Kymberlie Tyson
Pell City,AL
Summary
Proactive Clinical Coordinator excited to transition into a new position where superb leadership and clinical coordination abilities can be utilized. Adept in case management, clinical oversight and staff training. Proficient in conducting data analysis to close gaps and improve outcomes.
Overview
22
22
years of professional experience
Work History
Clinical Care Coordinator
EdiphyAdvisors
08.2015 - Current
- Coordinated, monitored, assigned, and documented patient and clinical care activities.
- Set up educational programs for clinical staff to enhance skills and knowledge.
- Oversaw quality assurance programs to enhance performance and consistently achieve superior care standards.
- Built strong relationships with clients for optimized satisfaction of service.
- Mentored new clinical staff members for proper onboarding and orientation processes and continuing clinical education.
- Devised and implemented clinical protocols to ensure high-quality URAC service provided.
- Presented feedback on current and new procedures at weekly clinical meetings.
- Organized systems for tracking patient records to improve ease of retrieval.
- Led clinical and administrative teams in providing accurate, professional clinical review processes, revised processes for better outcomes, reviewed data to support best practice.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Served as subject matter resource, providing information related to EPIC, Cerner, Expanse, Interqual situations.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Performed admission reviews based for medical necessity based upon Interqual, Milliman specification.
- Supervised and maintained all utilization review documentation through EPIC, Cerner, Expanse, Allscripts, McKesson.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
Charge Nurse
Children's Of Alabama
06.2006 - 08.2015
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
- Conducted daily shift briefs to inform staff of changes in patient care assignments.
- Supervised and managed daily scheduling, tasking, and administration.
- Collaborated with other healthcare professionals to provide quality patient care.
- Monitored nursing care, patient assessment processes, and treatment implementations.
- Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Implemented quality patient care techniques to align with safety, health, and organizational regulations.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Documented information in patients' electronic medical record, relaying information to clinicians and care providers to facilitate continuity of care.
- Built rapport with patients and family members to deliver exceptional care.
- Evaluated patient care systems for potential areas of improvement such as stand nursing policy and procedures and proposed solutions and consequent curriculum adjustments.
- Demonstrated appropriate use of equipment such as Alaris IV pumps and IV insertion technique and provided operational guidance to onboarding and staff nurses.
Critical Care Registered Nurse TBICU
UAB Health System
05.2001 - 12.2006
- Oversaw various aspects of telemetry by administering pa catheters and arterials, vasoactive drugs, titration, thrombolytic therapy, dysrhythmia interpretation, and chest tubes.
- Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery.
- Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.
- Assessed and managed various patient treatments for numerous patient diagnoses from sepsis to acute respiratory distress.
- Delivered age-appropriate medical care for adult, adolescent, and geriatric ICU patients.
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
- Observed patients' vital signs and administered physician-prescribed medications and treatments.
- Recorded patients' medical status and treatment details in electronic charts to accurately document medical care.
- Developed and implemented patient care plans based on physicians' instructions and generally accepted nursing practices.
- Explained health care issues and ramifications to patients and families to promote informed medical care choices.
- Managed needs of chronically ill and acute patients with well-coordinated treatment strategies.
- Utilized critical thinking skills to assess, plan and implement evidence-based patient care.
- Performed timely resuscitation and stabilization of acutely ill patients.
- Operated critical care equipment to keep patients stable and promote recovery.
- Worked with intubated and ventilated patients, monitoring and reporting on conditions to maintain stats within optimal levels.
- Personalized bedside care and interactions based on cultural backgrounds of different patients.
Education
Associate of Applied Science - Nursing
Jefferson State Communitiy College
Birmingham, AL05.2001
Skills
- Clinical Data Collection
- Medical Terminology
- Clinical Quality Improvement
- Electronic Health Records Systems
- Case Management
- Patient Health Information Privacy
- Process Improvement
- Insurance Practices
- Clinical Documentation
- Utilization Management
- Medicare Compliance
- Health Information Systems (HIS)
Timeline
Clinical Care Coordinator
EdiphyAdvisors
08.2015 - Current
Charge Nurse
Children's Of Alabama
06.2006 - 08.2015
Critical Care Registered Nurse TBICU
UAB Health System
05.2001 - 12.2006
Associate of Applied Science - Nursing
Jefferson State Communitiy College
Similar Profiles
Aubrie KayAubrie Kay
Babysitter at SiblingsBabysitter at Siblings
Jennifer BrigmanJennifer Brigman
Owner at Just Flip OutOwner at Just Flip Out
Elizabeth WigginsElizabeth Wiggins
Patient Care Technician at UAB MedicinePatient Care Technician at UAB Medicine