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Brandi Wallace
Horace,ND
Work Preference
Summary
Patient-focused Medical Director with extensive experience leading healthcare teams and overseeing clinical operations. Proficient in developing and implementing strategic initiatives to improve patient care, operational efficiency, and financial performance. Skilled in regulatory compliance, quality assurance, and risk management.
Overview
1
1
Certification
12
12
years of post-secondary education
18
18
years of professional experience
Work History
Medical Director
Wildflower Aesthetics
Fargo, ND
08.2020 - Current
- Directed clinical operations for aesthetic practice, establishing evidence-based treatment protocols, safety standards, and documentation practices to enhance patient care and compliance with regulatory requirements.
- Performed comprehensive patient assessments and diagnostic evaluations for aesthetic services, reviewing medical histories, medications, and contraindications to determine appropriate treatment plans and ensure safe, individualized care.
- Oversaw patient intake, monitoring, and follow-up processes, ensuring accurate medical records and HIPAA-compliant documentation while providing clear patient education on procedures and aftercare.
- Supervised and mentored clinical staff, providing leadership on care planning, conflict management, and workflow efficiency while promoting a culture of accountability, professionalism, and continuous quality improvement.
- Collaborated on business and clinical strategy for the practice, leveraging an MBA and advanced nursing training to align service offerings, utilization management, and resource allocation with patient needs and practice growth goals.
Owner/Medical Director
Advanced Med Spa
West Fargo, ND
10.2019 - Current
- Directed overall clinical operations of the medical spa, establishing evidence-based protocols, supervising clinical staff, and ensuring safe, high-quality aesthetic and wellness services aligned with nursing and nurse practitioner standards of care.
- Performed comprehensive patient assessments and diagnostic evaluations, reviewed medical histories, and determined appropriate treatment plans while maintaining strict adherence to HIPAA, infection control, and professional practice guidelines.
- Managed daily practice operations using MBA-level training, optimizing scheduling, workflow, and resource allocation to enhance service delivery and maintain a patient-centered experience.
- Educated and supervised staff on clinical policies, emergency response, and patient monitoring to foster consistent care plans, improve communication, and reinforce a culture of safety and accountability.
- Educated and supervised staff on clinical policies, emergency response, and patient monitoring to foster consistent care plans, improve communication, and reinforced a culture of safety and accountability.
CNP
Essentia Health
Fargo, ND
01.2018 - Current
- Assessed, diagnosed, and managed common acute conditions, ordered and interpreted appropriate tests, and initiating evidence-based treatment plans.
- Delivered comprehensive episodic care in a high-volume walk-in clinic, conducting focused histories, physical exams, and diagnostic evaluations for patients across the lifespan presenting with acute and urgent complaints.
- Performed patient intake and triage with nursing staff, prioritized cases based on acuity, monitored vital signs and patient status, and escalated complex or unstable presentations per clinic protocols to ensure timely care.
- Educated patients and families on diagnoses, medications, self-care, and warning signs for emergent evaluation, facilitating safe discharge from the walk-in setting.
- Documented encounters in the medical record, ensured accurate coding and HIPAA compliance, and collaborated with interdisciplinary team members to enhance patient flow and clinic efficiency.
Research Investigator
Novum pharmaceuticals
Fargo, Nd
06.2019 - 06.2022
- Led pharmaceutical research investigations for Novum drug development programs.
- Designed study protocols supporting Novum research and safety review processes.
- Conducted research studies to evaluate the effectiveness of new treatments and therapies.
- Monitored study activities to ensure alignment with Novum pharmaceutical standards.
- Reviewed clinical data, lab reports, and regulatory records for compliance.
- Investigated deviations, protocol issues, and data inconsistencies in research files.
- Reviewed medical records to ensure accuracy of study results.
- Identified potential conflicts of interest among participants in clinical trials.
- Collaborated with other researchers to develop innovative solutions for healthcare challenges.
- Provided technical support in the design, implementation, and evaluation of research projects.
- Adhered to standards in areas involving data collection, research protocols, and regulatory reporting.
- Adhered to approved methods and procedures in handling specimens and analyzing test results to obtain accurate findings.
Nursing Faculty
M State Technical College
Moorhead, MN
10.2018 - 05.2019
- Delivered classroom and clinical instruction in nursing fundamentals and patient care, aligning course content with program outcomes and current evidence-based practice for entry-level and advanced nursing students.
