Summary
Overview
Work History
Education
Skills
Certification
Awards
References
Timeline
Generic

Daphne Fournier

Wilson,NC

Summary

Registered Nurse with 31 years of professional nursing experience and 2 years of government service. Experienced in case management, leadership roles, and diverse medical specialties such as OB/GYN, Neurology, and Orthopedics. Skilled in surgical assistance, nurse consultation, home health, and telephonic care advising. Seeking a position to utilize expertise and contribute to healthcare team.

Overview

20
20
years of professional experience
1
1
Certification

Work History

CASE MANAGER

WakeMed Hospital
10.2019 - Current
  • Provided case management services to patients in assigned population
  • Conducts bio-psychosocial assessments for patient needs and care plan development
  • Serves as a liaison between physicians, patients, families, healthcare teams, community resources, and payers to minimize care duplication and fragmentation.
  • Anticipates potential delays in the health care process and acts proactively to avoid these delays
  • Ensures that necessary services are provided at the most appropriate level of care, and that there is a smooth progression of the patient throughout the healthcare system and into the community

NURSE CASE MANAGEMENT(COVID-19)

Aerotek(Contract Agency)
08.2020 - 05.2021
  • Responsible for managing remotely a caseload of students impacted by Covid-19 either because they have tested positive or have been exposed to Covid-19, have symptoms of Covid-19(not yet tested)

NURSE CARE MANAGER 1

Anthem
02.2020 - 06.2020
  • Ensure member access to services appropriate to their health needs
  • Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment
  • Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements
  • Coordinates internal and external resources to meet identified needs

RN NURSE MEDICAL MANAGEMENT L

Anthem
11.2019 - 02.2020
  • Conducts pre-certification, continued stay review, care coordination and discharge planning for appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts
  • Ensures member access to medically necessary quality healthcare in a cost effective setting according to member contract

TELEPHONIC NURSE CARE ADVISOR II COMPLEX CARE

Evolent Health
05.2014 - 10.2019
  • Along with other members of the Population Health team, conduct comprehensive assessments that include the medical, behavioral, pharmaceutical and social needs of the patient, identify gaps in care and barriers to attaining improved health
  • Facilitate and collaborate with the facility Utilization Management, case managers, discharge planners and/or all appropriate ancillary providers
  • Based on this assessment and in conjunction with the patient, the patient's physician and other members of the population health team, create and implement a care plan that will address the identified needs, remove the barriers and improve the health of the patient
  • Coordinate and collaborate care by serving as the contact point, advocate and resource for the patient, their family and their physician(s), building effective relationships through trust, respect and communication
  • Measure, improve and maintain quality outcomes (clinical, financial, and functional) for individual patients and the population served

REGISTERED NURSE

Pruitt (Home Health)
09.2012 - 05.2019
  • Provided direct skilled nursing care and care management for home care patients as part of an interdisciplinary team under a physician's orders
  • Home Health Oasis

Performed evaluations, assessments, and treatments in accordance with established policies and individualized care plans

  • Completed all documentation and records promptly and accurately
  • Followed policies and procedures within the scope of practice
  • Maintain continuity of patient care in a home care setting

REGISTERED NURSE

Brookdale Senior Care
02.2011 - 02.2016
  • Provided direct skilled nursing care and care management for home care patients in collaboration with an interdisciplinary team following physician's orders.
  • Provided direct skilled nursing care and care management for home care patients as part of an interdisciplinary team under a physician's orders
  • Home Health Oasis

Performed evaluations, assessments, and treatments in accordance with established policies and individualized care plans

  • Completed all documentation and records promptly and accurately
  • Followed policies and procedures within the scope of practice
  • Maintain continuity of patient care in a home care setting

TELEPHONE TRIAGE

Carenet
07.2013 - 04.2014
  • Responsible for providing nurse triage, medical decision support and member engagement initiatives and healthcare support programs

CERTIFIED NURSING ASSISTANT 1 INSTRUCTOR

Wake Technical Community College
03.2012 - 02.2013
  • Provide instruction for students to become certified nursing assistants
  • Provide instruction in the areas of communication, safety, patient rights, personal care, vital signs, elimination, nutrition, emergencies, rehabilitation, and mental health

NURSE CONSULTANT

Kelly Health Services (PPD)
09.2011 - 03.2012
  • Provide medical and drug information with high quality customer service including researching and responding to inquiries
  • Responsibilities also included documenting and reporting adverse events and product complaints

RN CASE MANAGER

University Health Systems (Home Health)
08.2009 - 08.2011
  • Provided direct skilled nursing care and care management to home care patients as part of an interdisciplinary team, following physician's orders.
  • Provided direct skilled nursing care and care management for home care patients as part of an interdisciplinary team under a physician's orders
  • Home Health Oasis

