Summary
Overview
Work History
Education
Skills
Accomplishments
Licenses
Languages
Timeline
Generic

Denita Ferguson

Summary

Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.

Overview

15
15
years of professional experience

Work History

Care Manager

Assure Health
11.2022 - 03.2024
  • Company Overview: Care Manager for remote patient monitoring company
  • Educated clients and families on community resources, treatment options and health care services to better manage conditions.
  • Developed strong rapport with patients and families through empathetic listening and compassionate communication techniques.
  • Provided crisis intervention services when necessary by assessing risk levels promptly addressing safety concerns collaboratively with the treatment team.
  • Managed complex caseloads, ensuring timely assessment, intervention, and documentation for optimal care outcomes.
  • Conducted thorough assessments to identify patients' needs, strengths, and barriers to achieving optimal health outcomes.
  • Maintained network of community resources to provide most comprehensive support services possible to clients.
  • Utilized electronic health records systems proficiently for efficient documentation of clinical information according to regulatory standards.
  • Prioritized time management effectively balancing competing demands within dynamic fast-paced healthcare environments.
  • Led team of care professionals, promoting collaborative approach to patient management.
  • Discussed medical histories with patients in effort to provide most effective medical advice.
  • Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
  • Spearheaded and implemented new projects to expand scope of engagement.

Clinical Specialist

AMT
02.2018 - 08.2021
  • Company Overview: DME provider for wound, ostomy, and tracheostomy products
  • Maintained average monthly account sales of revenue exceeding 200K monthly
  • Managed assigned territory with over thirty five facilities
  • Gave presentations to conference attendees, clinicians, and administrators.
  • Visited assigned accounts, identified, and trained clinical champions and established relationships with key decision makers.

Assisted in the development and launch of new medical products by providing valuable feedback from a clinical perspective.

  • Evaluated, recommended and implemented new tools, presentations, techniques and delivery platforms for training and communication.
  • Developed strong relationships with key opinion leaders in the industry, fostering collaboration and encouraging innovation within the field.
  • Prepared reports and updated required documentation.
  • Assisted in the development of effective marketing materials targeting healthcare professionals, leading to increased brand awareness and product adoption.
  • Collaborated closely with multidisciplinary healthcare teams to optimize patient care plans and ensure successful treatment outcomes.
  • Mentored junior staff members through one-on-one coaching sessions, promoting professional growth and improved clinical skills.
  • Stayed informed on emerging trends, technologies, and best practices in the healthcare industry to effectively advise clients on optimal strategies for success.
  • Served as a key liaison between device manufacturers, clinicians, and patients to facilitate communication and improve overall satisfaction.
  • Supported sales teams with expert product demonstrations and presentations at conferences, leading to increased revenue.
  • Contributed to company growth by identifying new business opportunities within existing accounts or potential clients while maintaining high client retention rates through exceptional service delivery.


Episodic Care Manager

BCBSNC for SSI
08.2016 - 12.2016
  • Company Overview: Contract Role
  • Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
  • Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Performed prior authorization review of services requiring notification.
  • Improved patient care quality by conducting thorough utilization reviews and making recommendations for optimal treatment plans.
  • Submitted cases for criteria failures and helped facilitate resolutions and approvals.
  • Contributed to organizational success by providing expert advice on medical necessity criteria and evidence-based practices in utilization review nursing.
  • Served as a vital liaison between patients, healthcare providers, and insurance companies, fostering effective communication and coordination among all parties involved in the care process.
  • Minimized financial risk associated with denials or payment discrepancies through diligent validation of medical necessity prior to service provision.
  • Obtained authorizations from multiple insurance carriers for various levels of care.
  • Collaborated with insurance companies to verify coverage, clarify benefits, and facilitate authorization for medical services, reducing delays in patient care delivery.

Care Manager

Right Medical
07.2016 - 09.2016
  • Company Overview: Contract Role
  • Developed strong rapport with patients and families, fostering trust and open communication during challenging times.
  • Educated patients and families on disease management, medication safety, and at-home healthcare strategies to promote selfcare.
  • Documented patient vitals, behaviors, and conditions to communicate concerns to supervising nurse.
  • Provided physical assessments, medication, and chronic disease management to home health patients.
  • Coordinated with other healthcare team members to support patient needs.
  • Determined and addresses individual home care needs by completing detailed assessments and reviewing documentation.
  • Conducted regular follow-up visits to monitor patient progress and make adjustments to care plans as needed.
  • Facilitated smooth transitions from hospital discharge to home-based care by coordinating necessary resources and support systems.
  • Collaborated with vendors to procure medical equipment, supplies and services.
  • Enhanced patient recovery rates through diligent monitoring of vital signs, medication administration, and wound care.
  • Managed patient medical records accurately and confidentially, ensuring compliance with HIPAA regulations.
  • Supported patients'' mental and emotional well-being through active listening and empathetic communication during difficult periods of illness or recovery.
  • Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
  • Evaluated patient histories, complaints, and current symptoms.

