Kirby Bess
Union,KY
Summary
Seasoned RN and CCM with a robust background in nursing leadership and case management. Excelled in staff development, achieving significant workforce engagement and quality improvement. Skilled in project management and communication, fostering strong relationships and advancing client support. Demonstrated expertise in nursing informatics and training, enhancing operational efficiency and care standards.
Overview
14
14
years of professional experience
Work History
RN, CCM, Field Case Manager
Sedgwick
Memphis, TN
07.2023 - Current
- Coordinating and Monitoring Care: Act as a liaison among the injured worker, healthcare providers, employers, and claims examiners to ensure appropriate medical care, and track treatment progress.
- Facilitating Communication and Claims Management: Communicate regularly to keep stakeholders informed, assist with the claims process, and advocate for the injured worker's needs.
- Supporting Return to Work: Educate the injured worker, work with employers on job modifications, manage care costs, and develop plans for a safe return to work.
Director of Nursing Development and Culture
The Kidz Club
Louisville, KY
11.2019 - 07.2023
- Oversight of performance management and development for 6 centers with 200+ employees, including leadership and clinical development programs.
- Creation and management of Clinical Ladder Program, performance management system implementation, and company compliance with state regulations.
- Handling of client complaints, policy revisions, Plans of Correction, and participation in clinical quality improvement projects.
- Involvement in retention initiatives, including data analysis, new hire engagement, preceptor recognition, and exit interviews.
- Coordination of employee appreciation events, scholarship program management, and support for clinical presentations to the community.
Site Director of Nursing
The Kidz Club
Erlanger, KY
05.2017 - 11.2019
- Managed compliance and quality care: Oversaw prior authorizations, Medicaid/Managed Care approvals, compliance with PPEC regulations, discharge reviews, nursing audits, infection surveillance, and quality care for over 90 clients and 30+ employees.
- Facilitated staff development and engagement: Executed staff educational programs, transitioned to an electronic documentation system, led employee engagement efforts, and managed tasks, including scheduling, hiring, disciplinary actions, and emergency processes.
- Handled client and operational needs: addressed client complaints, created plans of correction, and ensured efficient operational processes.
Charge RN, Case Manager
The Kidz Club
Erlanger, KY
10.2012 - 05.2017
- Facilitated admissions and case management: Handled new admissions, patient assessments, medical record reviews, treatment plans, Medicaid approval, and managed quarterly treatment plans for over 100 clients.
- Supported frontline staff and compliance: Assisted with physical assessments, therapy, medication administration, organized in-service trainings, and new hire orientation, and ensured compliance with TB tests and CPR recertification.
- Collaborated on quality assurance: Worked with the Quality Assurance team and the Site Director of Nursing to address quality-related concerns.
Registered Nurse Case Manager
The Kidz Club
Erlanger, KY
06.2012 - 10.2012
- Provided direct patient care and case management for children with various medical diagnoses, ensuring effective implementation of treatment plans, and supervising LPNs, SRNAs, and Caregiver Assistants.
- Offered customized education to parents/guardians and updated treatment plans monthly, coordinating with care team members and assisting Managed Care Organizations in determining acuity levels.
- Served as a transportation nurse, ensuring safe transport, vital signs documentation, emergency management, and effective communication with families.
Registered Nurse
St. Elizabeth
Edgewood, KY
11.2011 - 06.2012
- Provided direct patient care for 4-6 patients, including physical assessments, medication, treatment administration, and specialized wound care.
- Advocated for patients and families, coordinating multidisciplinary care and ensuring compassionate bedside manner.
- Specialized in pulmonary monitoring and wound care, and provided continuous support to patients and families.
Registered Nurse, Charge Nurse
Eastern State Hospital
Lexington, KY
02.2011 - 11.2011
- Provided comprehensive care, including mental and physical support, individual therapy, and de-escalation techniques, with a focus on stabilization and community living.
- Participated in treatment team meetings, built therapeutic relationships, and coordinated case management with Social Workers, providers, and families.
- Served as Charge Nurse, facilitating daily assignments, supervising care provided by RNs/LPNs/MHAs, and promoting a recovery-based approach.
Education
Certified Case Manager -
Commission For Case Manager Certification
12.2024
Registered Nurse -
Morehead State University
Morehead, KY12-2010
Skills
- Nursing staff leadership
- Case Management
- Staff Development and Training
- Project Management
- Communication
- Quality improvement
- Client Support
- Relationship building
- Employee evaluation
- Nursing informatics
- Precepting
- Workforce Engagement
Honors Achievements And Awards
- Successfully trained and completed supervisor reviews for multiple Sedgwick team leads.
- Completed the Sedgwick Early Career CRG Mentoring Program.
- The Edward A. Zimmerman Integrity Award Winner for The Kidz Club in May 2019.
- Creator and project manager of the Clinical Ladder Program for the Kidz Club.
- Project manager for implementing iSolved, Performance Management System, for The Kidz Club.
Timeline
RN, CCM, Field Case Manager
Sedgwick
07.2023 - Current
Director of Nursing Development and Culture
The Kidz Club
11.2019 - 07.2023
Site Director of Nursing
The Kidz Club
05.2017 - 11.2019
Charge RN, Case Manager
The Kidz Club
10.2012 - 05.2017
Registered Nurse Case Manager
The Kidz Club
06.2012 - 10.2012
Registered Nurse
St. Elizabeth
11.2011 - 06.2012
Registered Nurse, Charge Nurse
Eastern State Hospital
02.2011 - 11.2011
Certified Case Manager -
Commission For Case Manager Certification
Registered Nurse -
Morehead State University
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