Lashawnda Richardson
Durham,NC
Summary
Experienced and Motivated Registered Nurse (RN) with 23 plus years serving patients in both clinic and hospital settings to include medical, surgical, emergency room, intensive care, and trauma environments. Extensive knowledge in levels of care, rules and regulatory requirements as it relates to Medicaid, Medicare, and Commercial insurances as well as the International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding. Currently serving as the case manager of the Acute Care Surgery and Trauma departments. Therefore, I am well versed in this patient population and have collaborated with many of the providers in this department regarding patient care. Proven ability to build positive relationships with staff, patients, and their families.
Overview
23
23
years of professional experience
Work History
Case Manager-General Surgery Team Lead
Duke University Health System
01.2023 - Current
- Develop rapport and provide leadership to all case managers of General Surgery Teams to effectively assist in coordinating optimal discharge plans for patients.
- Facilitate daily morning huddles with all team leads in to ensure appropriate staffing across all department.
- Completion of monthly and weekly schedules as well as updating the master schedule to reflect staffing changes.
- Lead monthly General Surgery meetings with case manager supervisor.
- Manage and provide resolution to any issues that may arise with case managers and their patient population.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Fostered open lines of communication with clients'' families and support networks, involving them in the case management process as appropriate.
- Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
Case Manager – General Surgery
Duke University Health System
06.2020 - Current
- Assess and complete timely assessments of patients to include care coordination and facilitation of resources required for discharge planning.
- Maintain a working knowledge of specific insurance benefits, guidelines regarding reimbursement to include Medicare and Medicaid, and how they apply to each individual patient so as to arrive at the most effective discharge plan.
Utilization Manager – Cardiology and Cardiothoracic Surgery
Duke University Health System
05.2016 - Current
- Assess and ensure that patient class (status) is accurate and conforms with patient's clinical condition, physician intent, and utilization review outcomes.
- Assurance that rules and regulatory requirements are met.
- Supports the medical chart audit process by ensuring accurate, timely, and informative clinical review documentation that supports the medical necessity/level of care.
- Supports denials management by documenting activities related to denials adjudication per departmental guidelines and actively works to overturn threatened denial activities.
- Enhanced patient care by conducting thorough utilization reviews and coordinating with healthcare providers.
- Served as a liaison between clinical staff, administrative personnel, and external stakeholders for all matters related to utilization management, facilitating clear communication across all parties involved.
- Maintained up-to-date knowledge of industry trends, regulations, and guidelines, contributing to the continuous improvement of utilization management practices within the organization.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
Patient Services Manager I - UNC Occupational Health Clinics
University of North Carolina
05.2019 - 05.2020
- Accountable for daily operations and management of employee immunizations, new employee orientation clearance, exposures, work related injuries and illnesses, travel immunizations, etc.
- Additional responsibilities include staffing, completion of annual performance reviews, and assisting with budget management.
Patient Services Manager I - UNC General Obstetrician - Gynecology, UNC Urogynecology, & UNC Minimally Invasive Gynecologic Services
University of North Carolina
01.2018 - 04.2019
- Accountable for daily operations and management of three specialty women's clinics.
- Responsibilities include ensuring appropriate clinical staffing and skill mix for each clinic, completion of annual performance reviews with staff, assisting with budget management, providing quality customer service, participating in quality improvement initiatives, and providing capacity for employee education.
Nurse Manager-Clinics 2B2C
Duke University Health System
03.2011 - 04.2016
- Interim Nurse Manager –Clinic 1G Urology/Urodynamics - November 2012-September 2013
- Managed and coordinated patient care in a multi-specialty clinic-14 different departments, over 110 providers, and a volume of 200 plus patients daily in Clinics 2B2C.
- Clinic 1G Urology/Urodynamics had about 10 providers and a volume of about 100 patients daily.
- Accountable for supervising, hiring and orienting nursing personnel, performance appraisals, scheduling, and conducting formal discipline of clinical nursing staff and managing triage.
- Collaboration with clinic providers, medical directors, and other nursing leaders to develop and implement operational systems and workflows that will allow for patients to have the best possible outcomes.
- Instrumental in planning for the fiscal health of the clinic by providing budgetary recommendations alongside additional clinic leadership.
Ambulatory Care Nurse II-Clinics 2B2C
Duke University Health System
10.2009 - 02.2011
- Served as a staff and charge RN in a multi-specialty ambulatory care clinic.
- Extensive experience in providing care to patients in the areas of transplant, hematology, nephrology, trauma surgery, vascular surgery, cardiothoracic surgery, general and advanced gastrointestinal surgery, and plastic surgery.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
- Streamlined patient flow by effectively triaging incoming patients and prioritizing their needs.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Managed patients recovering from medical or surgical procedures.
- Competent in patient care skills to include point of care testing, assisting with medical procedures, medication administration (all routes), dressing changes to include wound vacs, triaging patients, surgery scheduling and posting OR cases, patient education, and admissions to the hospital.
Registered Nurse – Intensive Care Unit
Kershaw Health System
03.2009 - 10.2009
- .Functioned as an RN providing total nursing care to 1-2 critical care patients.
