Ginger Grayson, BSN, RN, CCM
Jacksonville,FL
Summary
Experienced in adult and pediatric patient care coordination and healthcare management, with a strong background as a Registered Nurse. Specializing in clinical assessment, discharge planning, and patient advocacy. Recognized for fostering team collaboration, adapting to changing needs, and achieving significant results. Possessing excellent communication skills, critical thinking abilities, and the capacity to navigate complex healthcare systems. Prepared to make a positive impact in any healthcare setting.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Concierge RN Case Manager
Blue Cross Blue Shield South Carolina
06.2022 - Current
- Achieved highest team productivity metrics monthly
- Created customized care strategies informed by health assessments.
- Delivered disease-specific education and health coaching to boost overall health.
- Collaborated with member’s healthcare team for service coordination.
- Engage with teams from utilization management, pharmacy departments, medical directors' offices, social services professionals and outside vendors.
Registered Nurse
Fletcher’s Home Care
01.2022 - 06.2022
- Offered skilled, compassionate one-on-one nursing services for pediatric patients with complex medical needs in a home environment.
- Skills include enteral feedings, total parenteral nutrition (TPN), maintenance of PICC line, colostomy care, and tracheostomy care with oxygen therapy
Pediatric RN Field Care Manager
Children’s Medical Services Sunshine Health
05.2021 - 01.2022
- Developed and adapted care plans to address complex medical needs.
- Collaborated with healthcare team to manage member services.
- Educated members about available resources and reinforced provider knowledge on disease processes.
- Facilitated referrals to support comprehensive care management.
- Boosted member outcomes through identification and resolution of HEDIS gaps.
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
Simulation and Standardized Patient Coordinator
Jacksonville University
09.2017 - 04.2021
- Established a comprehensive Standardized Patient program at Brooks Rehabilitation College of Healthcare Sciences.
- Implemented standardized protocols to optimize simulation center efficiency.
- Work with various stakeholders to organize simulation events and manage staffing.
- Managed inventory logistics ensuring efficient use of resources.
- Directed operational activities within simulation center, ensuring effective budget oversight.
- Recruited and managed student workers for department.
RN Pediatric Care Coordinator
eQHealth Solutions
04.2015 - 09.2017
- Managed caseload of 40 complex pediatric members
- Analyzed health status to determine care coordination requirements for medically complex and fragile children.
- Developed and adjusted care plans to meet recipient and team objectives.
- Scheduled and led collaborative team conferences aimed at creating comprehensive care strategies.
- Deliver health education to members and caregivers to enhance outcomes.
- Coordinated community-based social need referrals.
- First level utilization management for skilled nursing services, prescribed pediatric extended care (PPEC), personal care services, and outpatient therapies
- Conducted concurrent and retrospective reviews for in-patient management.
RN Care Coordinator
Children’s Medical Services Florida Department of Health
09.2014 - 04.2015
- Evaluated health conditions to identify care coordination needs for children with medical complexities.
- Conduct telephone outreach to members and caregivers according to acuity levels.
- Designed adaptable care plans to meet specific needs of recipients and teams.
- Collaborated with team members to develop detailed care strategies.
- Offer health education services aimed at improving outcomes.
- Manage referrals to support community-based services for recipients.
Staff Nurse (LPN, RN)
Pediatric Diagnostic Center
09.2003 - 07.2011
- Record vital signs, chief complaint, medical history and medication records.
- Administered prescribed treatments under physician's guidance.
- Collected samples and conducted CLIA-waived laboratory tests.
- Executed telephonic triage following Schmitt-Thompson protocols.
- Deliver health education to caregivers to enhance health practices.
Education
Bachelor of Science - Nursing
Excelsior College
Associate of Science - Nursing
Excelsior College
Licensed Practical Nurse -
Centra School of Practical Nursing
Skills
- Highly adaptable
- Chronic disease management
- Effective problem solving
- Excellent multitasking
- Patient education and counseling
- Patient and family advocacy
Accomplishments
- Co-chaired Wellness committee
- Managed caseload of 40-50 patients each month.
- Drove overall improvements to quality assurance and patient satisfaction initiatives by removing bottlenecks to effective care.
Certification
- Registered Nurse, RN 9331080, Florida, 04/30/25
- Basic Life Support, BLS 204404564921, 08/01/25
- Certified Case Manager, CCM 4256125, 11/01/26
Timeline
Concierge RN Case Manager
Blue Cross Blue Shield South Carolina
06.2022 - Current
Registered Nurse
Fletcher’s Home Care
01.2022 - 06.2022
Pediatric RN Field Care Manager
Children’s Medical Services Sunshine Health
05.2021 - 01.2022
Simulation and Standardized Patient Coordinator
Jacksonville University
09.2017 - 04.2021
RN Pediatric Care Coordinator
eQHealth Solutions
04.2015 - 09.2017
RN Care Coordinator
Children’s Medical Services Florida Department of Health
09.2014 - 04.2015
Staff Nurse (LPN, RN)
Pediatric Diagnostic Center
09.2003 - 07.2011
- Registered Nurse, RN 9331080, Florida, 04/30/25
- Basic Life Support, BLS 204404564921, 08/01/25
- Certified Case Manager, CCM 4256125, 11/01/26
Bachelor of Science - Nursing
Excelsior College
Associate of Science - Nursing
Excelsior College
Licensed Practical Nurse -
Centra School of Practical Nursing
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