Kathy Costner Miller
Newport,TN
Summary
Dynamic Nurse Case Manager with extensive experience at Blue Cross Blue Shield, excelling in case management and chronic disease management. Proven ability to enhance patient outcomes through effective care coordination and patient advocacy. Skilled in OASIS assessments and fostering interdisciplinary collaboration, ensuring high-quality care and compliance in complex healthcare environments.
Overview
30
30
years of professional experience
Work History
Nurse Case Manager/Patient Advocate & Chronic Barriers Team
Blue Cross Blue Shield
04.2018 - Current
- Delivered patient-centered education and resource support, guiding members in managing chronic conditions to improve health outcomes.
- Supported high-risk and special-needs members through comprehensive case management, enhancing access to necessary services.
- Conducted provider searches and coordinated care, assisting members in navigating complex healthcare systems to ensure continuity of care.
- Collaborated with interdisciplinary teams to improve outcomes and reduce avoidable utilization.
- Developed strategies for addressing population health challenges and enhancing wellness.
Assistant Team Leader & Field Nurse
UT Home Healthcare
01.2010 - 01.2018
- Coordinated scheduling, performed audits, reviewed documentation, facilitated patient/MD calls, and managed referrals and workflow in the role of Assistant Team Leader.
- Provided full-scope home health services as Field Nurse, including case management, OASIS assessments, medication management, patient/caregiver teaching, injections, IV therapy, PICC care, wound care/wound vac management, catheter & ostomy care, venipuncture, lab collection, and comprehensive patient evaluations.
- Facilitated comprehensive case management through OASIS assessments and effective medication management.
- Provided education to patients and caregivers on treatment plans, administered injections, and performed IV therapy and PICC care.
- Performed wound care, managed wound vacs, and conducted catheter and ostomy care for optimal patient recovery.
- Executed venipuncture and lab collection, along with conducting thorough patient evaluations for accurate health assessments.
- Maintained regulatory compliance and achieved high-quality patient outcomes.
- Jefferson, Hamblen, Grainger, Hawkins, Greene & Cocke Counties
Nurse / Clinical Support
Primary Care Center
Newport, USA
01.1998 - 01.2015
- Executed triage, assisted with procedures, managed patient and prescription calls, and completed EKGs, X-rays, labs, and drug screens to enhance patient care.
- Coordinated specialty appointments, testing, prior authorizations, precertifications, and DME to streamline patient access to necessary services.
- Supported multiple physicians and nurse practitioners in a fast-paced primary care environment.
- Fulfilled full-time, part-time, and PRN shifts to ensure continuous patient care.
- Newport, TN
Private Duty Nurse
Interim Healthcare
Morristown, USA
01.2008 - 01.2010
- Conducted daily patient evaluations, administered medications, managed PEG tube care, and supported activities of daily living.
- Coordinated medication and supply orders while facilitating patient transportation to medical appointments.
- Morristown, TN
Staff Nurse
Morristown Hamblen Hospital
Morristown, USA
01.2005 - 01.2006
- Delivered comprehensive inpatient care, conducting assessments, administering medications, performing wound care, and supporting post-surgical recovery.
- Supported patients in Med-Surg unit, addressing their needs and facilitating recovery through effective communication and care.
- Prepared patients for procedures, collaborating with physicians to ensure continuity of care and maintaining precise documentation.
Occupational Health Nurse
Baptist Hospital of Cocke County
, USA
01.2001 - 01.2003
- Conducted employment health exams, phlebotomy, drug screens, hearing tests, X-rays, and EKGs.
- Coordinated specialty referrals, testing, and authorizations for workers’ compensation cases to ensure timely care and compliance.
- Supported industrial health initiatives by implementing safety protocols and promoting employee wellness programs.
Nurse / Clinical Support
Baptist Care
Dandridge, USA
01.1996 - 01.1998
- Conducted triage, assisted physicians, and completed labs, EKGs, X-rays, and drug screens to support patient care.
- Coordinated patient calls, prescription requests, supply orders, and specialty appointments to enhance patient access to care.
- Dandridge, TN
Education
Certified Case Manager - Nurse Case Management
Certified Case Management
04-2019
Registered Nursing, AAS -
Walters State College
03-2017
Licensed Practical Nurse -
Tennessee Technology Center
01-1996
Clerical Certificate -
Office Occupations Program
Tenneessee Technology Center08-1985
Skills
- Case Management & Care Coordination
- Chronic Disease Management
- Patient Assessment & Education
- Home health expertise
- Medication & Treatment Administration
- Clinical documentation
- Computerized Charting & Multi-System Navigation
- Problem Solving & Critical Thinking
- Staff Training & Development
- Time Management & Self-Discipline
- Relationship & Team Building
- Professional Integrity & Patient Advocacy
References
- Carolyn Bryant, 4232370414
- Teresa Gammons, 4236084927
- Whitney Shaver, 4237210376
- Taylor Miller, 4232373512
Timeline
Nurse Case Manager/Patient Advocate & Chronic Barriers Team
Blue Cross Blue Shield
04.2018 - Current
Assistant Team Leader & Field Nurse
UT Home Healthcare
01.2010 - 01.2018
Private Duty Nurse
Interim Healthcare
01.2008 - 01.2010
Staff Nurse
Morristown Hamblen Hospital
01.2005 - 01.2006
Occupational Health Nurse
Baptist Hospital of Cocke County
01.2001 - 01.2003
Nurse / Clinical Support
Primary Care Center
01.1998 - 01.2015
Nurse / Clinical Support
Baptist Care
01.1996 - 01.1998
Certified Case Manager - Nurse Case Management
Certified Case Management
Registered Nursing, AAS -
Walters State College
Licensed Practical Nurse -
Tennessee Technology Center
Clerical Certificate -
Office Occupations Program