- Developed and updated lesson plans, syllabi, and learning activities to support diverse learning styles, integrating clinical scenarios that enhanced assessment, care planning, and documentation skills.
- Evaluated student performance through exams, skills check-offs, and clinical evaluations, providing timely feedback and remediation plans to support progression and readiness for licensure.
- Evaluated student performance through exams, skills check-offs, and clinical evaluations, delivering timely feedback and remediation plans that facilitated progression and readiness for licensure.
- Collaborated with faculty and college staff on curriculum planning, accreditation documentation, and student support initiatives to uphold program quality and foster student retention and success.
Quality Assurance Analyst
Essentia Health
Fargo, ND
10.2015 - 08.2016
- Conducted clinical documentation reviews for Essentia Health, ensuring accuracy, completeness, and compliance with internal policies and regulatory standards, escalating discrepancies to clinical and administrative leaders.
- Conducted detailed clinical documentation reviews for Essentia Health to verify accuracy, completeness, and compliance with internal policies, payer requirements, and regulatory standards, escalating discrepancies to appropriate clinical and administrative leaders.
- Collaborated with physicians, nurse practitioners, case managers, and coding staff to clarify documentation and resolve quality concerns, promoting consistent use of medical terminology and evidence-based standards.
- Used nursing judgment and knowledge of managed care, utilization review, and discharge planning to identify gaps in care coordination, recommending process improvements that supported safer, more efficient patient transitions.
RN Case Manager
Humana
01.2015 - 10.2015
- Managed telephonic case management for Humana members, assessing clinical needs, social determinants, and benefits to develop individualized care plans aligned with managed care guidelines and evidence-based nursing standards.
- Coordinated services across providers, home health, and community resources to ensure safe transitions of care, minimize avoidable complications, and enhance adherence to prescribed treatment and medication regimens.
- Educated members and caregivers on disease processes, self-management strategies, and available benefits, using clear, empathetic communication to improve understanding, engagement, and long-term health outcomes.
- Educated members and caregivers on disease processes and self-management strategies, employing clear, empathetic communication to enhance understanding, engagement, and long-term health outcomes.
- Maintained accurate, timely electronic medical records and case notes, applying clinical judgment and HIPAA standards to prioritize caseloads and effectively address member or provider concerns.
Medical Review Examiner
Nordian Healthcare Solutions
Fargo, ND
03.2014 - 01.2015
- Evaluated complex Medicare and managed care claims against medical necessity criteria, coverage policies, and clinical documentation, identifying appropriate services and support to promote patient compliance and reduce denials.
- Analyzed medical records, diagnostic reports, and provider documentation to ensure alignment with established utilization review guidelines, identifying discrepancies and requesting clarifications.
- Applied advanced nursing knowledge and medical terminology to interpret clinical findings, treatment plans, and care outcomes, ensuring that determinations reflected current standards of care and regulatory requirements.
- Collaborated with case management, quality, and provider relations teams to identify and resolve trends in denials and documentation issues, providing clinical insights that informed process improvements and enhanced provider education efforts.
- Documented review findings and rationales in electronic systems with clear, compliant language, enhancing audit readiness and streamlining communication with internal teams and external stakeholders.
RN Case Manager
Humana
Work at Home
03.2014 - 01.2015
- Conducted telephonic case management for Humana members, completing comprehensive health assessments, identifying clinical and social needs, and developing individualized care plans to enhance member health outcomes.
- Coordinated interdisciplinary care with physicians, home health agencies, and ancillary providers to arrange services, close care gaps, and support safe transitions between inpatient, outpatient, and home settings.
- Educated members and caregivers on diagnoses, medications, self-management strategies, and available community resources, promoting adherence to treatment plans and reducing avoidable complications or readmissions.
- Educated members and caregivers on diagnoses, medications, self-management strategies, and available community resources, fostering adherence to treatment plans and minimizing complications or readmissions.
- Maintained accurate, timely electronic documentation in accordance with Humana policies, regulatory requirements, and HIPAA standards while managing a remote caseload and meeting productivity and quality expectations.
Registered Nurse
Nordian
Fargo, ND
01.2014 - 01.2015
- Evaluated inpatient and outpatient services for appropriate level of care, length of stay, and supporting clinical criteria, contributing to consistent utilization management and cost-effective care decisions.
- Conducted detailed medical record reviews as RN Medical Reviewer, verifying documentation accuracy and medical necessity to ensure alignment with clinical guidelines and payer policies.
