Summary
Overview
Work History
Education
Skills
Timeline
Kerna Kim Poole

Kerna Kim Poole

Licensed Practical Nurse
Brooklyn,NY

Summary

Experienced nurse with over 30 (+) years in the healthcare industry. Hardworking, highly motivated professional eager to lend combined knowledge and skills to enhance business performance. Operates well in both individual and team capacities, leveraging seasoned work ethic to quickly adapt to different processes and drive company objectives. Resourceful and results-driven with a passion for growth and efficiency to meet company needs and increase service value.

Overview

11
11
years of professional experience

Work History

Float Nurse

Egret Cove Healthcare and Rehabilitation
03.2024 - Current
  • Medication administration
  • Wound care
  • Admission and Discharge planning
  • Medical records review

Clinical Review Clinician (Remote)

Affinity Health Plan/Molina Healthcare
07.2017 - 01.2024
  • Utilization review: Outpatient services, Elective inpatient admission/Transplant, DME and Injectable, Inpatient concurrent review, Homecare coordinator: CDPAP/PCA/Hospice/UAS

HEDIS Quality Analyst (Contract)

Talent Hub 360 LLC/Affinity Health plan
10.2016 - 06.2017
  • Performed comprehensive medical record reviews to ensure accuracy and compliance with HEDIS standards, Coordinated communication between internal departments and teams related to quality assurance activities, Identified areas of opportunity for improvement in provider practices related to HEDIS measures, Analyzed and interpreted patient, nursing, and information systems data to improve nursing services

Discharge Planner

Wellcare
09.2015 - 09.2016
  • Provided comprehensive discharge planning services and crisis intervention strategies to clients in need, Collaborated closely with multidisciplinary teams to ensure successful transition of patients from acute care to community settings, Maintained knowledge of community resources available for referral purposes following a patient's discharge, Proficiently completed all required documentation related to prior authorization requests in a timely manner, Effectively managed workload by prioritizing tasks according to urgency and importance

LPN Chart Reviewer (Contract)

Freedom Health Care
01.2015 - 06.2015
  • Performed comprehensive medical record reviews to ensure accuracy and compliance with HEDIS standards, Coordinated communication between internal departments and teams related to quality assurance activities, Identified areas of opportunity for improvement in provider practices related to HEDIS measures, Analyzed and interpreted patient, nursing, and information systems data to improve nursing services

LPN Case manager

Care Centrix
07.2013 - 01.2014
  • Chronic Case management (CHF, DM, COPD, ESRD), Prior authorization of outpatient services and homecare services, Educated clients on available community resources and how to access them effectively, Created individualized care plans in collaboration with clients, families, and other professionals, Consulted with agency staff and other community programs on program-related federal, state, and county regulations and policies, Facilitated referrals to collaborative specialty health providers to drive continuity of care

Education

RN BRIDGE PROGRAM IN PROFESSIONAL NURSING CANDIDATE - undefined

JERSEY COLLEGE SCHOOL OF NURSING, Tampa, FL
05.2026

Licensed Practical Nurse - undefined

V.E.E.B School of Nursing, Uniondale, NY
08.1989

Skills

  • Microsoft Office
  • Citrix
  • InterQual/Milliman
  • Alturista
  • TrueCare
  • PEGA
  • QNXT
  • UMK2
  • CCMS
  • CPR

Timeline

Float Nurse - Egret Cove Healthcare and Rehabilitation
03.2024 - Current
Clinical Review Clinician (Remote) - Affinity Health Plan/Molina Healthcare
07.2017 - 01.2024
HEDIS Quality Analyst (Contract) - Talent Hub 360 LLC/Affinity Health plan
10.2016 - 06.2017
Discharge Planner - Wellcare
09.2015 - 09.2016
LPN Chart Reviewer (Contract) - Freedom Health Care
01.2015 - 06.2015
LPN Case manager - Care Centrix
07.2013 - 01.2014
JERSEY COLLEGE SCHOOL OF NURSING - RN BRIDGE PROGRAM IN PROFESSIONAL NURSING CANDIDATE,
V.E.E.B School of Nursing - Licensed Practical Nurse,

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Kerna Kim PooleLicensed Practical Nurse