Open To Work
Christopher Domrese
Carecentrix
Charleston,SC
Work Preference
Job Search Status:
Open to work
Desired Job Title
Case ManagerRegistered Nurse Health CoachUtilization Review NurseRehab NurseQuality Improvement Specialist
Minimum Desired Compensation
$45000/yr
1
Certification
25
years of professional experience
Dynamic individual with expertise in Nurse Coaching and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Work History
PAC Nurse Coach
4 Years 11 Months- Exceeded nurse coach Key Performance Indicators (KPIs) targets and consistently surpassed nurse coach productivity goals.
- Developed individualized care plans by aligning patient goals with provider recommendations and benefits.
- Coordinated telephonic care management for members across complex medical and behavioral needs, ensuring continuity of care.
- Scored 100% on clinical documentation audits upon completion to ensure compliance with audit requirements.
- Verified medication lists and completed reconciliation during initial patient engagement to support accurate medication management in high-volume operations, contributing to award recognition every year as a top performing nurse coach.
- Communicated with physicians, facilities, and health plans to resolve authorization and discharge issues.
Quality Nurse Liaison
5 Years- Investigated provider complaints and addressed sentinel events to strengthen patient safety and quality of care.
- Coordinated care management activities for 80–100 Medicare and Dual Eligible members across South Carolina to support compliance with care standards.
- Executed clinical practice guideline audits for participating providers, reviewing adherence to clinical standards and documentation requirements.
- Conducted clinical practice guideline audits to ensure adherence among participating providers
- Investigated quality of care concerns and reported to the medical director.
- Exceeded Centene employee expectations and awarded the maximum bonus every year
- Completed Dale Carnegie and extensive communication and leadership coursework to support ongoing professional development.
Utilization Review Nurse
2 Years 3 Months- Assisted with development and implementation of urgent review process alongside Medical Director to streamline review timelines for critical cases.
- Developed database for tracking and monitoring urgent requests, improving data accessibility and review efficiency
- Conducted medical necessity reviews for inpatient, outpatient, and post-acute services using InterQual and Milliman criteria.
- Evaluated concurrent admission reviews to support appropriate level-of-care determinations and timely discharge planning.
- Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
- Documented utilization review findings in electronic medical record systems and case management workflows.
Float Pool Clinical Nurse
2 Years 1 Month- Responsible for patient care, administration of chemotherapy, and discharge education
- Delivered patient care, managed chemotherapy administration, and conducted discharge education.
- Coordinated staffing for medical, surgical, and oncology departments to ensure adequate coverage.
- Collaborated with interdisciplinary teams to develop and implement tailored treatment strategies, enhancing patient outcomes.
- Medical, Surgical, and Oncology Staffing Coordinator
Clinical Nurse Coordinator
4 Years 10 Months- Chosen by peers to receive the Medical University of SC nurse of the year award
- Managed nursing and operational functions for 34-bed rehabilitative facility to support effective care delivery through development of cohesive nursing teams.
- Supervised team of 8 nurses and 4 clinical nursing assistants, fostering collaborative environment for optimal patient care.
- Facilitated collaboration among healthcare teams to create effective care plans aimed at improving patient outcomes. to enhance patient outcomes and streamline communication among healthcare teams.
- Managed coordination of patient care plans across multidisciplinary teams to support timely interventions and ongoing continuity of treatment.
Travel Nurse
2 Years 2 Months- Facilitated smooth transitions into new work settings, ensuring operational efficiency
- Trained and educated new employees during 13-week travel nursing contract, enhancing team capability
- Fulfilled travel nurse contract requirements through timely completion to maintain ongoing employment.
- Able to adapt quickly to new working environments with limited orientation
- Delivered bedside care across diverse facilities, adapting quickly to new protocols and patient populations.
- Supported unit workflows by floating between departments and maintaining consistent clinical standards.
Orthopedic Trauma Clinical Coordinator
5 Months- Collaborated with surgeons to implement best practices for patient safety and surgical outcomes.
- Prepared patients for traction, ensuring comfort and readiness for treatment.
- Developed and executed daily goals and care plans for 7 surgical patients to optimize care delivery.
- Collaborated with interdisciplinary teams to coordinate patients' care and discharge goals
- Coordinated patient care activities to enhance service delivery and support improved patient outcomes.
Rehabilitation Registered Nurse
11 Months- Developed and implemented patient rehabilitation goals with ownership of care planning responsibilities.
- Developed and implemented individualized patient rehabilitation goals, enhancing recovery outcomes
- Educated patients and families on surgical procedures and therapeutic regimens, improving understanding and adherence
- Advocated for patient needs in case management meetings, influencing policy decisions that improved rehabilitation services.
- Coordinated interdisciplinary rehabilitation plans with therapy teams, physicians, and case management.
- Educated patients and families on recovery goals, mobility precautions, and discharge instructions.
Education
Bachelor of Science - Nursing
- Walk-On Linebacker, Clemson Football 1997
- National Society of Collegiate Scholars (NSCS)
- Fellowship of Christian Athletes
- Clemson University, Student Government Treasure
- Clemson Rugby 1998-1999 Team Captain
Skills
Patient care management
Patient education and advocacy
Utilization Management
Proactive health management
Quality improvement
Policy development
Case documentation
Documentation and reporting
Certification
Registered Nurse RN License Number : 78993
South Carolina Board of Nursing
Original Issue Date: 7/28/1999
Expiration: 4/30/2028
Privilege to Practice: Multi-State
Basic Life Support (BLS) ID#: F79FA2
Date Issued: 3/25/2025
Expires: 3/25/2027
Instructor: Paul J Scruton
Timeline
PAC Nurse Coach
Carecentrix
07.2019 - 06.2024Read More
Quality Nurse Liaison
Centene Corp
07.2014 - 07.2019Read More
Utilization Review Nurse
Select Health of SC
03.2012 - 06.2014Read More
Float Pool Clinical Nurse
Trident Medical Center
03.2009 - 04.2011Read More
Clinical Nurse Coordinator
Medical University of South Carolina
04.2004 - 02.2009Read More
Travel Nurse
Preferred Healthcare Staffing, Inc
01.2002 - 03.2004Read More
Orthopedic Trauma Clinical Coordinator
Duke University Medical Center
07.2001 - 12.2001Read More
Rehabilitation Registered Nurse
Medical University of South Carolina
08.1999 - 07.2000Read More
Clemson University
Bachelor of Science from Nursing
Read More