COURTNEY DUNCAN
Madison,AL
Summary
Dedicated Registered Nurse (RN) with specialty experience with nurses, physicians, and other medical professionals, looking to obtain a position as a professional nurse ensuring quality patient care, utilizing my assessment, critical thinking, and therapeutic communication skills, while working within the nursing of ethics, able to perform other related administrative functions to best represent the interests of the Agency. Detail-oriented individual with highly professional attitude, strong leadership, problem solving, relationship-building skills and ability to perform well in a team, looking for an opportunity in a dynamic organization where my skills will be fully utilized.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Billing Specialist/Housing Consultant Manager
Psalm's Promise
Work From Home
01.2021 - Current
- Conduct in-depth interviews with clients to assess eligibility and ensure approval for Housing Stabilization Services, gathering necessary documentation and information to facilitate the process
- Perform comprehensive monthly audits to ensure accuracy, compliance with regulations, and effective tracking of services provided, identifying any discrepancies or areas for improvement
- Manage the billing process by coordinating with medical insurance companies, ensuring that all services provided are accurately documented and billed according to established procedures
- Oversee and provide leadership to a team of employees, ensuring that daily operations run smoothly, team members are supported, and objectives are met efficiently and effectively
- Collaborate with case managers and other stakeholders to develop personalized housing plans for clients, ensuring alignment with client needs, goals, and available resources to achieve housing stability and long-term success
Field Medical Case Manager
Genex
Work From Home
03.2017 - 03.2020
- Demonstrate knowledge, skills, and competency in the application of case management standards of practice
- Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan
- Interview injured persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational
- Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient
- Work with employers and physicians to modify job duties where practical to facilitate early return to work
- Evaluate and modify case goals based on injured/disabled person's improvement and treatment effectiveness
- Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively
- Complete other duties, such as attend injured worker's appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned
Field Care Manager, Insurance Assessor, Data Abstractor
Health Force, LLC
Work From Home
03.2015 - 03.2020
- Company Overview: (Work from Home)
- Conduct in-home assessments of member face to face
- Develop a plan of action with assigned members based on identified needs
- Educate members and families on the disease process
- Act as a member's advocate and liaison
- Manage and maintain all assessment data in appropriate software applications
- Coordinate community care and services as deemed appropriate
- HEDIS chart audit reviews
- Assists in the development of continued care plans as necessary to include patient education and prevention programs
- Provide therapy guidelines to manage physician expectations with respect to reimbursement
- Assess clients for appropriateness of home health services, obtains additional orders for care and referral services as needed
Clinical Case Manager
Ardmore Main Health and Rehab Center
Ardmore, TN
04.2014 - 11.2015
- Company Overview: (67 Beds Skilled Facility)
- Review clinical records for utilization and assessment errors
- Coordinate PPS review meetings
- Medicare/Medicaid and Managed care billing claims
- Transmit data to CMS
- ICD-9 and ICD-10 coding
- Admission/discharge planning
- Complete MDS assessments and Care plans
- Interim Director of Nursing as needed
- Acute skilled Nursing
- Staff and family educator
- Appeal denial of Medicare/Managed care claims
- Prepared discharge risk assessment screens and managed all referrals
- Analyzed high-risk patients and provided care according to requirements
- Coordinated with physicians to plan care procedures for patients and informed family
- Supervised working of admitting and nursing staff
Director of Case Management
Floyd E. "Tut" Fann State Veterans Home
Huntsville, AL
01.2013 - 04.2015
- Company Overview: (150 Bed skilled Facility)
- Chart audit reviews
- Supervised the Clinical Case Management team
- Coordinated IDT meetings, infection control, risk management, and quality assurance
- Acute skilled nursing
- Evaluated psychotropic medications
- Completed MDS assessments
- Developed care plans and goals to meet needs of clients within program limits
- Maintained and developed ongoing MDS schedules for all residents
- Lead chairman of care plan meetings with family and residents
- Completed dental assessments on 150 residents annually and as needed
- Admission/discharge planning
- Worked closely with physicians, ancillary team, patients and families to promote the best possible outcomes
- Worked with local resources for discharge planning and placement
- Directly responsible for the continuing education and enhancement of the knowledge base for Case Management
Registered Nurse Supervisor| Unit Manager
Floyd E. Tut Fann Veterans Home
Huntsville, Al
01.2012 - 01.2013
- Served as administrative authority for the smooth function of all units
- Acute skilled nursing
- Staffing coordinator
- New Admission/discharge planning
- Provided direct care/medication administration to residents
- Assessed residents experiencing acute changes
- Assisted in survey compliance, quality assurance and staff development duties
- Recorded information about patients as they recovered from illness in the hospital, such as diet, physical activity, milestones, and more
- Followed a treatment plan and medication schedule ordered by the doctor, and assessed patient pain levels during the hospital stay
- Led an initiative with the hospital to improve patient, family, and medical staff communication by conducting community workshops to facilitate suggestions
- Noted patient physical condition, vital signs, daily routine, and medication schedule in the urgent care department during serious illnesses or injuries
Education
Associates Degree - Nursing
Wallace State Community College
Hanceville, AL05.2012
Skills
- Patient Care
- Basic Medical Skills
- Decision Making Skills
- Computer Skills
- Strategic Planning
- Relationship Management
- Customer Service
- Operation Management
- Communication Skills
- Time Management
- Writing and communication
- Microsoft Office Skills
- Critical Thinking
- Management Skills
- Analytical Skills
- Dedication and Patience
- Interpersonal Skills
- Organizational Skills
Certification
- RN- Compact state license
- CPR Certified (BLS)
- MAS Nurse
Timeline
Billing Specialist/Housing Consultant Manager
Psalm's Promise
01.2021 - Current
Field Medical Case Manager
Genex
03.2017 - 03.2020
Field Care Manager, Insurance Assessor, Data Abstractor
Health Force, LLC
03.2015 - 03.2020
Clinical Case Manager
Ardmore Main Health and Rehab Center
04.2014 - 11.2015
Director of Case Management
Floyd E. "Tut" Fann State Veterans Home
01.2013 - 04.2015
Registered Nurse Supervisor| Unit Manager
Floyd E. Tut Fann Veterans Home
01.2012 - 01.2013
Associates Degree - Nursing
Wallace State Community College