Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Carla Hicks

Durham,NC

Summary

Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.

Overview

19
19
years of professional experience

Work History

Licensed Practical Nurse

UNC Health Care
04.2024 - Current
  • Improved patient outcomes by administering medications, monitoring vital signs, and documenting relevant information.
  • Cared for wounds, provided treatments, and assisted with procedures.
  • Assisted with admissions, appointments, transfers, and discharges.
  • Collaborated with interdisciplinary healthcare teams to ensure continuous quality improvement in patient care delivery.

Clinical Review Nurse

UNC Health Care
04.2024 - Current


  • Facilitated timely discharge planning through comprehensive review of patients'' medical records and coordinating with multidisciplinary teams.
  • Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
  • Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Performed prior authorization review of services requiring notification.
  • Submitted cases for criteria failures and helped facilitate resolutions and approvals.
  • Minimized financial risk associated with denials or payment discrepancies through diligent validation of medical necessity prior to service provision.
  • Promoted adherence to quality standards by monitoring patient outcomes and suggesting areas for improvement.

Senior Nurse Navigator

Pruitt Healthcare
08.2022 - 05.2024
  • Led educational workshops for staff members on topics such as pain management strategies and wound care best practices.
  • Evaluated patient progress against treatment goals regularly, adjusting interventions accordingly to promote optimal outcomes.
  • Reduced hospital readmissions by providing thorough patient education on medication management and self-care techniques.
  • Mentored junior nurses in clinical skills development, fostering a positive learning environment to support professional growth.
  • Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
  • Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Minimized financial risk associated with denials or payment discrepancies through diligent validation of medical necessity prior to service provision.

Licensed Insurance Agent

Primerica
02.2020 - 08.2022

Licensed Practical Nurse

Nurse Connection Staffing
04.2012 - 11.2020
  • Improved patient outcomes by administering medications, monitoring vital signs, and documenting relevant information.
  • Cared for wounds, provided treatments, and assisted with procedures.
  • Assisted with admissions, appointments, transfers, and discharges.
  • Collaborated with interdisciplinary healthcare teams to ensure continuous quality improvement in patient care delivery.
  • Documented accurate and complete patient information to address patient problems and expected outcomes.
  • Performed prior authorization review of services requiring notification.
  • Submitted cases for criteria failures and helped facilitate resolutions and approvals.
  • Served as a vital liaison between patients, healthcare providers, and insurance companies, fostering effective communication and coordination among all parties involved in the care process.

Licensed Practical Nurse

Capital District Psychiatric Center
08.2005 - 05.2012
  • Responded to numerous volatile situations and violent outbreaks to restore safety and security of patients and staff.
  • Built trust with patients from various cultural backgrounds through culturally competent care practices tailored to individual needs.
  • Ensured patient safety by closely monitoring behaviors, administering medications as prescribed, and intervening during incidents of aggression or selfharm.
  • Oversaw care of suicidal patients and acted swiftly to reduce risk of harm to themselves or others.
  • Collaborated proactively with psychiatrists to adjust treatment plans based on observed changes in symptoms or behavior patterns among patients.
  • Advocated for and strived to protect health, safety, and rights of patient.
  • Promoted a therapeutic environment by establishing rapport, maintaining boundaries, and fostering open communication with patients and families.
  • Administered medication and treatments to patients to observe and record responses.
  • Performed patient assessments to monitor expected response to medications and altering treatment plans.

Education

LPN - Nursing

Questar III
Troy, NY
07.2005

Skills

    Medication Administration

    Direct Patient Care

    HIPAA Compliance

    Clinical Documentation

    Clinical judgment

    EMR / EHR

    Healthcare Software Proficiency

    Preventive Care

    Mental Health Support

    Rehabilitation techniques

    Organizational Skills

    Analytical Thinking

Languages

Spanish
Native or Bilingual

Timeline

Licensed Practical Nurse

UNC Health Care
04.2024 - Current

Clinical Review Nurse

UNC Health Care
04.2024 - Current

Senior Nurse Navigator

Pruitt Healthcare
08.2022 - 05.2024

Licensed Insurance Agent

Primerica
02.2020 - 08.2022

Licensed Practical Nurse

Nurse Connection Staffing
04.2012 - 11.2020

Licensed Practical Nurse

Capital District Psychiatric Center
08.2005 - 05.2012

LPN - Nursing

Questar III

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Carla Hicks