse when assigned
- Participated in Independence Camp for children with Myelomeningocele, where they were taught life skills as well as independence training, such as self-catheterization and bowel programs
Community Class Coordinator
St. Francis Eastside
06.2003 - 06.2004
- Coordinated all community health classes offered by St
- Francis Eastside Hospital
- Included prenatal classes, childcare classes, and women’s health classes
- Responsibilities included creating new classes, continuing popular classes, securing speakers and locations for all classes, and keeping website up to date
- Also taught a babysitting class to children ages 12-15
Staff Nurse
Shriner’s Hospital For Children
04.2000 - 05.2003
- Cared for special need children ages birth to eighteen years of age before and after orthopedic surgery
- Also, cared for pediatric patients during a scheduled rehab stay at the hospital
- Skills included, but were not limited to: assessment and monitoring, intravenous therapy, cast care, fitting of orthotic devices, wound care, bowel and bladder programs, and pain management
- Also participated in mentor training and was a certified mentor for new staff members as well as nursing students
- Acted as charge nurse when assigned
- Participated in Independence Camp for children with Myelomeningocele, where they were taught life skills as well as independence training, such as self-catheterization and bowel programs
Staff Nurse
Greer Memorial Hospital
08.1999 - 04.2000
- Provided care to general medical/surgical patients, both pediatric and adult
- Skills included assessment and monitoring, cardiac telemetry monitoring, intravenous therapy, wound care, and care coordination
- Also floated as back-up to ICU unit at times
Education
Bachelor of Science - Nursing (with Honors)
University of South Carolina Upstate
01.1999
Skills
- Staff development
- Community coordination
- Budget management
- Clinical supervision
- Long-term planning
- Program management
Certification
- American Heart Association BLS level, current
- Basic Pediatric Home Care class and Pediatric Infusion Therapy Management, 2005
- Basic Wound Care Class, 2005
- Nurse Mentor Class, 2001
- CCM certification, 2022
- External Quality Review (EQR), Participated as the Director of Care Coordination for the Medically Complex Children’s Waiver for the past 6 years.
Timeline
Director of Care Coordination/Team Lead
Community Health Solutions
04.2019 - Current
RN Care Coordination
Community Health Solutions
05.2015 - 04.2019
Nurse Case Manager, Personal Care and Support Services
Interim Healthcare
04.2014 - Current
RN Care Coordinator
Community Health Solutions, MCCW program
07.2012 - 04.2014
Preoperative Holding RN
Upstate Surgery center
10.2011 - 07.2012
Home Health Nurse
Interim Healthcare
06.2005 - 10.2011
Staff Nurse
Shriner’s Hospital For Children
06.2004 - 05.2005
Community Class Coordinator
St. Francis Eastside
06.2003 - 06.2004
Staff Nurse
Shriner’s Hospital For Children
04.2000 - 05.2003
Staff Nurse
Greer Memorial Hospital
08.1999 - 04.2000
Bachelor of Science - Nursing (with Honors)
University of South Carolina Upstate
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