Donna Fountain
Memphis,TN
Summary
Dynamic healthcare professional with extensive experience at Cigna Medicare Advantage, excelling in clinical assessment and team leadership. Proven track record in optimizing patient outcomes through effective care plans and staff development. Skilled in process implementation and fostering vendor relationships, driving a 50% increase in timely admissions for home care services.
Overview
17
17
years of professional experience
Work History
Transplant Case Manager / Clinical Review Services
Cigna Medicare Advantage/ HCSC
07.2019 - Current
- Educated patients, families and caregivers on diagnosis and disease process management, transplant process, and lifestyle modification.
- Formulated care plans post-analysis of patient medical records, health understanding, and targets.
- Directed patient management for 120 cases to optimize health during transplant phases.
- Executed UM clinical review process for transplant authorizations on a daily basis.
Clinical Director/Intake Manager
Methodist Alliance Health Services
01.2017 - Current
- Coordinated daily functions of clinical team comprising 12 nurses and 10 intake staff.
- Analyzed and adjusted staff performance to elevate quality.
- Built and developed a field nurse team for Memphis and Shelby County coverage.
- Devised strategies to meet operational objectives.
- Participated in facility surveys and inspections made by authorized governmental agencies and played a key role in ACHC accreditation
- Ensured adherence to quality models and optimized service utilization for patient outcomes.
- Initiated two key partnerships which resulted in a 50% increase in Timely SOC admission to Home Care and better customer service outcomes for Infusion patients
Registered Nurse/Case Manager/Lead Preceptor
Methodist Alliance Health Services
01.2013 - 07.2015
- Provided exceptional care to patients with diverse diagnoses.
- Led training sessions for clinical and support staff in patient care management.
- Provided patients with essential resources for accelerated recovery.
- Facilitated therapeutic communication to redirect negative behaviors.
Rn, Bsn Staff Nurse-Transplant
Methodist University Hospital
04.2011 - 01.2013
- Primary care, assessment and evaluation of liver and kidney transplant patients
- Self-directed with astute judgment skills. High level of personal accountability
- Effective counseling in health maintenance and disease management
- Strong leader/charge nurse for personnel assigned to the unit/shift
Rn, Bsn Staff Nurse- Transplant
Mayo Clinic Hospital, Methodist Campus
03.2008 - 10.2010
- Direct patient care on liver/kidney/pancreas transplant unit, adeptly handling all aspects of treatment from medication to wound care to monitoring for post-op complications
- Liaised between patients and physicians to ensure patient comprehension of treatment plans
- Instructed patients and family members on proper discharge care
- Managed care for post-operative patients through discharge
Education
Bachelor of Science - Nursing
University of Memphis
Memphis, TN2007
Skills
- Self-motivated
- Strong verbal/written communication
- Team leadership
- Process implementation
- Staff development
- Cost containment strategies for Home care
- Clinical assessment of acute and post-acute patients
- Developing outside vendor relationships
- Development of corrective action plans for state/accrediting body surveyors
- Developed training materials and played a key role in educating new staff
Accomplishments
- Methodist Le Bonheur Nurse of the Year 2015 for Affiliated Services. Honored for exemplary Professionalism, Interpersonal Relations, Community Involvement, Innovation and the Science of NursingPatient- and Family-Centered Care.
- Methodist Le Bonheur Power of One Award 2014.
Presented to associates that go above and beyond for patients and live
out the Methodist Mission, Vision and Values.
- Mayo Clinic Karis Award 2010.
The Karis Award is bestowed upon those who demonstrate noteworthy
caring, compassion and a commitment to team excellence.
Timeline
Transplant Case Manager / Clinical Review Services
Cigna Medicare Advantage/ HCSC
07.2019 - Current
Clinical Director/Intake Manager
Methodist Alliance Health Services
01.2017 - Current
Registered Nurse/Case Manager/Lead Preceptor
Methodist Alliance Health Services
01.2013 - 07.2015
Rn, Bsn Staff Nurse-Transplant
Methodist University Hospital
04.2011 - 01.2013
Rn, Bsn Staff Nurse- Transplant
Mayo Clinic Hospital, Methodist Campus
03.2008 - 10.2010
Bachelor of Science - Nursing
University of Memphis
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