Performed evaluations, assessments, and treatments in accordance with established policies and individualized care plans

  • Completed all documentation and records promptly and accurately
  • Followed policies and procedures within the scope of practice
  • Maintain continuity of patient care in a home care setting

OPERATING ROOM REGISTERED NURSE

Fayetteville VA Medical Center
02.2007 - 09.2009
  • Assisted medical staff in the preoperation clinic and daybed unit
  • Assessed and attended to the needs of patients in surgical care
  • Prepared and maintained the sterile field equipment

REGISTERED NURSE

TCMP Health Services
03.2008 - 07.2009
  • Advised patients about care for non-life threatening conditions that can be treated at home
  • Managed the ordering of medications and labs for various medical conditions

REGISTERED NURSE

Fayetteville Ambulatory
10.2007 - 02.2008
  • Prepared and maintained the sterile field equipment
  • Attended to the needs of preoperative and intraoperative surgical patients
  • Administered conscious sedation for pain management purposes

HEAD NURSE: OPHTHALMOLOGY, ORAL/MAXILLOFACIAL SURGERY OPERATING ROOMS

U.S. Army Meddac
07.2004 - 12.2006
  • Management of 7 employees and ensured the quality of care of services
  • Participated in the Endomechanical standardization committee

Education

BACHELOR OF SCIENCE - NURSING

Winston-Salem State University
NC
05.1993

Skills

  • Positive Attitude
  • Recruitment
  • Utilization Management
  • Family Education
  • Chronic Disease Management
  • Regulatory Compliance
  • Needs Assessment
  • Discharge Planning
  • Health History Documentation
  • Performance Tracking
  • Records Management
  • Care Coordination
  • Referral Coordination
  • Resource Management
  • Progress Evaluations
  • Interdisciplinary Collaboration
  • Medical Records Management
  • Decision-Making
  • Documentation And Reporting
  • Case Planning
  • Case Needs Assessment
  • Documentation proficiency
  • Intervention Plans
  • Organization and Multitasking
  • Emotional awareness
  • Home Visits and Inspections
  • Patient Needs Assessment
  • Case Management
  • Community Outreach
  • Indirect Patient Care
  • Case Documentation
  • Court Mandated Reporter
  • Community Resources
  • Email and Telephone Etiquette
  • MS Office
  • Progress evaluations understanding

Certification

  • Nursing License, 129197, 05/01/93, North Carolina
  • Certified Case Management, 4216426
  • Certified Nurse Case Manager (CCM)-valid through 05/31/2025

Awards

  • U.S. Army Commitment to Service and Excellence Award for Exceptional Meritorious Service as Head Nurse for Ophthalmology and Oral/Maxillofacial Surgery
  • Commander's Award for Civilian Service

References

References available upon request

Timeline

NURSE CASE MANAGEMENT(COVID-19)

Aerotek(Contract Agency)
08.2020 - 05.2021

NURSE CARE MANAGER 1

Anthem
02.2020 - 06.2020

RN NURSE MEDICAL MANAGEMENT L

Anthem
11.2019 - 02.2020

CASE MANAGER

WakeMed Hospital
10.2019 - Current

TELEPHONIC NURSE CARE ADVISOR II COMPLEX CARE

Evolent Health
05.2014 - 10.2019

TELEPHONE TRIAGE

Carenet
07.2013 - 04.2014

REGISTERED NURSE

Pruitt (Home Health)
09.2012 - 05.2019

CERTIFIED NURSING ASSISTANT 1 INSTRUCTOR

Wake Technical Community College
03.2012 - 02.2013

NURSE CONSULTANT

Kelly Health Services (PPD)
09.2011 - 03.2012

REGISTERED NURSE

Brookdale Senior Care
02.2011 - 02.2016

RN CASE MANAGER

University Health Systems (Home Health)
08.2009 - 08.2011

REGISTERED NURSE

TCMP Health Services
03.2008 - 07.2009

REGISTERED NURSE

Fayetteville Ambulatory
10.2007 - 02.2008

OPERATING ROOM REGISTERED NURSE

Fayetteville VA Medical Center
02.2007 - 09.2009

HEAD NURSE: OPHTHALMOLOGY, ORAL/MAXILLOFACIAL SURGERY OPERATING ROOMS

U.S. Army Meddac
07.2004 - 12.2006
  • Nursing License, 129197, 05/01/93, North Carolina
  • Certified Case Management, 4216426
  • Certified Nurse Case Manager (CCM)-valid through 05/31/2025

BACHELOR OF SCIENCE - NURSING

Winston-Salem State University
Daphne Fournier