Episodic Case Manager

BCBSNC
10.2014 - 05.2015
  • Company Overview: Contract Role
  • Process requests for Medicare Part D claims
  • Use of Right Fax, Prime Therapeutics, MACESS
  • Submitted cases for criteria failures and helped facilitate resolutions and approvals.
  • Streamlined the case management process by effectively prioritizing high-risk cases for timely intervention and followup.
  • Assisted discharge planning efforts through prompt identification of medically stable patients who were ready for transition to alternate levels of care.
  • Obtained authorizations from multiple insurance carriers for various levels of care.
  • Facilitated compliance with federal and state regulations, maintaining high standards of healthcare delivery.
  • Reduced unnecessary medical costs, ensuring treatments met established medical guidelines and policies.

LPN Charge Nurse

Guilford Health Care Center
05.2014 - 10.2014
  • Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
  • Delegated tasks effectively, optimizing staff productivity and maintaining a well-organized nursing unit.
  • Assembled and used equipment such as catheters, tracheotomy tubes, or oxygen suppliers to effectively manage patient care.
  • Utilized critical thinking skills to make sound clinical decisions in high-pressure situations, minimizing risks and ensuring patient safety.
  • Analyzed patient assessments and laboratory data to bring any issues to attention of physicians.
  • Served as charge nurse, caring for patients with serious illnesses.
  • Provided compassionate end-of-life care, supporting patients and their families through difficult times.
  • Promoted continuity of care by thoroughly documenting shift-to-shift communication in nursing reports.
  • Developed strong relationships with patients'' families, keeping them informed of progress reports and collaborating on decisions regarding their loved ones'' healthcare plans.
  • Assisted physicians during procedures, demonstrating strong clinical knowledge and attention to detail for successful outcomes.
  • Managed daily staff assignments and patient scheduling to guarantee clinic coverage and flow.
  • Delivered direct quality care to patients by evaluating medical conditions and managing and assessing treatments.
  • Coordinated timely admissions, transfers, and discharges for efficient bed utilization within the nursing unit.
  • Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.

Wound Care Nurse

Kindred Hospital of Greensboro
04.2013 - 09.2014
  • Evaluated patients wounds and recommended appropriate treatments, expediting the healing process.
  • Treated and carefully tended to vascular and diabetic ulcers.
  • Collaborated with healthcare team to implement interventions for wound healing and skin breakdown prevention.
  • Implemented plans to prevent pressure ulcers and other wound developments.
  • Provided post-surgery treatment and care for patients with ostomies.
  • Conducted regular assessments of patients wounds to monitor progress and adjust treatment plans accordingly.
  • Reduced wound infection rates through strict adherence to aseptic protocols and proper wound dressing procedures.
  • Effectively managed inventory of supplies, ensuring availability of necessary materials for timely delivery of care to patients.
  • Assisted physicians in performing complex debridement procedures, ensuring optimal patient safety and comfort during the process.
  • Monitored and adjusted wound care treatments based on healing progress and patient feedback, ensuring personalized and effective care.

Correctional Nurse

Corizon Healthcare
01.2013 - 06.2014
  • Promoted a safe environment for both staff and inmates by adhering to institutional policies regarding contraband control, safety measures, and crisis intervention techniques.
  • Provided emergency care to inmates by responding promptly to medical emergencies within the facility.
  • Prevented potential health crises by conducting thorough screenings during intake processes for new inmates.
  • Administered medications and treatment to patients and monitored responses.
  • Streamlined workflow efficiency by assisting with inventory management, supply ordering, and equipment maintenance tasks as needed.
  • Complied with all security regulations within prison system and administered care in safest possible environment.
  • Safeguarded medication administration process by adhering to stringent security procedures and regulations specific to correctional facilities.
  • Improved medical record accuracy through diligent documentation of inmate health assessments, interventions, and outcomes.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.

