Kimberlih Browne

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.

Summary

Overview

Work History

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

Licensed Practical Nurse-LTC

Licensed Practical Nurse

LPN/Case Manager

Education

Some College (No Degree) - Practical Nursing

High School Diploma -

Skills

Software

Timeline

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