Provide telephonic case-management in a Workers’ Compensation environment
Focus on medical appropriateness of care to injured worker with cost savings by coordination and utilization of all services, ensuring that as soon as medically feasible, return-to-work status is achieved, along with increase in productivity
Work collaboratively with claims adjusters, legal counsel, employers, and litigated/non litigated patients
Provide leadership of lower graded staff in the department
Facilitate communication between the employee, the employee representative, employer, employer representative, insurer, health care provider, the managed care organization and when authorized.
Employee Health Registered Nurse
WellStar Health System
01.2023 - 05.2023
Conduct occupational health screenings for new and current employees, and participation in wellness programs
Administer immunizations, track, and manage and occupational exposures
Participate in phlebotomy procedures including all types of specimen collection techniques.
Perform abstraction of retrospective electronic medical records within appropriated turn around times for external commercial clients to ensure adherence to required clinical standards
Support Company’s client’s requirements for the Centers for Medicare & Medicaid Services (CMS) abstraction and submission of clinical quality data
Medical record data abstraction to support HEDIS measures and process improvement
Apply data element definitions and abstraction instructions found in applicable manuals to accomplish timely and accurate review of physician documentation on medical records.
Telephonic Nurse Case Manager I
Anthem Blue Cross Blue Shield
01.2022 - 08.2022
Reviews inpatient and post discharge clinical information to evaluate medical records and healthcare team notes to develop appropriate treatment plans based on clinical practice guidelines
Collaborates with utilization management team and providers to ensure treatment plans align with evidence based clinical criteria
Manages inbound and outbound patient calls in accordance with monthly performance metrics
Coordinates member access to DME, telemedicine and services appropriate to their health needs
Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements
Documents all client encounters and contacts made on behalf of clients/families; writes social and/or nursing summaries
Maintain accurate patient records and patient confidentiality while remaining HIPPA compliant
Assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
Urgent Care Registered Nurse
Children’s Healthcare of Atlanta
09.2021 - 01.2022
Performs nursing assessments, triages patients, monitors critical vital signs, and perform interventions when required
Performs Covid/Strep/Influenza/RSV testing and explains treatments, procedures, and after-care instructions, as well as answering patients' questions
Administers IV and IM immunizations and antibiotics
Maintains and updates medical charts, patient files, and health records.
House Supervisor
Wellstar Heath System
03.2021 - 09.2021
Provides hospital wide leadership to all departments and divisions in the absence of the hospital president, administrators and department directors.
Assisted in the development and implementation of policies and procedures that aligned with hospital goals and regulatory requirements, ensuring consistent high-quality care.
Assistant Nurse Manager/Interim Nurse Manager
Wellstar Heath System
04.2020 - 03.2021
Managed 45 licensed and unlicensed professionals
Responsibilities include payroll/timekeeping, balancing schedules, abstracting data from medical records, patient experience rounding
Assisting with quality assurance/data tracking for metrics and key performance indicators.
Performed real-time chart audits for patients ensuring accuracy and completeness of information while capitalizing on opportunities for process improvement.
Resolved conflicts among staff members by employing effective communication techniques and seeking mutually beneficial solutions when issues arose.
Evaluated staff performance regularly, providing constructive feedback and support for professional development opportunities.
Collaborated with other departments to streamline processes and enhance interdisciplinary teamwork, ultimately improving continuity of care for patients.
Participated in hospital-wide initiatives aimed at improving overall patient experience and satisfaction levels.
Maintained open lines of communication with patients'' families to ensure their needs were met and concerns addressed promptly.
Improved patient safety through close monitoring of infection control practices within the department.
Charge Nurse
Wellstar Heath System
10.2019 - 04.2020
Delegating nursing assignments, triages patient requests, preparing schedules, overseeing admissions and discharges, and monitoring and ordering medicines and supplies
Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
Conducted daily shift briefs to inform staff of changes in patient care assignments.
Optimized patient satisfaction through timely response to concerns and effective communication among staff members.
