Carla Adams, APRN

Provide comprehensive in home primary care services to patients enrolled in value based program (Risk Model) powered by Cigna Medicare. diverse population of patients, including diagnosis, treatment and prevention of diseases.

Key Contributions

• Coordinates with patient's primary care provider and other members of health care team, such as specialist and health care plan case managers to achieve patient care goals.
• Completes medical assessments, including reviewing medical history, conducting full physical and psychosocial assessments, evaluating and interpreting diagnostic and radiology tests.
• Manages episodic and/or chronic medical problems, as well as preventive care and counseling.
• Perform urgent care visits in the home and telephonically to avoid unnecessary ED transfers and hospital admissions.
• Identify gaps in care, risk factors and care coordination needs as well as assist in interventions to mitigate barriers.
• Creates customized care plans to meet the needs of each individual patient, collaborate with the Interdisciplinary Care Team.
• Performs ADL and fall risk assessments; cognitive impairment, depression, and nutritional health screening; BMI measurement; medication reconciliation;

Performed wide range of primary patient care operations focused on providing Rutherford County employees, dependents, and retirees (from 3 years to geriatric ages) that are Cigna insured, top quality healthcare services.

Key Contributions:

• Assisted up to 15 patients daily, working collaboratively with physicians, nurses, administrators, and technicians on development and implementation of customized care plans for acute and chronic disease management in alignment with clinical care standards.
• Handled telemedicine sessions, physical assessments, preventative care, and ordering as well as interpretation of lab diagnostics.
• Played key roles in planning and coordination of care services, communicating effectively with team members and patients to continuously provide compassionate care, referrals, education, and quality resources.
• Managed electronic health records systems, ensuring accurate and up-to-date information.
• Administered point of care testing, phlebotomy, centrifuge, preceptorship, and basic life support.
• Managed pharmacological and non-pharmacological treatment of various disorders and diseases.
• Maintained high levels of patient satisfaction by establishing rapport, building trust, and serving as both advocate and educator.
• Ensured compliance with policies, procedures, standards, and regulations.
• Promoted patient safety, wellness, continuous improvements, and positive outcomes.
• Began county contract with Premise Health (2011-2020) and retained position following transition to Ascension (2020-Present).

Delivered top quality nursing care within 31-bed unit with patients suffering from acute and chronic conditions.

Key Contributions:

• Monitored and recorded patient conditions, vital signs, and recovery progress - working with physicians, nursing team, and specialists in development and modification of treatment plans.