Summary
Overview
Work History
Education
Skills
Certification
Work Availability
Work Preference
Quote
Languages
Interests
Timeline
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Ke'Anna Demings

Ke'Anna Demings

Little Rock,AR

Summary

Experienced and results-driven Registered Nurse with over 6 years of comprehensive clinical and case management experience. Specializes in utilization review, care coordination, and optimizing patient care through evidence-based decision-making. Proficient in assessing medical necessity, reviewing clinical documentation, and ensuring compliance with treatment protocols by working closely with insurance providers. Skilled in utilizing EMR systems such as EPIC. Possesses strong communication and leadership skills. Excels at collaborating with multidisciplinary teams to improve healthcare outcomes while effectively controlling costs and maintaining quality care standards.

Overview

8
8
years of professional experience
1
1
Certificate

Work History

Utilization Review Registered Nurse Behavorail

CHI St. Vincent
11.2023 - Current

• Perform utilization reviews of inpatient and outpatient services to ensure the medical necessity of treatments and compliance with insurance guidelines.

• Conduct concurrent reviews for inpatient care, identifying opportunities for cost reduction without compromising quality.

• Collaborate with physicians, case managers, and other healthcare providers to ensure timely and appropriate care transitions.

• Review clinical documentation for accuracy and completeness, providing feedback for improvement where necessary.

• Process prior authorization requests and review insurance company denials, ensuring all actions are in line with regulations and guidelines.

• Work with multidisciplinary teams to develop strategies that reduce unnecessary treatments and optimize resource use.

Correctional Registered Nurse (Contract)

ADC Correction
04.2023 - 11.2023
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Evaluated patient histories, complaints and current symptoms.
  • Performed mental health evaluations when warranted and recommended patients to therapists.
  • Created and implemented care plans for prisoners suffering from chronic conditions.
  • Complied with all security regulations within prison system and administered care in safest possible environment.
  • Treated variety of illnesses affecting offenders in close quarters.
  • Managed patients recovering from medical or surgical procedures.

Acute Dialysis Registered Nurse (Contract)

DaVita
11.2022 - 04.2023
  • Monitored each patient closely during treatment to check for any adverse reactions or change in condition and reported emergencies to attending nurses.
  • Measured and recorded patients' pre-dialysis and post-dialysis vital statistics.
  • Cleaned and connected fistulas, grafts, and catheters to prevent infection.
  • Set-up equipment for dialysis and primed dialyzer in preparation for use.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Evaluated patient histories, complaints and current symptoms.

Clinical Nurse Medical Surgical

Beaumont Hospital
04.2021 - 10.2022
  • Treated patients by administering medication and performing Sterile/aseptic procedures.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Followed proper procedure for installation and removal of catheters, IVs and PIC lines.
  • Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
  • Evaluated charting procedures for adherence to best practices.
  • Performed routine wound care and dressing changes on schedule.
  • Updated patient charts using EMR with data such as medications to keep records current and support accurate treatments.

Vaccination Nurse (Contract)

Arrow Strategies
03.2021 - 10.2022
  • Monitored patient reactions after administering medications and IV therapies.
  • Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern.

Vaccines- Tester Covid-19 (Contract)

Binson
03.2021 - 10.2022
  • Administered vaccinations via intramuscular injection and completed proper documentation.
  • Completed screening questions with patients following CDC guidelines.
  • Wore face mask, eye protection, medical gloves, and PAPR.
  • Verified adherence to HIPAA and other local, state and national guidelines.
  • Oversaw test personnel scheduling to maintain diagnostic availability and maximize supplied tests.
  • Participated in community outreach initiatives to encourage test utilization among underserved populations.

Registered Nurse Case Manager, Hospice

Heart To Heart Hospice
06.2019 - 04.2021
  • Used Home Care home base/ wellsky to maintain database of relevant information for practitioners to access and coordinate patient care.
  • Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
  • Effectively communicated with physicians regarding patient needs, performance, medications and changes.
  • Taught family members and caregivers various ways to manage patients' pain, how to check for vital signs and proper methods for dressing changes.
  • Developed and implemented individualized care plan for each hospice patient while following physician instructions.
  • Established hospice care services for elderly and disabled patients.
  • Provided high level of quality, compassionate care to patients and caregivers during each nursing shift.
  • Educated patients and answered questions about health condition, prognosis and treatment.

