Kim Humphres
Warren
Summary
Dynamic Case Manager with Evolent Health, skilled in insurance negotiation and client advocacy. Proven track record in developing comprehensive care plans and enhancing patient outcomes through effective resource coordination. Strong interpersonal communication and crisis intervention abilities, fostering collaborative relationships within interdisciplinary teams to optimize care delivery and support client autonomy.
Overview
22
22
years of professional experience
Work History
Case Manager
Evolent Health
Arlington
06.2019 - Current
- Negotiated with insurance companies and other payers to secure coverage for client services.
- Participated in regular team meetings and in-house training sessions to boost group effectiveness.
- Managed caseloads effectively, ensuring timely documentation and reporting.
- Coordinated comprehensive care plans for clients to meet their individual needs.
- Linked clients with social services, health care providers and governmental agencies to help claim or reclaim individual autonomy.
- Advocated on behalf of clients to secure necessary services and support.
- Identified barriers to client success and developed strategies to overcome them.
- Assisted individuals with eligibility for available benefits.
- Assessed clients' needs, developed service plans and monitored progress towards goals.
- Counseled clients on available resources within the community that could help meet their needs.
- Collaborated with medical professionals to coordinate treatment plans for clients.
- Participated in professional development opportunities to stay current with best practices in case management.
- Adhered to ethical principles and standards to protect clients' confidential information.
- Collaborated with healthcare team to improve care quality, reduce costs and gauge patient progress.
- Utilized case management software and databases for efficient information tracking.
Home Health Registered Nurse Case Manager
Interim HealthCare
Pensacola
06.2018 - 06.2019
- Stocked clinical workstations and procedure rooms with necessary supplies.
- Participated in interdisciplinary team meetings to discuss patient status and coordinate services provided by other disciplines.
- Conducted risk assessments in home environments to ensure patient safety.
- Provided wound care, including dressing changes and monitoring for signs of infection.
- Educated patients on the importance of medication compliance and adherence to physician orders.
- Maintained timely documentation of all patient visits in the electronic medical record system.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Coordinated delivery of durable medical equipment with vendors as needed per patient plan of care.
- Developed care plans and coordinated services for home health patients.
- Supported patients with chronic illness management, optimizing quality of life.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Participated in on-call rotations and delivered after-hours care.
- Offered guidance on medication management, ensuring adherence to therapy plans.
- Coordinated medical equipment rentals and installations for home use.
- Trained new home health nurses, sharing best practices and clinical expertise.
- Adhered strictly to HIPAA regulations when handling confidential information related to clients' health records.
- Coordinated with physicians and healthcare teams to update patient progress and adjust care plans.
- Utilized electronic health records to document patient care accurately and comprehensively.
- Educated patients and families on disease management and prevention techniques.
RN School Supervisor
PSA Home Care
Pensacola
11.2016 - 06.2018
- Administered medications and treatments, monitoring patients for reactions and side effects.
- Updated charts throughout shifts with current, accurate information to maintain strict recordkeeping standards.
- Educated patients on health maintenance, disease prevention, and treatment options.
- Monitored and managed various treatment and care interventions.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Adhered to infection control procedures to facilitate safe, clean patient environment.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Evaluated patients, recognized and addressed complications and coordinated treatment with other members of critical care team.
RN
Jackson Madison County General Hospital
Jackson
05.2003 - 05.2015
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
- Administered local, inhalation or intravenous anesthetics to patients undergoing procedures.
- Acted as patient advocate and implemented total patient care through team nursing process.
- Performed physical examinations and assessments of patients' medical histories.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Assessed patient health and developed individualized care plans accordingly.
- Educated patients on health maintenance, disease prevention, and treatment options.
- Participated in continuing education programs related to nursing practice.
- Monitored and managed various treatment and care interventions.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
- Counseled patients and caregivers, providing emotional, psychological and spiritual support.
- Provided emotional support to families facing difficult decisions about a loved one's care.
- Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
- Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with non-invasive procedures.
- Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
- Responded quickly to life-threatening situations by providing appropriate interventions.
Education
Bachelor of Science - Nursing
University of Tennessee Martin
Martin,Tennessee 05-2004
Bachelor of Arts - Exercise Science
University of Tennesse At Martin
Martin,Tennessee 05-2000
Skills
- Case management
- Care plan development
- Insurance negotiation
- Client advocacy
- Risk assessment
- Resource coordination
- Team collaboration
- Crisis intervention
- Time management
- Relationship building
- Decision-making
- Teamwork
- Public speaking
- Conflict resolution
- Task prioritization
- Patient management
- Interpersonal communication
- Contract management
- Adaptability
- Documentation proficiency
- Professionalism
- Interpersonal skills
- Self motivation
References
References available upon request.
Timeline
Case Manager
Evolent Health
06.2019 - Current
Home Health Registered Nurse Case Manager
Interim HealthCare
06.2018 - 06.2019
RN School Supervisor
PSA Home Care
11.2016 - 06.2018
RN
Jackson Madison County General Hospital
05.2003 - 05.2015
Bachelor of Science - Nursing
University of Tennessee Martin
Bachelor of Arts - Exercise Science
University of Tennesse At Martin