Brandi Coupland Keenum
Odenville,AL
Summary
Skilled nurse clinical educator with over thirteen years of experience. Known for being self-motivated, compassionate and efficient. Exhibits excellent interpersonal and communication skills. Demonstrates outstanding customer service and conflict resolution.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Clinical Care Coordinator
Blue Cross And Blue Shield Of Alabama
Birmingham , AL
01.2016 - Current
- Currently maintains role of clinical care coordinator while engaging members in commercial and Blue Advantage population, in facilities within Etowah, Calhoun and Jefferson counties.
- Represents BCBS of AL while building and maintaining professional working relationships with multiple facilities.
- Utilizes clinical access to providers’ EMR to identify at risk members and engage them in case management.
- Provides education to providers, hospital staff and members.
Dedicated Care Coordinator
Blue Cross And Blue Shield Of Alabama
Birmingham , AL
01.2013 - 01.2015
- Provided patient-centered care to promote health and wellness while managing health care utilization by providing members with education and resources.
- Assisted members and health care providers with complex discharge planning assistance.
- Partnered with members to identify and address barriers to promote compliance with care plans in order to reach member’s health care goals.
- Maintained professional relationships with group representatives to meet the needs of their employees and to assist them with making informed business decisions.
- Performed utilization reviews for members needing alternate levels of care including LTACH, home health and hospice services.
Operating Room Manager
Clinton Plastic Surgery
Birmingham , AL
08.2009 - 10.2013
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and patients for continued compliance with associated regulations.
- Obtained and maintained accreditation with AAAASF
- Ensured quality patient care while leading and motivating personnel.
- Effectively ordered medical supplies and managed utilization of financial resources.
- Scheduled surgeries, managed pre-certifications and verified insurance coverage.
- Assisted clerical personnel with clinical aspect of insurance coding for reimbursement for surgical procedures.
Clinical Staff Nurse Manager
Clinton Plastic Surgery
08.2009 - 10.2013
- Implemented best practice standards for billing resulting in substantial reduction of accounts receivable delays.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Fostered excellence by example by "setting pace" and being hands on mentor to clinical staff.
- Provided pre-operative evaluations and post-operative education to patients and families.
- Assisted clerical personnel with clinical aspect of insurance coding for reimbursement for minor procedures.
Clinical/ Clerical Assistant
Clinton Plastic Surgery
Birmingham , AL
03.2004 - 08.2009
- Assisted clinical and clerical staff with coding and filing insurance claims.
- Documented in various EMR systems.
- Prepared materials and presentations for medical seminars. Arranged business meetings and met with representatives. Managed physician’s continuing education credits.
- Interacted with patients, providers and insurance companies by phone, email or in-person to provide information.
- Maintained organized files and stocked supplies to support team needs and maximize performance.
- Assisted nursing staff and physician during patient visits and minor procedures.
Patient Care Associate
Brookwood Medical Center
Birmingham , AL
12.2007 - 09.2008
- Assisted patients in activities of daily living.
- Maintained calm and therapeutic environment for patients.
- Performed venipunctures and glucose monitoring.
- Monitored intake, output and dietary restrictions.
- Accurately measured vital signs.
- Maintained clear communication with nursing team for optimal patient care.
Education
B.S - Nursing
Grand Canyon University
Phoenix, AZ2016
A. D - Nursing
Wallace State Community College
Hanceville, AL2009
Some College (No Degree) - Pre-Nursing
Jefferson State Community College
Birmingham, ALAdvanced Diploma -
St. Clair County High School
Odenville, AL2003
Skills
- Process Improvement Recommendations
- In-Service Programs
- Employee Training Program
- Financial Operations Oversight
- Policy and Program Development
Certification
Certified Case Manager
Alabama RN # 1-123907
BLS Certification
Special Projects
Greenbelt Project - participated in project designed to stream line hospital based workflow to increase member engagement while time required for clinical review and documentation.
Policy and Procedure Committee - Served on the Health Management Policy and Procedure Committee to review and revise best practices for the case management department.
PEEHIP High Dollar Stop Loss Team - Assisted PEEHIP dedicated area with monthly screening for high dollar claimants. Provided education and resources to identified members to minimize utilization. Presented updates to the group on a monthly basis to highlight case management financial impact.
Annual Professional Growth Plan - Committed to continued professional development. Recently completed training courses to sharpen skills related to communication, fostering teamwork and strengthening professional relationships.
Timeline
Clinical Care Coordinator
Blue Cross And Blue Shield Of Alabama
01.2016 - Current
Dedicated Care Coordinator
Blue Cross And Blue Shield Of Alabama
01.2013 - 01.2015
Operating Room Manager
Clinton Plastic Surgery
08.2009 - 10.2013
Clinical Staff Nurse Manager
Clinton Plastic Surgery
08.2009 - 10.2013
Patient Care Associate
Brookwood Medical Center
12.2007 - 09.2008
Clinical/ Clerical Assistant
Clinton Plastic Surgery
03.2004 - 08.2009
B.S - Nursing
Grand Canyon University
A. D - Nursing
Wallace State Community College
Some College (No Degree) - Pre-Nursing
Jefferson State Community College
Advanced Diploma -
St. Clair County High School
Certified Case Manager
Alabama RN # 1-123907
BLS Certification
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