Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Skill Summary
Timeline
Generic

Kimberly Sellers

Enola,PA

Summary

Possessing over 30 years of experience in complex medical case management and catastrophic injury cases. Extensive background in care coordination and life care planning for patients with brain injuries, strokes, and spinal cord injuries, ensuring optimal wellness and independence through a holistic patient-centered approach.

Overview

1
1
Certification
41
41
years of professional experience

Work History

Owner

Kimberly Sellers Solutions, LLC
10.2015 - Current

Private nurse case management practice specializing in catastrophic and complex cases.

Assess and evaluate patient needs, develop individualized care plans, and coordinate with other healthcare providers to ensure quality of care.

  • Deliver comprehensive care management services to enhance patient outcomes.
  • Coordinate patient care plans with interdisciplinary healthcare teams.
  • Monitor patient progress and adjust care plans as necessary.
  • Advocate for patients' rights and healthcare preferences consistently.
  • Facilitate communication between patients, families, and healthcare providers effectively.
  • Collaborate with community resources to enhance patient support services.
  • Collaborate with insurance companies regarding reimbursement issues, appeals processes, managed care contracts.
  • Participate in multidisciplinary meetings to discuss complex cases and develop effective strategies for resolving problems encountered by patients.
  • Facilitate referrals to appropriate ancillary and community resources when needed.
  • Conduct home visits to assess the health status of patients in their homes or other community settings.
  • Establish relationships with external organizations such as skilled nursing facilities or hospice agencies for coordination of care across multiple settings.
  • Coordinate discharge planning activities including arranging for home health services and post-hospital follow-up appointments.
  • Provide emotional support to families dealing with difficult situations involving illness, injury, or death.
  • Serve as a liaison between physicians, hospitals, insurance companies, employers, to facilitate access to appropriate care.
  • Advocate for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Deliver information regarding care and medications to patients and caregivers in comprehensible terminology.

Director of Medical Management

Hoover Rehabilitation Services
01.2013 - 10.2015
  • Directed field case management and daily operations of the medical management department, supervising forty nurse case managers across multiple states, three supervisors, an IME unit, and a cost projection program to ensure effective service delivery.

Part-Time On Call

Heartland Home and Hospice
01.2010 - 01.2014
  • Delivered in-home hospice nursing services for community hospice program, coordinated weekend care for terminally ill patients, and guided families in symptom management and end-of-life support.

Senior Medical Case Manager

Liberty Mutual
08.2009 - 12.2012
  • Delivered medical case management for workers compensation claims, ensuring timely access to medical care and successful return to work for injured workers.
  • Coordinated care plans for clients with complex medical needs.
  • Collaborated with healthcare providers to facilitate treatment and services.

Case Manager

Select Specialty Hospital
09.2008 - 08.2009
  • Delivered medical case management services for medically complex patients in long-term acute care hospital setting.
  • Coordinated patient care plans with multidisciplinary teams for optimal treatment.
  • Assessed patient needs and developed individualized service strategies.
  • Facilitated communication between patients, families, and healthcare providers.

Case Manager

Health South Regional Specialty Hospital
03.2007 - 09.2008
  • Coordinated care for medically complex patients, overseeing discharge planning and conducting utilization review in long-term acute care hospital.
  • Ensured comprehensive patient care by coordinating plans with interdisciplinary teams.
  • Assessed patient needs and developed tailored support strategies.
  • Monitored patient progress and adjusted care plans as necessary.

Case Manager

CorVel Corporation
01.1998 - 03.2008
  • Managed complex medical cases for injured workers by consulting with physicians, injured workers, attorneys, employers, and claim adjusters to assess medical needs and coordinate care while supervising staff and overseeing branch office operations.
  • Coordinated patient care plans with multidisciplinary teams for optimal recovery.
  • Conducted comprehensive assessments to identify patient needs and resources.
  • Facilitated discussions among stakeholders to ensure clear understanding of patient care needs.

Wellness Director

Thoreau Place
08.2003 - 10.2005
  • Developed wellness programs promoting physical and mental health for residents.
  • Implemented community outreach efforts to engage residents in wellness activities.
  • Coordinated training sessions for staff on wellness initiatives and best practices.
  • Coordinated a wellness program part-time to enhance community health engagement.
  • Facilitated workshops on nutrition, fitness, and mindfulness practices.
  • Evaluated program effectiveness and made adjustments based on feedback received.

Home Care Manager and Supervisor

Inova VNA Home Health
08.1991 - 01.1998
  • Coordinated and supervised multi-disciplinary home care services for Inova Health System facility. Assessed discharge needs and coordinated services for patients and families.
  • Coordinated schedules for nursing, rehabilitation, and home health aide teams to ensure timely patient care.
  • Developed individualized care plans with multidisciplinary teams.
  • Oversaw training and performance evaluations for caregivers to enhance service quality and compliance.
  • Ensured compliance with regulatory standards and best practices.
  • Managed scheduling and resource allocation to maximize effectiveness of care delivery.
  • Communicated effectively with patients and families about care options.
  • Conducted regular assessments to monitor patient needs and progress.
  • Evaluated employee performance against established goals and objectives.
  • Provided training to staff on healthcare regulations and best practices.
  • Coordinated with other healthcare providers to ensure continuity of care for patients.
  • Collaborated with medical professionals in order to develop individualized treatment plans for patients.

