Kelli Payne

• Conducted thorough follow-up calls to assess the effectiveness of treatment plans, making adjustments as needed for optimal results.
• Interfaced with third-party payers, insurance companies and providers for utilization review activities and submitted timely reports to clients and providers.
• Participated in ongoing professional development opportunities to stay current on best practices within the field of nurse case management.
• Ensured HIPAA compliance by maintaining strict confidentiality when discussing sensitive patient information over the phone or via electronic correspondence.
• Lead Consult for Catastrophic Claims involving Spine and Pain.
• Nurse Educator for Claim Handlers and fellow TCM's for Pain Management Files.
• Committee Member on False Billing Reviews, Chronic Opioid Pain Utilization Files.
• Consultant of Urinary Drug Testing results.
• CCM certified

• Administered medications accurately and safely, reducing medication errors and adverse reactions.
• Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
• Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Assisted in obtaining authorization from Carriers for all procedures including Spinal Cord Stimulator.
• Arranged scheduling, for all Worker Compensation and Personal Liability appointments including IME, second opinions, legal depositions.
• File reviews for all incoming Worker Compensation Claims.
• Marketing for Workers Compensation Program for the Physicians in the office.

• Maintained strong working relationships with physicians and ancillary staff, fostering a collaborative approach to patient care delivery.
• Responded to patient emergencies to provide prompt and correct intervention .
• Educated patients and families to increase understanding of condition and best ways to manage.
• Collaborated with interdisciplinary teams for optimal patient outcomes and efficient care coordination.
• Coordinated the Workers Compensation Program and Referral Center for Pain Management.

• Evaluated patient progress regularly, adjusting care plans as needed to optimize results.
• Coordinated with physicians and other healthcare team members to ensure seamless transitions between different levels of care.
• Demonstrated strong leadership qualities within nursing teams by serving as a mentor for less experienced staff members while fostering a collaborative work environment.
• Boosted patient satisfaction rates through empathetic listening and addressing concerns proactively during case management meetings.
• Workers Compensation Claims. Traveled Central Iowa.

• Conducted thorough follow-up calls to assess the effectiveness of treatment plans, making adjustments as needed for optimal results.
• Interfaced with third-party payers, insurance companies and providers for utilization review activities and submitted timely reports to clients and providers.
• Evaluated patients referred for case management to determine physical, mental, financial and psychosocial status by utilizing comprehensive, standardized criteria to identify existing and potential needs.
• Assisted with National Accounts for South Dakota, Nebraska and Iowa

• Collaborated with interdisciplinary healthcare teams to develop comprehensive care plans tailored to individual patient needs.
• Supported physicians in medical diagnosis by taking vital signs, performing initial assessments and collecting samples for lab analysis.
• Promoted adherence to evidence-based practice guidelines, resulting in improved clinical outcomes for patients with chronic conditions.
• Adhered closely to physician direction and medication guidelines in administration of medications to patients.
• Assisted with the Diabetic Education Program

• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Worked in PRN pool moving thru multi-disciplinary specialties.

Direct patient care, second shift, working 3 days weekly on the Oncology Floor. Averaged 6 patients per one RN. Duties besides direct care and assistance with ADL's included hanging and giving blood products, readings and assistance with Radiation Intervention Therapy and administering Chemotherapy.