Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Carolyn Brooks

Orlando,Florida

Summary

Hardworking Registered Nurse with success providing individualized patient care. Committed to delivering best-in-class patient care through effective education and counseling. Proven leadership focused on increasing and enhancing patient care and satisfaction. Streamline safety protocols for comprehensive patient care.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Senior Clinical Quality RN

Optum, UnitedHealth Group
03.2024 - Current
  • Ensured HIPAA compliance by maintaining strict confidentiality when discussing sensitive patient/member information over the phone or via electronic correspondence.
  • Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
  • Perform inbound and outbound engagement calls to perform telephonic, patient-center clinical consultants focused on annual assessments for pain, functional assessment and other screenings.
  • Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
  • Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
  • Provided emotional support to patients during challenging times, fostering a sense of trust and rapport that contributed to better overall wellbeing.

Health Services Manager

Optum Home and Community Division
09.2022 - 02.2024

Collaborated closely with other healthcare managers across the organization to share best practices and implement synergistic strategies for improved service delivery.

  • Facilitated interdepartmental collaboration to streamline processes and enhance service delivery.
  • Increased staff retention rates by implementing comprehensive training programs and fostering a positive work environment.
  • Managed a team of medical professionals, ensuring compliance with industry standards and regulations.
  • Streamlined communication between departments by establishing regular meetings and reporting structures.
  • 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 guidelines relating to HIPAA, benefits administration and general liability.

Clinical Operation Specialist

Landmark Healthcare- DELTA Department
01.2021 - 09.2022
  • Mentored new nursing staff, contributing to a supportive work environment and improve retention rates.
  • Provided training and mentorship to junior staff members, contributing to overall team success.
  • Collaborated with various departments to develop integrated solutions addressing organizational challenges.
  • Improved customer satisfaction by developing and implementing feedback system for service enhancements.
  • Evaluated staff performance and provided coaching to address inefficiencies.


Telephonic Nurse Case Manager

Landmark Healthcare
06.2016 - 01.2020
  • Streamlined communication between healthcare providers, ensuring seamless coordination of care for optimal patient outcomes.
  • Collaborated with interdisciplinary teams to optimize patient-centered interventions and ensure continuity of care.
  • Reduced hospital readmission rates by closely monitoring patients'' progress and addressing potential complications in a timely manner.
  • Collected and inputted case data in managed care system and timely and accurately generated required correspondence and review notification for management.
  • Conducted thorough follow-up calls to assess the effectiveness of treatment plans, making adjustments as needed for optimal results.
  • Provided empathetic emotional support for patients facing challenging health concerns, fostering trust and open communication.
  • Presented case management findings at interdisciplinary team meetings, contributing valuable insights for improved patient care strategies.

Education

Bachelor of Science - Nursing

Andrews University
Berrien Springs, MI
06-1995

Skills

  • Discharge planning
  • Community health
  • Staff supervision and Team coordination
  • HIPAA education
  • EMR systems and Data collections
  • Complex Case management and Patient care planning
  • Active Listener and Relationship building
  • Diabetes and nutrition education
  • Chronic disease management
  • Prior authorization with InterQual

Certification

  • UHC Nursing Leadership Development series, Capella University - 2025

Timeline

Senior Clinical Quality RN

Optum, UnitedHealth Group
03.2024 - Current

Health Services Manager

Optum Home and Community Division
09.2022 - 02.2024

Clinical Operation Specialist

Landmark Healthcare- DELTA Department
01.2021 - 09.2022

Telephonic Nurse Case Manager

Landmark Healthcare
06.2016 - 01.2020

Bachelor of Science - Nursing

Andrews University
Carolyn Brooks