Case Manager

George Washington University, Department of Neurosurgery
04.1990 - 08.1991
  • Coordinated comprehensive care for inpatient and outpatient neurosurgery patients, ensuring seamless transitions through surgery, rehabilitation, and discharge planning.
  • Collaborated with interdisciplinary teams to develop and implement effective patient care plans.
  • Assessed patient needs and developed individualized treatment strategies.
  • Monitored patient progress and adapted care plans to meet evolving needs.

Clinical Nurse IV

George Washington University Hospital
05.1989 - 04.1990
  • Supervised staff and coordinated care in neurosurgical step-down unit, ensuring high standards of patient safety and recovery. Evaluated and enhanced staff performance through targeted feedback and mentorship.
  • Administered medications and treatments according to physician orders.
  • Monitored patient vital signs and reported changes to the medical team.
  • Educated patients and families on health management and recovery plans.

Case Manager

Inova Home Health
07.1988 - 05.1989
  • Coordinated home care for patients through physical assessments, treatments, and referrals to community resources to ensure comprehensive support. Developed care plans for skilled and nonmedical home health aide staff to enhance patient outcomes for homebound patients. Supervised skilled nursing, rehab, and home health aide staff to maintain high standards of patient care.
  • Collaborated with healthcare teams and families to coordinate comprehensive patient care plans.
  • Assessed patient needs and developed individualized treatment strategies.

Primary Rehabilitation Nurse

Mount Vernon Hospital
12.1986 - 07.1988
  • Coordinated and managed rehabilitation care for patients, collaborating with staff, physicians, and social workers to ensure comprehensive treatment plans. Provided clinical care for patients with acute brain and spinal cord injuries, contributing to recovery and rehabilitation outcomes.
  • Collaborated with interdisciplinary teams to ensure comprehensive patient care.
  • Adjusted care plans based on documented patient progress.
  • Educated patients and families on rehabilitation techniques and recovery processes.

Staff Nurse/Evening Charge Nurse

York Hospital
06.1985 - 12.1986
  • Delivered holistic nursing care to patients recovering from strokes and debilitating illnesses, fostering their recovery and well-being. Coordinated comprehensive discharge planning from admission to discharge, ensuring seamless transition and continuity of care.

Education

Bachelor of Science - Nursing

George Mason University
01-1994

Associate of Science -

Franklin and Marshall College
01-1985

Nursing Diploma -

Lancaster General Hospital School of Nursing

Skills

  • Complex Medical Case Management
  • Catastrophic Injury Case Management
  • Life Care Management
  • Care coordination
  • Discharge planning
  • Life care planning
  • Advocacy
  • Stroke Care Coordination
  • Brain injury Care Coordination
  • Spinal cord Injury Care Coordination
  • Neurorehabilitation Care Coordination

Affiliations

  • Case Management Society of America
  • Women's Business Enterprise
  • American Association of Nurse Life Care Planners

Certification

  • 2002, Received Case Management Certification
  • 2005, Completed a Faith Community Nurse Program and commissioned as a Faith Community Nurse
  • 2013, Maryland WCCM
  • 2018, Received Certification in Nurse Life Care Planning
  • PA, Active RN License
  • MD, Active RN License (WCCM/MCRSP)

Skill Summary

  • Over 25 years of complex medical case management experience with emphasis on advocacy, restoration, and wellness
  • Expertise in catastrophic complex case management and care coordination, with a focus on patients with brain injury, stroke, and spinal cord injury.
  • Over 35 years of combined nursing experience in neurorehabilitation, neurosurgery, discharge planning and case management in the community and hospital settings.
  • Expertise in life care planning, using the nursing process to identify expected outcomes individualized to the consumer's needs, and developing a plan that provides for services along the continuum of care, promoting optimal wellness and independence.

Timeline

Owner

Kimberly Sellers Solutions, LLC
10.2015 - Current

Director of Medical Management

Hoover Rehabilitation Services
01.2013 - 10.2015

Part-Time On Call

Heartland Home and Hospice
01.2010 - 01.2014

Senior Medical Case Manager

Liberty Mutual
08.2009 - 12.2012

Case Manager

Select Specialty Hospital
09.2008 - 08.2009

Case Manager

Health South Regional Specialty Hospital
03.2007 - 09.2008

Wellness Director

Thoreau Place
08.2003 - 10.2005

Case Manager

CorVel Corporation
01.1998 - 03.2008

Home Care Manager and Supervisor

Inova VNA Home Health
08.1991 - 01.1998

Case Manager

George Washington University, Department of Neurosurgery
04.1990 - 08.1991

Clinical Nurse IV

George Washington University Hospital
05.1989 - 04.1990

Case Manager

Inova Home Health
07.1988 - 05.1989

Primary Rehabilitation Nurse

Mount Vernon Hospital
12.1986 - 07.1988

Staff Nurse/Evening Charge Nurse

York Hospital
06.1985 - 12.1986

Bachelor of Science - Nursing

George Mason University

Associate of Science -

Franklin and Marshall College

Nursing Diploma -

Lancaster General Hospital School of Nursing
Kimberly Sellers