LaDonna Henegar
Kingsport,TN
Summary
Seasoned professional with patient-centered background in nursing and case management, offering proven clinical knowledge, technical skills, natural interpersonal strengths and adaptability in dynamic environments. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader focused on optimizing patient outcomes.
Overview
31
31
years of professional experience
Work History
RN Case Manager
Ballad Health, Holston Valley Medical Center
10.2024 - Current
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Optimized resource utilization by identifying opportunities for cost containment while maintaining quality of care.
- Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
- Educated patients and families on available community resources, facilitating access to necessary support services.
- Navigated regulatory requirements effectively, ensuring proper documentation and compliance with relevant laws and guidelines.
Utilization Management Nurse
Blue Cross Blue Shield of Texas, HCSC
07.2017 - 02.2024
- Maintained up-to-date knowledge of payer-specific guidelines to ensure accurate authorizations for medically necessary services.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Applied critical thinking skills to assess complex medical cases and determine appropriate levels of care in accordance with industry benchmarks.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
RN Medical Management
Blue Cross Blue Shield of TN, Anthem
05.2016 - 07.2017
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
- Managed patients recovering from medical or surgical procedures.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
Staff Development Nurse
Signature HealthCARE
03.2014 - 05.2016
- Implemented evidence-based practices in staff development initiatives, promoting a culture of continuous improvement in patient care standards.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Enhanced staff performance by designing and implementing comprehensive training programs tailored to individual needs.
- Assessed employees'' skill levels and developed targeted education plans for continuous professional growth.
Manager of Case Management
United Health Group Community and State
06.2010 - 07.2013
- Led a team of case managers to achieve higher success rates in client outcomes through regular training and performance evaluations.
- Optimized resource allocation by analyzing caseload data and adjusting staff assignments accordingly.
- Structured standardized case management processes to comply with regulatory agency statutes and standards.
- Provided leadership, guidance and support to staff members.
ED Registered Nurse
Wellmont Bristol Regional Medical Center
05.2005 - 06.2010
- Streamlined triage processes, leading to faster identification of high-risk patients requiring immediate attention.
- Enhanced patient care by providing efficient and accurate assessments of complex medical conditions in the Emergency Department.
- Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
- Conducted comprehensive assessments of patients presenting with traumatic injuries, ensuring accurate diagnoses and timely initiation of appropriate interventions for optimal outcomes.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
Medical/Surgical Nurse
Various
08.1995 - 05.2005
- Improved patient outcomes by accurately assessing, diagnosing, and treating medical-surgical patients.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Conducted comprehensive assessments of patients'' physical, emotional, social, and environmental needs to develop individualized care plans.
- Maintained high-quality care standards by participating in ongoing professional development activities.
- Educated patients and families on disease processes, medications and treatments.
- Coordinated with other healthcare team members to support patient needs.
Education
Bachelor of Science - Nursing
East Tennessee State University
Johnson City, TN05-1995
Skills
- Patient evaluation
- Strategic task management
- Clinical documentation
- Effective case management strategies
- HIPAA regulations knowledge
- Healthcare compliance
- Patient care coordination
- Collaborative communication skills
- Cross-functional teamwork
- Strong clinical judgment
- Patient condition monitoring
Timeline
RN Case Manager
Ballad Health, Holston Valley Medical Center
10.2024 - Current
Utilization Management Nurse
Blue Cross Blue Shield of Texas, HCSC
07.2017 - 02.2024
RN Medical Management
Blue Cross Blue Shield of TN, Anthem
05.2016 - 07.2017
Staff Development Nurse
Signature HealthCARE
03.2014 - 05.2016
Manager of Case Management
United Health Group Community and State
06.2010 - 07.2013
ED Registered Nurse
Wellmont Bristol Regional Medical Center
05.2005 - 06.2010
Medical/Surgical Nurse
Various
08.1995 - 05.2005
Bachelor of Science - Nursing
East Tennessee State University