Kassandra Smith
West Bloomfield
Summary
Efficient Registered Nurse with 40 years of experience. Successful at providing fast and accurate assessments and working calmly under pressure. Collaborate well with health care team to maintain top-notch healthcare practices. Medical/Surgical RN Clinical Nurse experience (8yrs).
Overview
16
16
years of professional experience
1
1
Certification
Work History
RN Care Manager
Molina Healthcare of Michigan
Detroit, MI
12.2022 - 02.2026
- Assisted in identifying high-value resources for project development. Supported teams in prioritizing tasks based on resource availability. Contributed to the evaluation of project requirements to enhance efficiency.
- Led initiatives to improve patient care quality and satisfaction within Molina Healthcare. Oversaw the implementation of best practices in care management to optimize patient outcomes. Championed collaboration among healthcare professionals to ensure comprehensive care delivery.
- Facilitated interdisciplinary collaboration with multidisciplinary teams to enhance comprehensive care plans for members.
- Crafted personalized care plans by analyzing member needs and conducting ongoing evaluations to ensure optimal support.
RN- Case Manager
Pace
Detroit, MI
07.2022 - 11.2022
- Utilizing a systematic approach to nursing practices which incorporates all aspects of the nursing process including assessments, planning, implementing, and evaluation of elders with complex needs.
RN- Care Manager Telephonic Nurse 2 WAH
Humana
West Bloomfield, MI
04.2021 - 01.2022
- Worked in a telephonic WAH environment to assess and evaluate Medicare members needs as discharged from hospital etc.to home.
- Achieving and/or maintaining optimal wellness state by guiding members/families toward and facilitate interactions with resources appropriate for the wellbeing of members.
Stars-RN Care Manager Telephonic Nurse 2 WAH
Humana
West Bloomfield, MI
09.2018 - 04.2021
- Telephonic WAH calls made to members for multiple initiatives to assist in increasing the medication adherence of identified Humana members for (hypertension, Diabetes, hyperlipidemia).
ER- Clinical Advisor CM/RN Case Manager WAH
Humana
Atlanta, GA
11.2014 - 04.2018
- Called to Medicare members in GA, NC and SC to advise when to visit the ER vs. UCC with evaluation and assessments performed.
- Teaching along with referrals sent out to various clinical programs as resources needed.
PD Care Coordinator/Clinical Advisor CM-RN
Humana
Atlanta, GA
06.2012 - 11.2014
- Calls made to Medicare Advantage members in GA, NC, and SC recently discharged from hospital and assessments performed.
- Assessed for any post discharge needs and referrals made to various resources when needed.
Complex Case Manager
Molina Healthcare
Troy, MI
03.2010 - 06.2012
- Managed inpatient admission episode of care, conducted pre-service admission, concurrent and retrospective review activities for Medicaid members.
- Assessed medical necessity of hospital stays including length of stay, and level of care, utilizing Interqual guidelines.
- Utilization review, authorization of HH, PT/OT. DC planning, Cost savings to UM department.
- Telephonic assessment calls made to Medicare Option Plus member in multiple states.
- Assessments /referrals made to CM for continued care.
- Referrals to Med-Assurant for DM after assessment completed.
- (Dept. phased out 5/2011 txfr’d to UM dept. within Molina).
Education
Nursing Diploma - RN
Hurley Medical Center S.O.N
Flint, MI12-1986
No Degree - Pre-nursing Studies
Eastern Michigan University
Ypsilanti, MI04-1984
High School Diploma - undefined
Cass Technical High School
Detroit, MI06-1981
Skills
- Follow-up calls
- Sound decision making
- Prior clinical experience in acute care and skilled setting
- Excellent communication skills
- Proficiency with computers including Microsoft products, Word, Excel and Outlook
Certification
- Registered Nurse in the State of MI.
- Registered Nurse in the State of GA.
Timeline
RN Care Manager
Molina Healthcare of Michigan
12.2022 - 02.2026
RN- Case Manager
Pace
07.2022 - 11.2022
RN- Care Manager Telephonic Nurse 2 WAH
Humana
04.2021 - 01.2022
Stars-RN Care Manager Telephonic Nurse 2 WAH
Humana
09.2018 - 04.2021
ER- Clinical Advisor CM/RN Case Manager WAH
Humana
11.2014 - 04.2018
PD Care Coordinator/Clinical Advisor CM-RN
Humana
06.2012 - 11.2014
Complex Case Manager
Molina Healthcare
03.2010 - 06.2012
No Degree - Pre-nursing Studies
Eastern Michigan University
High School Diploma - undefined
Cass Technical High School
Nursing Diploma - RN
Hurley Medical Center S.O.N