Institutional Staff Nurse

Central VA Training Center
01.2011 - 12.2012
  • Engaged residents to identify areas of need and make referrals to community agencies.
  • Served as a liaison between clients, families, and support providers to facilitate effective communication and ensure appropriate services were provided.
  • Promoted client independence by assisting with the development of self-advocacy skills and encouraging participation in decision-making processes regarding their own care.
  • Provided crisis intervention assistance when needed, successfully deescalating situations while ensuring the safety of all involved parties.
  • Served as liaison to community agencies to network with service providers and seek out new services.
  • Conducted regular assessments of client progress, making necessary adjustments to service plans for optimal results.
  • Coordinated programs and activities for residents to facilitate groupings.
  • Streamlined documentation processes by implementing efficient organizational systems, ensuring timely completion and accuracy of records.
  • Advocated on behalf of clients during meetings or hearings in order to secure additional funding or resources necessary for their continued success.
  • Established strong partnerships with local agencies and service providers to enhance available resources and support options for individuals with developmental disabilities.
  • Assessed community needs and identified resources for social and community service programs.
  • Recorded patient progress and treatment recommendations to be shared with medical providers, psychiatric consultants and other treating providers.
  • Conducted assessments to determine individual needs and developed personalized care plan to address stated objectives.
  • Maintained strict confidentiality in accordance with HIPAA guidelines, ensuring client privacy and fostering trust throughout the therapeutic process.

LPN Charge Nurse

Lovingston Health & Rehabilitation Center
01.2009 - 12.2011
  • Delegated tasks effectively, optimizing staff productivity and maintaining a well-organized nursing unit.
  • Utilized critical thinking skills to make sound clinical decisions in high-pressure situations, minimizing risks and ensuring patient safety.
  • Analyzed patient assessments and laboratory data to bring any issues to attention of physicians.
  • Managed complex wound care cases, applying advanced knowledge of wound healing principles to achieve optimal results.
  • Maintained accurate medical records in accordance with established protocols, ensuring confidentiality of sensitive information at all times.
  • Served as a mentor to new nurses, fostering a positive work environment and promoting professional growth.
  • Conducted regular staff trainings to ensure competence in clinical skills, improving overall quality of care on the unit.
  • Evaluated staff performance through regular assessments, identifying areas for improvement and facilitating professional development opportunities.
  • Increased patient satisfaction scores by consistently providing exceptional customer service and addressing concerns promptly.
  • Enhanced staff morale by fostering a supportive work environment, recognizing outstanding performance, and addressing concerns effectively.
  • Administered medications and injections to patients.
  • Took samples to complete diagnostic and routine assessment tests.
  • Coordinated patient transfers to other facilities.

Education

Licensed Practical Nurse - Practical Nursing

Amherst School of Nursing
Amherst, VA
05.2009

Skills

  • Staff supervision
  • Analytical and critical thinking
  • Coaching and mentoring
  • Active listening
  • Time management
  • EMR / EHR software proficiency
  • Telehealth proficiency
  • Multitasking abilities and organization
  • Remote patient monitoring
  • Wound care
  • Patient interviews
  • Teamwork and collaboration

Accomplishments

  • Supervised assigned territory of more than thirty-five skilled nursing facilities.
  • Spearheaded the development of policies and procedures for new chronic care management program.
  • Created proposals for job positions in a new start-up environment that were adopted into practice.

Licenses

Compact licensing from North Carolina

Licensed in CT, MA, MI, NV, and WA

Languages

English
Native or Bilingual

Timeline

Care Manager

Assure Health
11.2022 - 03.2024

Clinical Specialist

AMT
02.2018 - 08.2021

Episodic Care Manager

BCBSNC for SSI
08.2016 - 12.2016

Care Manager

Right Medical
07.2016 - 09.2016

Episodic Case Manager

BCBSNC
10.2014 - 05.2015

LPN Charge Nurse

Guilford Health Care Center
05.2014 - 10.2014

Wound Care Nurse

Kindred Hospital of Greensboro
04.2013 - 09.2014

Correctional Nurse

Corizon Healthcare
01.2013 - 06.2014

Institutional Staff Nurse

Central VA Training Center
01.2011 - 12.2012

LPN Charge Nurse

Lovingston Health & Rehabilitation Center
01.2009 - 12.2011

Licensed Practical Nurse - Practical Nursing

Amherst School of Nursing
Denita Ferguson