Long-Term Care Registered Nurse

Mediloge Of Taylor
09.2017 - 06.2019
  • Observed and reported patient condition, progress and medication side effects to accurately document updates.
  • Administered massages, alcohol rubs and lotion as needed to maintain patient skincare regimes and enhance circulation.
  • Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
  • Educated family members and caregivers on patient care instructions.
  • Documented nursing services provided and uploaded to comprehensive tracking systems for health records and billing.
  • Performed routine wound care and dressing changes on schedule.

Medical Telemetry Unit Registered Nurse

Henry Ford Hospital
04.2017 - 03.2018
  • Observed patient health and side effects from treatments and medications, noting all details in patient chart.
  • Administered heart and blood pressure medication to cardiac patients as prescribed by physicians.
  • Performed hourly rounds on 30-bed floor to monitor equipment function and lead placement.
  • Monitored patient reactions after administering medications and IV therapies.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.

Education

Bachelor of Science - Registered Nurse

Capella University
Minneapolis, MN
12-2024

Associate Degree In Nursing - Nursing

Mercy College of Ohio
Toledo, OH
12.2016

Skills

    Utilization Review/Management

    Case Management

    Insurance Authorization & Denials

    Clinical Documentation & Charting

    EMR Systems (EPIC, Home Care Home Base, WellSky)

    Care Coordination

    Prior Authorization & Concurrent Review

    Treatment Planning & Discharge Planning

    Managed Care & Compliance

    Collaboration & Teamwork

    Patient Advocacy & Education

    Cost Control & Resource Management

    Leadership/Charge Nurse

Certification

Registered Nurse License – Michigan (#470433627)

Compact Nursing License – Arkansas (#221988)

BLS


Additional Information

Telehealth & Remote Patient Monitoring: Experience in telehealth roles and remote patient assessments.

Quality Improvement: Active involvement in hospital quality improvement initiatives to enhance care delivery and patient outcomes.

Fluent in Electronic Health Records (EHR): Proficient in EPIC and other clinical management systems for documentation, reporting, and case management.

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference

Work Type

Full TimePart Time

Work Location

Remote

Important To Me

Work-life balance401k matchHealthcare benefitsCareer advancementCompany CultureFlexible work hoursWork from home optionPersonal development programsTeam Building / Company Retreats

Quote

It is never too late to be what you might have been.
George Eliot

Languages

English
Native or Bilingual

Interests

Family

Work- life balance

Education

Timeline

Utilization Review Registered Nurse Behavorail

CHI St. Vincent
11.2023 - Current

Correctional Registered Nurse (Contract)

ADC Correction
04.2023 - 11.2023

Acute Dialysis Registered Nurse (Contract)

DaVita
11.2022 - 04.2023

Clinical Nurse Medical Surgical

Beaumont Hospital
04.2021 - 10.2022

Vaccination Nurse (Contract)

Arrow Strategies
03.2021 - 10.2022

Vaccines- Tester Covid-19 (Contract)

Binson
03.2021 - 10.2022

Registered Nurse Case Manager, Hospice

Heart To Heart Hospice
06.2019 - 04.2021

Long-Term Care Registered Nurse

Mediloge Of Taylor
09.2017 - 06.2019

Medical Telemetry Unit Registered Nurse

Henry Ford Hospital
04.2017 - 03.2018

Registered Nurse License – Michigan (#470433627)

Compact Nursing License – Arkansas (#221988)

BLS


Additional Information

Telehealth & Remote Patient Monitoring: Experience in telehealth roles and remote patient assessments.

Quality Improvement: Active involvement in hospital quality improvement initiatives to enhance care delivery and patient outcomes.

Fluent in Electronic Health Records (EHR): Proficient in EPIC and other clinical management systems for documentation, reporting, and case management.

Bachelor of Science - Registered Nurse

Capella University

Associate Degree In Nursing - Nursing

Mercy College of Ohio
Ke'Anna Demings