- Interpreted physician orders, diagnostic results, and treatment plans using strong medical terminology knowledge to determine whether services met coverage requirements and regulatory standards.
- Collaborated with physicians, case managers, and other reviewers to clarify clinical information and resolve documentation discrepancies, which facilitated timely determinations on claims and authorizations.
- Maintained compliant documentation of review findings and rationales, supporting audit readiness and quality assurance activities to drive continuous improvement of review processes.
Pediatric Coordinator
Sanford Home Care
01.2009 - 01.2014
- Coordinated pediatric home health services for medically fragile children, conducting nursing assessments, developing care plans, and aligning interventions with physician orders and family goals to ensure comprehensive and personalized care.
- Monitored pediatric patients' clinical status through regular home visits, vital sign evaluation, and symptom assessment, escalating concerns to providers and adjusting care plans to support safety, comfort, and developmental needs.
- Collaborated with interdisciplinary teams including physicians, therapists, social workers, and school personnel to synchronize services, support discharge planning, and ensure continuity of care across home, clinic, and community settings.
- Educated parents and caregivers on pediatric disease processes, medications, equipment use, and infection prevention, reinforcing teaching through documentation and follow-up to enhance adherence and minimize complications.
- Maintained accurate, timely medical records and care documentation in compliance with HIPAA and organizational standards, contributing to quality assurance reviews, utilization management processes, and improvement of pediatric home care workflows.
Education
Master of Science - Family Practice Nursing
Maryville University of Saint Louis
St. Louis, MO 01.2016 - 08.2018
MBA - Business
University of Phoenix
Tempe, AZ 01.2008 - 08.2010
Bachelor of Science - Registered Nursing
Minnesota State University
Moorhead, MN 01.2001 - 05.2003
Associate of Science - Registered Nursing
Minnesota State Community And Technical College
Fergus Falls, MN 01.1998 - 08.1999
Associate of Science - Practical Nursing
Northwest Technical College
Moorhead, MN 01.1995 - 08.1997
Skills
- Clinical operations
- Protocol development
- Patient evaluation
- Physician relational diagnosis
- Patient care
- Direct patient care
- Case management
- Care coordination
- Clinical quality improvement
- Quality improvement
- Quality assurance
- Utilization management
- Utilization review
- Clinical research
- Regulatory adherence
- HIPAA documentation
- Infection prevention and control
- Medical record review
- Epic systems
- Clinical metrics tracking
- Patient safety
- Patient education
- Medical education
- Clinical instruction
- Staff supervision
- Staff development
- Clinical leadership
- Business strategy
- Business development
- Strategic planning
- Methodology management
- Insurance verification
- HIPAA
- Patient relationship management
- Clinical education
- Epic systems
- Utilization management
- Treatment planning oversight
- Utilization review
Personal Information
- Driving License: Driver's License
- Work Permit: Authorized to work in the US for any employer
Certification
Nurse Licensure Compact (NLC), CPR Certification, BLS Certification, Driver's License, Certified Nurse Practitioner, October 2018 to December 2026, RN License, August 1999 to December 2026, LPN, November 1997 to December 1999
Timeline
Medical Director
Wildflower Aesthetics
08.2020 - Current
Owner/Medical Director
Advanced Med Spa
10.2019 - Current
Research Investigator
Novum pharmaceuticals
06.2019 - 06.2022
Nursing Faculty
M State Technical College
10.2018 - 05.2019
CNP
Essentia Health
01.2018 - Current
Master of Science - Family Practice Nursing
Maryville University of Saint Louis
01.2016 - 08.2018
Quality Assurance Analyst
Essentia Health
10.2015 - 08.2016
RN Case Manager
Humana
01.2015 - 10.2015
Medical Review Examiner
Nordian Healthcare Solutions
03.2014 - 01.2015
RN Case Manager
Humana
03.2014 - 01.2015
Registered Nurse
Nordian
01.2014 - 01.2015
Pediatric Coordinator
Sanford Home Care
01.2009 - 01.2014
MBA - Business
University of Phoenix
01.2008 - 08.2010
Bachelor of Science - Registered Nursing
Minnesota State University
01.2001 - 05.2003
Associate of Science - Registered Nursing
Minnesota State Community And Technical College
01.1998 - 08.1999
Associate of Science - Practical Nursing
Northwest Technical College
01.1995 - 08.1997