Kim Anderson
Louisville,Ky
Summary
Experienced Registered Nurse and Certified Case Manager dedicated to compassionate care. Expert in using clinical knowledge to drive improvements, engage patients, and achieve positive health outcomes. Known for exceptional communication skills and collaborative approach to care management. Successful track record at Humana, committed to delivering high-quality healthcare services.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Care Manager, Telephonic Nurse 2
Humana, Inc.
Louisville, KY
08.2014 - Current
- Dedicated and compassionate Registered Nurse and Certified Case Manager with extensive experience at Humana
- Proven ability to leverage clinical knowledge to drive strategic improvements, enhance patient engagement, and improve health outcomes
- Recognized for exceptional communication skills and a collaborative approach to care management
- Grievance Resolution: Expertly resolved grievance cases sent to case management
- Awards and Recognitions: Received Six Shining Star Awards, North Star Award, and Nurses Loving Nurses Certificates (2019, 2020, 2021)
- Subject Matter Expert: Served as SME for ECOM and HEDIS
- Leadership Roles: Acted as Team Point Person, Embedded Team Coverage Nurse, and Nurse Ambassador
- Resource Development: Developed team resource library and created innovative learning tools such as HEDIS Jeopardy Game and COVID crossword puzzle
- Operational Improvements: Created PTO calendar in Teams for better visualization of team availability
- Program Support: Transitioned to SNP and Transitions to assist with member admissions to programs
- Patient Care: Assessed and recorded changes in members' conditions, provided health education, coordinated multidisciplinary care, and researched community resources for financial assistance
- Process Simplification: Developed one-page documents for simplified processes and learning
- Mentorship: Served as Preceptor for new Care Managers
Registered Nurse
Caretenders Home Health
Louisville, KY
04.2010 - 08.2014
- Assess each patient needs on an individual basis for nursing, physical therapy, occupation therapy, speech therapy and a medical social worker
- Teaching patients and caregivers' management of their disease processes and medications
- Teaching of dressing changes, intravenous therapy, tube feeding management, catheters, G-Tube, and ostomies
- Performs thorough assessments with each visit and notify MD of any changes on the patient's conditions
Dialysis Nurse
Jewish Hospital
Louisville, KY
04.2008 - 04.2010
- Providing overall care patient care, telemetry monitoring, management of ventilators, Intra-Aortic balloon pumps, hemodynamic monitoring, titration of intravenous drips and continuous renal replacement therapy
- Delegating patient care task to ancillary staff
- Initiation of dialysis and management of the patient while on dialysis
- Charge nurse in three 8 bed ICU units, delegated nurse assignments, managed bed admits, transfers and discharges
- Emergency Medical Team responding to all codes in the hospital
- Assisted physicians with various procedures at the bedside
Nurse Advisor/Disease Manager
Humana Military Healthcare Services
Louisville, KY
05.2007 - 04.2008
- Educated members on their disease process of diabetes, asthma and heart failure
- Educated on interventions for prevention and exacerbation of diabetes, asthma and heart failure by goal setting and care planning
- Utilized evidence-based guidelines to empower members to self-manage their diabetes, asthma, and heart failure
Registered Nurse
Jewish Hospital
Louisville, KY
08.2001 - 05.2007
- Providing overall care patient care, telemetry monitoring,
management of ventilators, Intra-Aortic balloon pumps, hemodynamic monitoring, titration of intravenous drips and continuous renal replacement therapy
replacement therapy
• Delegating patient care task to ancillary staff
• Initiation of dialysis and management of the patient while on dialysis - Charge nurse in three 8 bed ICU units, delegated nurse assignments,
managed bed admits, transfers and discharges
• Emergency Medical Team responding to all codes in the hospital
• Assisted physicians with various procedures at the bedside - 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.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Served as a preceptor for nursing students during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.
- Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
- Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Registered Nurse (TCU/ICU)
Norton Southwest Hospital
Louisville, KY
03.1998 - 08.2001
- Providing overall patient care, telemetry monitoring, initiating care plans and assisting physicians with various bedside procedures
- Delegating patient care and tasks to staff
- Providing overall care to critical care patients on ventilators, titrating intravenous drips and hemodynamic monitoring
- 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.
Education
Bachelor of Science - Nursing
Louisiana State University of Alexandria
01.2024
Associates of Applied Science -
Jefferson Community College
01.1998
Associates of Arts -
Jefferson Community College
01.1997
Skills
- Proficient in Microsoft Word
- Excel
- Windows
- Outlook
- PowerPoint
- Web navigation
- Developing new skills
- Understanding of metrics
- Trends
- Identifying gaps in care
- Organizational skills
- Prioritization skills
- Collaboration
- Operating programs within Humana
- CGX
- HCAT
- Verint
- Rx Connect
- ODOS
- Appointment Assist
- CRS Referral
- Debut
- SharePoint
- Community Health Network
- Physician Finder
- Communication skills
- Written communication
- Verbal communication
- Detail oriented
- Positive attitude
- Creating a positive work environment
- Working independently
- Teamwork
- Care coordination
- Health education
- Grievance resolution
- Interdisciplinary collaboration
- Case management
- Patient assessment
- Resource development
- Process improvement
- Clinical documentation
- Microsoft Teams
- Patient engagement
- Mentorship
- Care planning
- Case assessments
- Medication reviews
- Medical chart documentation
- Patient education
- Discharge planning
- Patient & family support
- Critical thinking
- Patient advocacy
- Patient care assessment
- Training and mentoring
- Multidisciplinary team collaboration
- Performance metrics
Certification
- Certified Case Management, 09/01/18, 2023
- MCG Certification, 09/01/24
Personal Information
Title: RN, BSN , CCM
Timeline
Care Manager, Telephonic Nurse 2
Humana, Inc.
08.2014 - Current
Registered Nurse
Caretenders Home Health
04.2010 - 08.2014
Dialysis Nurse
Jewish Hospital
04.2008 - 04.2010
Nurse Advisor/Disease Manager
Humana Military Healthcare Services
05.2007 - 04.2008
Registered Nurse
Jewish Hospital
08.2001 - 05.2007
Registered Nurse (TCU/ICU)
Norton Southwest Hospital
03.1998 - 08.2001
Associates of Arts -
Jefferson Community College
Bachelor of Science - Nursing
Louisiana State University of Alexandria
Associates of Applied Science -
Jefferson Community College
Similar Profiles
Tavance CaryTavance Cary
Social Media Representative at Humana, inc.Social Media Representative at Humana, inc.
Bonni RiceBonni Rice
Experience Strategy & Transformation Leader at Humana, Inc.Experience Strategy & Transformation Leader at Humana, Inc.
Deborah Winter, BSN, RNDeborah Winter, BSN, RN
Utilization Management Nurse 2- Front End Review at Humana, Inc.Utilization Management Nurse 2- Front End Review at Humana, Inc.