Contributed significantly towards Joint Commission accreditation compliance through regular audits, staff education and process improvement recommendations.
Participated in quality improvement initiatives, contributing to the development of best practices within the department.
Adjunct Clinical Faculty
Mercer University
08.2019 - 04.2020
Courses: Adult Health
Network Platform: Canvas
NCLEX Preparation: ATI Testing
Hospitals: WellStar Kennestone Blue 6 West.
Study Prep Adjunct Faculty
08.2019 - 04.2020
Conducts individual or small group academic study support for individual Georgia Baptist College of Nursing Undergraduate BSN students the focus of which will be reinforcing material
Submit a monthly tracking document to support hours and describe the foci of each session
Provide a short summative report to the Academic coordinator addressing successes achieved and challenges encountered.
Student Learning Specialist
Chamberlain University College Of Nursing
03.2019 - 09.2019
Provides instruction, remediation and evaluation in didactic and clinical learning concepts including patient care simulations
Demonstrates current, detailed, accurate knowledge of concepts tested by the NCLEX-RN as well as
Prepares and maintains labs and simulated patient care environments with equipment, supplies, media, computers, and materials needed to replicate virtual healthcare setting.
Supported struggling students with targeted interventions, resulting in improved academic performance.
Maintained inclusive learning environment to enable students to gain maximum benefit from lessons.
Visiting Professor
Chamberlain University (Atlanta Campus)
03.2019 - 09.2019
Courses: Adult Health and Fundamentals
Network Platform: Canvas
Hospitals: Select Specialty Midtown and Gwinnett Medical Center Extended Care.
Registered Nurse
Piedmont System Acute Care Float Pool
10.2018 - 04.2019
Performed all required patient care, physical assessment, documentation, medications administration
Travel between the piedmont healthcare system to any acute care medical/surgical floor.
Adjunct Instructor - Allied Health Science
Gwinnett Technical College (Alpharetta Campus)
12.2018 - 02.2019
Courses taught: Introduction to Health Care and Medical Terminology
Delivers effective individualized programs of instruction to class members in both lecture and online setting via Blackboard Learning Management System
Ensures consistency in syllabi, lesson plans, tests, and other appropriate materials.
Medical/Surgical Travel RN
Travel Nurse Across America (Arkansas Surgical Hospital)
07.2018 - 09.2018
Provide competent care to post-operative orthopedic and general surgery patients
Reported abnormal findings and change in patient status to MD, applying appropriate nursing measures.
RN Acute Care Float Pool
Wellstar Heath System
09.2016 - 07.2018
Performed all required patient care, physical assessment, documentation, medications administration
Traveled between ten(10) acute floors including: neuro, cardiac/tele, vascular, renal, ortho, medical, oncology, clinical decision unit, burn intensive care unit.
RN ICU/Cardiac Care Unit
Wellstar Heath System
04.2016 - 09.2016
Identify and assess total patient needs including monitoring telemetry, vitals, and administering medications
Perform approved therapeutic or diagnostic procedures based upon patients' clinical status
Assisting physician procedures and follow physician’s orders while reporting change in conditions.
Adjunct Nursing Instructor
University of West Georgia
01.2016 - 05.2016
Coordinates, manages and directs the classroom, skills lab, and simulation setting training experience for students
Evaluates and provides documented feedback to students on level of performance based on interpersonal skills, technical skills, and knowledge base in classroom, skill lab and simulation setting at regular intervals to measure student performance.
Medical Surgical Unit
Wellstar Heath System
10.2014 - 04.2016
Educating patients and families while providing exceptional care.
Education
Masters of Science, Nursing Education -
University of West Georgia
05.2018
Bachelor of Science, Nursing -
Valdosta State University
08.2014
Skills
Epic
MyChart
Microsoft Office Suite
Microsoft Teams
Zoom
Cerner
Webex
ODG by MCG
Certification
Registered Nurse, Georgia State Board of Nursing, RN242403