KELCIE Blackwell
Blossom
Summary
Accomplished Registered Nurse leverages critical thinking, analysis, and medical knowledge to deliver superior care in high-pressure environments. Collaborates with physicians and multidisciplinary team members, restoring patients' health through nursing and health education processes. Maintains positive attitude in urgent, stressful situations.
Professional with strong background in case management, prepared to make significant impact. Proven ability to collaborate with teams and adapt to changing needs. Skilled in client assessment, resource coordination, and crisis intervention. Reliable and results-focused, with commitment to achieving positive outcomes.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Case Manager/Utilization Review Registered Nurse
Paris Regional Medical Center
Paris, TX
12.2020 - Current
- Performed utilization reviews in accordance with state and federal regulations
- Conducted case management and utilization review to determine medical necessity and level of care according to InterQual/MCG criteria.
- Ensure all discharged patients receive necessary services, resources, and referrals for continued care
- Referred patients to outside sources to ensure continuation of necessary care after discharge
- Attended meetings with medical staff to finalize patient discharge plans
- Responded to calls and emails from insurance providers
- Knowledge with Medicare health regulations and third party insurance companies
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Facilitated patient assessments to develop comprehensive care plans tailored to individual needs.
- Coordinated multidisciplinary team meetings to ensure effective communication and collaboration in patient care.
Primary Nurse Case Administrator
Blue Cross Blue Shield
Richardson, TX
06.2022 - 08.2022
- Engaged in community outreach and program development to support patient and caregiver needs.
- Conducted thorough assessments to develop appropriate plans for high-risk patients.
- Provided expertise in post-acute services and community resources.
- Provided emotional support and counseling to patients struggling with adjustment to diagnosis.
- Interviewed clients and family members to obtain key information for case planning and management.
- Identified and addressed barriers to discharge and recovery.
Emergency Department Licensed Vocational Nurse
Paris Regional Medical Center
Paris, TX
07.2017 - 08.2020
- Evaluated patient care procedural changes for effectiveness and made necessary adjustments.
- Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
- Collected biological samples for routine laboratory testing to assist diagnostic processes.
- Administered prescribed medications and started intravenous fluids to address patient symptoms and underlying etiologies.
- Addressed patient care needs, collected vitals, dressed wounds, and managed catheters.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Administered medications and therapies in accordance with physicians’ orders.
- Communicated effectively with patients and loved ones to explain diagnoses, treatment options and procedures.
Education
Bachelor of Science - Nursing, Commerce
Texas A&M University
Commerce, TX08-2020
Associate of Science - Licensed Vocational Nurse
Paris Junior College
Paris, TX06-2017
Skills
- Care Coordination
- Critical Thinking
- Time management
- Communication and listening
- Team-oriented
- Detail-oriented
- Knowledge in Microsoft Office, Excel, and Word
- Case documentation
- Case management
- Problem-solving
- Active listening
- Relationship building
Certification
- PALS - Pediatric Advanced Life Support
- ACLS- Advance Cardiovascular Life Support
- BLS- Basic Life Support
- MCG Certification
- Interqual Certification
Timeline
Primary Nurse Case Administrator
Blue Cross Blue Shield
06.2022 - 08.2022
Case Manager/Utilization Review Registered Nurse
Paris Regional Medical Center
12.2020 - Current
Emergency Department Licensed Vocational Nurse
Paris Regional Medical Center
07.2017 - 08.2020
Associate of Science - Licensed Vocational Nurse
Paris Junior College
Bachelor of Science - Nursing, Commerce
Texas A&M University