Summary
Overview
Work History
Education
Skills
Software
Timeline

Kimberlih Browne

Licensed Practical Nurse/Case Manager
Smyrna,GA

Summary

Detail-attentive LPN/Case Manager offering 14 years of experience in the field. Skilled at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life.

Overview

14
14
years of professional experience
5
5
years of post-secondary education

Work History

LPN/Care Manager-Dual Special Needs Program (DSNP)

Horizon Blue Cross Blue Shield Of NJ (BCBSNJ)
08.2017 - Current
  • Manages caseload of 240+ members.
  • Performs data collection and assessments via home visits and telephonic outreach.
  • Completes Health Risk Assessments (HRAT), and Comprehensive Needs Assessments (CNA) in accordance with CMS guidelines.
  • Observes and records signs/symptoms of changes in physical condition, mental status and behavior.
  • Advocates for members and their caregivers to coordinate resources and ensure utilization of their benefits and enrollment package.
  • Educates patients on disease processes, as well as medication administration, side effects, and symptom management
  • Maintains accurate documentation; and updates computerized member data into electronic medical record.
  • Member-centric Plan of care development, and revisions based on history, risks, current needs and member goals.
  • Responsible for presentation of member, and participation in Interdisciplinary Team meeting (IDT) for care collaboration.
  • Collaborates with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
  • Interprets regulations and preventative care measures to identify and close gaps in care.
  • Supports, comforts and counsels members and caregivers throughout enrollment and care process.
  • Educates members and caregivers on medical diagnoses, treatment options, health management.
  • Coordinates referrals to specialists, hospitals, ancillary testing sites, durable medical equipment providers and personal care assistants.
  • Educates members and caregivers on community resources, treatment options and health care services to better manage conditions.
  • Establishes and maintains network of community resources to provide comprehensive support services possible to meet member needs.
  • Assists clients in navigating housing referrals, legal services and public benefits to gain access to valuable resources.
  • Developed and implemented safety plans for clients at risk of harm to provide protection.
  • Evaluated treatment plans against individual goals and healthcare standards.

Licensed Practical Nurse-LTC

Riverside Nursing And Rehabilitation Center
07.2021 - 07.2023
  • Provided direct nursing care and medication administration to Sub-Acute clients and Long Term Care residents.


  • Delivered emotional support to patients and families throughout care process including challenging times.
  • Evaluated patient histories, complaints, and current symptoms.


  • Interviewed patients and Performed on going observations of residents physical and behavioral health.


  • Educated patients and caregivers on medical diagnoses, treatment options, and disease management.


  • Developed and implemented individualized patient care plans.


  • Collaborated with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.


  • Reviewed and accurately documented within the electronic medical record, to address residents problems, changes and expected outcomes.


  • Provided leadership, delegation, and support to non-licensed nursing staff.


  • Coordinated admissions, discharges, transfers and appointments.

Licensed Practical Nurse

Hampton Behavioral Health Center
01.2012 - 01.2018
  • Prepared, and administered prescribed oral and injectable medications, while monitoring for efficacy, diversions, and side effects.
  • Provided direct nursing care and support to clients during inpatient psychiatric admission to Dual Diagnosis, Adult, Geriatric, and Adolescent units that exhibited depressive, disruptive, violent, aggressive, and unpredictable behavior.
  • Provided continuous observation, recording, and reporting of changes in patient status.
  • Maintained continuous contact and therapeutic support for patients in need of additional supportive measures during inpatient stay
  • Responded to medical and psychiatric codes for patients needing crisis interventions.
  • Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
  • Comforted and counseled patients and families throughout care process.

LPN/Case Manager

Ocean Mental Health Services
01.2010 - 08.2017
  • Liaised with physicians and clients; to ensure open lines of communication in order to address problems that required immediate and long term resolve.
  • Prepared and administered injectable psychotropic medications as prescribed
  • Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
  • Analyzed patient responses to medications, therapies and variances in plans of care.
  • Educated patients and caregivers on healthcare protocols and processes..
  • Managed various outpatient clinic office duties such as answering multiple telephone lines, completing insurance forms, and prior authorizations.
  • Reinforced health education, counseling and advice to patients and families and assessed patient educational needs, prioritized patient learning needs, identified barriers to learning and used educational tools to encourage non-adherent patients.
  • Secured and maintained inventory levels of psychotropic medications samples.
  • Coordinated in-services and trainings for physicians, care team and pharmaceutical sales reps in order to provide education on formulary medications use, benefits, dosage, side effects and risks.
  • Participated in CMS audits of outpatient clinic to ensure compliance with regulations, guidelines and standards.
  • Responsible for educating, and training newly hired staff.

Education

Some College (No Degree) - Practical Nursing

Lincoln Technical Institute, Mt Laurel, NJ
06.2008 - 06.2009

Licensure obtained January 2010

High School Diploma -

New Brunswick High School, New Brunswick, NJ
09.1995 - 06.1999

Skills

    Analysis, Critical thinking, Clinical Judgement and problem-solving

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Software

Tableau

Microsoft office/Word/Excel

TriZetto/Facets

Care Radius

Point Click Care (PCC)

Prime Therapeutics

Medicaid Eligibility Verification System (E-MEVS)

Source One

SharePoint

Quickbase

Timeline

Licensed Practical Nurse-LTC - Riverside Nursing And Rehabilitation Center
07.2021 - 07.2023
LPN/Care Manager-Dual Special Needs Program (DSNP) - Horizon Blue Cross Blue Shield Of NJ (BCBSNJ)
08.2017 - Current
Licensed Practical Nurse - Hampton Behavioral Health Center
01.2012 - 01.2018
LPN/Case Manager - Ocean Mental Health Services
01.2010 - 08.2017
Lincoln Technical Institute - Some College (No Degree), Practical Nursing
06.2008 - 06.2009
New Brunswick High School - High School Diploma,
09.1995 - 06.1999
Kimberlih BrowneLicensed Practical Nurse/Case Manager