Brianna McQueen
High Point,NC
Summary
Experienced with transitional care processes and patient management. Utilizes comprehensive care plans to ensure smooth patient transitions. Knowledge of healthcare systems and strong communication skills enhance patient outcomes and team collaboration. Currently pursuing a Master of Science in Nursing (MSN) with a specialization in Nursing Informatics.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Transitional Care Manager
Oak Street Health
High Point, NC
04.2024 - Current
- Manage transitions of care for patients following hospitalizations to ensure continuity of care and prevent readmissions.
- Conduct post-discharge assessments to identify barriers including medication access, transportation, and social determinants of health.
- Perform comprehensive medication reconciliation and coordinate medication management with providers and pharmacists.
- Collaborate with interdisciplinary teams to improve patient outcomes and continuity of care.
- Educate patients and caregivers on disease management, medication adherence, and follow-up care.
- Coordinate referrals, follow-up appointments, and community resources to support recovery.
- Utilize Epic EHR to document, track, and coordinate patient care.
- Serve as an Epic Super User, assisting staff with workflow questions and system navigation.
RN II / Center Nurse
Oak Street Health
High Point, NC
01.2022 - 04.2024
- Delivered nursing care for adult patients in a value-based primary care clinic.
- Performed triage, patient assessments, medication reconciliation, and chronic disease education.
- Collaborated with providers to develop individualized care plans for complex patients.
- Participated in interdisciplinary care team meetings to coordinate care and improve outcomes.
- Educated patients on diabetes management, hypertension control, and preventive health measures.
- Trained and onboarded new Registered Nurses.
Triage Registered Nurse
Triad Adult and Pediatric Medicine
High Point, NC
06.2020 - 01.2022
- Completed clinical competency validations for Registered Nurses and Medical Assistants.
Medical Assistant
Triad Adult and Pediatric Medicine
High Point, NC
06.2016 - 06.2020
Education
Bachelor of Science in Nursing (BSN) -
Chamberlain University
01-2022
Associate Degree in Nursing (ADN) - undefined
Guilford Technical Community College
01-2020
Diploma in Medical Assisting - undefined
Virginia College
01-2016
Skills
- Care Coordination
- Transitions of Care
- Medication Reconciliation
- Hospital Readmission Prevention
- Chronic Disease Education
- Patient Advocacy
- Interdisciplinary Collaboration
- Population Health
- Value-Based Care
- Clinical Documentation
- Quality Metrics
- Staff Training
- Epic Super User
Certification
- Certified Case Manager (CCM)
- Registered Nurse – North Carolina
- BLS / CPR – American Heart Association
Timeline
Transitional Care Manager
Oak Street Health
04.2024 - Current
RN II / Center Nurse
Oak Street Health
01.2022 - 04.2024
Triage Registered Nurse
Triad Adult and Pediatric Medicine
06.2020 - 01.2022
Medical Assistant
Triad Adult and Pediatric Medicine
06.2016 - 06.2020
Associate Degree in Nursing (ADN) - undefined
Guilford Technical Community College
Diploma in Medical Assisting - undefined
Virginia College
Bachelor of Science in Nursing (BSN) -
Chamberlain University