Kala Clegg
Fort Smith,AR
Summary
Registered Nurse with extensive experience in hospice, hospital, and skilled nursing environments. Highly skilled in care coordination, telephonic triage, utilization review, and interdisciplinary collaboration. Proven ability to perform comprehensive patient assessments, coordinate complex care plans, and ensure appropriate use of healthcare resources while maintaining quality outcomes. Experienced in remote communication, electronic health records, and patient advocacy. Seeking to leverage clinical expertise and care management experience in a Managed Care Coordinator role. Authorized to work in the US for any employer.
Overview
1
1
Certification
20
20
years of professional experience
Work History
Managed Care Coordinator I
Magnit
04.2026 - Current
- Coordinated care management initiatives to enhance patient outcomes and streamline service delivery.
- Developed and maintained relationships with healthcare providers to ensure comprehensive care plans.
- Resolved complex patient inquiries and facilitated access to necessary services efficiently.
- Implemented process improvements to optimize workflow within managed care operations.
RN Case Manager
Agape Care Group
09.2023 - Current
- Managed a caseload of 14-19 patients, coordinating and overseeing their healthcare needs from admission to discharge
- Collaborated with interdisciplinary team members including physicians, social workers, and therapists to develop comprehensive care plans for patients
- Advocated for patients' rights and ensured that they received appropriate medical services in a timely manner
- Closely monitored utilization of healthcare resources to ensure cost-effective delivery of services while maintaining quality standards
- Advocated for patients' rights and access to services, enhancing support systems within healthcare settings.
Staff RN
Prisma Health
02.2022 - 09.2023
- Delivered comprehensive patient care in fast-paced medical environments.
- Administered medications and monitored patient responses for optimal outcomes.
Admissions RN
NHC
05.2021 - 02.2022
- Collect a medical history of the patient and ensure that they have completed all necessary forms and insurance obligations
- Collaborated with interdisciplinary teams to coordinate patient care strategies and discharge planning.
- Administered patient assessments to determine eligibility for admission and care plans.
Clinical RN
Bon Secours Mercy Health
11.2020 - 04.2021
CPL
Army
05.2006 - 11.2015
Education
Nursing (Associate Degree) -
ECPI University
Greenville, SC11-2020
Skills
- Effective communication
- Utilization review
- Insurance expertise
- Teamwork
- RN experience - RN experience (More than 5 years)
- Patient assessment
- Nursing policy compliance
- Time management
- Quality improvement
- Customer service
- Military service
- Healthcare
- Stronsg organization
Certification
- RN Expires: April 2028
- State: SC
- Graduate Nurse Compact State Nurse License
- AED Certification
- BLS/CPR
Timeline
Managed Care Coordinator I
Magnit
04.2026 - Current
RN Case Manager
Agape Care Group
09.2023 - Current
Staff RN
Prisma Health
02.2022 - 09.2023
Admissions RN
NHC
05.2021 - 02.2022
Clinical RN
Bon Secours Mercy Health
11.2020 - 04.2021
CPL
Army
05.2006 - 11.2015
Nursing (Associate Degree) -
ECPI University