- Managed patients on continuous telemetry, ventilators, chest tubes, and consciously sedated patients.
- Collaborated with health-care team regarding patient status.
- Initiated and updated patient care plans
- Successful in building positive relationships with patient families and friends.
- Documented and carried out directives of primary intensivists.
- Enhanced ICU team efficiency by providing continuous education on best nursing practices and protocols.
Registered Nurse – Intermediate Intensive Care Unit
Palmetto Health Baptist Hospital
12.2005 - 10.2009
- Served as an RN providing nursing care to 1-4 patients
- Coordinated care for patients on continuous telemetry, peritoneal dialysis, chest tubes, and home ventilators
- Collaborated with health-care team regarding patient status
- Initiated and updated patient care plans
- Built positive relationships with patient families and friends.
Registered Nurse – Emergency Room/ Medical-Surgical Unit/ Orthopedic Surgical Unit
Providence Northeast Hospital
06.2005 - 10.2009
- Multiple responsibilities included providing emergency bedside care and treatment to patients from infants to geriatrics.
- Administered medications (all routes), triaged patients, dressing changes, placed IV's, facilitated admissions, discharges, and transfers.
- Updated patient care plans as needed.
- Collaborated with providers regarding patient care.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Licensed Practical Nurse – Medical Unit
Lexington Medical Center
01.2001 - 10.2004
- Assisted patients with activities of daily living, head to toe assessments, medication administration (all routes except IV), dressing changes, admitting and discharging patients all under the supervision of an RN.
- Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
- Demonstrated excellent technical skills in wound dressing changes, IV therapy administration, catheter insertion, and other routine nursing procedures.
- Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
Education
Doctorate of Nursing Practice-Family Nurse Practitioner -
Gardner-Webb University Hunt School of Nursing
Boiling Springs, NC05.2024
Master of Science in Administration -
Gardner-Webb University Hunt School of Nursing
Boiling Springs, NC05.2018
Bachelor of Science in Nursing Degree -
Gardner-Webb University Hunt School of Nursing
Boiling Springs, NC05.2012
Associates of Nursing Degree -
Midlands Technical College
Columbia, SC10.2001
Licensed Practical Nursing Diploma -
Midlands Technical College
Columbia, SC12.1999
Skills
- Problem-Solving
- Conflict Resolution
- Community Outreach
- Patient support
- Family Education
- Patient Assessment
- Utilization Management
- Care Coordination
- Case Management
- Decision-Making
Affiliations
- Member, Delta Sigma Theta Sorority, Inducted Fall 1996
- Member, Chi Eta Phi Nursing Sorority, Inducted Fall 1997
- Member, Sigma Theta Tau International Honor Society, Inducted Spring 2018
Community Memberships Offices Held
Health and Wellness Ministry Lead, The River Church Durham, 2019-Present
Thesis Scholarly Projects
- Gardner-Webb University Hunt School of Nursing, Boiling Springs, NC, Doctorate of Nursing Practice-Family Nurse Practitioner, 05/2024, Scholarly Project: Essential Collaborations Among Case Managers and Providers Regarding Discharge Processes
- Gardner-Webb University Hunt School of Nursing, Boiling Springs, NC, Master of Science in Administration, 05/2018, Thesis: The Impact of Social Factors on Readmission Rates of Heart Failure Patients
Licensure Certifications
- North Carolina Registered Nurse Licensure, 203696, 10/31/2025
- Case Management Certification (CCM), 05/2025
- Basic Life Support (BLS), 01/2025
Timeline
Case Manager-General Surgery Team Lead
Duke University Health System
01.2023 - Current
Case Manager – General Surgery
Duke University Health System
06.2020 - Current
Patient Services Manager I - UNC Occupational Health Clinics
University of North Carolina
05.2019 - 05.2020
Patient Services Manager I - UNC General Obstetrician - Gynecology, UNC Urogynecology, & UNC Minimally Invasive Gynecologic Services
University of North Carolina
01.2018 - 04.2019
Utilization Manager – Cardiology and Cardiothoracic Surgery
Duke University Health System
05.2016 - Current
Nurse Manager-Clinics 2B2C
Duke University Health System
03.2011 - 04.2016
Ambulatory Care Nurse II-Clinics 2B2C
Duke University Health System
10.2009 - 02.2011
Registered Nurse – Intensive Care Unit
Kershaw Health System
03.2009 - 10.2009
Registered Nurse – Intermediate Intensive Care Unit
Palmetto Health Baptist Hospital
12.2005 - 10.2009
Registered Nurse – Emergency Room/ Medical-Surgical Unit/ Orthopedic Surgical Unit
Providence Northeast Hospital
06.2005 - 10.2009
Licensed Practical Nurse – Medical Unit
Lexington Medical Center
01.2001 - 10.2004
Doctorate of Nursing Practice-Family Nurse Practitioner -
Gardner-Webb University Hunt School of Nursing
Master of Science in Administration -
Gardner-Webb University Hunt School of Nursing
Bachelor of Science in Nursing Degree -
Gardner-Webb University Hunt School of Nursing
Associates of Nursing Degree -
Midlands Technical College
Licensed Practical Nursing Diploma -
Midlands Technical College