Summary
Overview
Education
Skills
Certification
Work History
Timeline
RegisteredNurse
Misty Dupree

Misty Dupree

Licensed Vocational Nurse
Midlothian,TX

Summary

A dedicated and self-motivated Texas-licensed vocational nurse with a strong foundation in nursing, complemented by extensive experience in Medicare grievance and appeals management. Skilled in patient care, clinical assessments, and medication management with a proven ability to handle complex cases and deliver compassionate care. Experienced in managing grievances and appeals, ensuring compliance with regulatory standards, and providing clear, well-documented resolutions. Proficient in using healthcare software such as EPIC, ClickCare, and RX Edit Manager. Known for excellent organizational, communication, and problem-solving skills, with a commitment to enhancing patient outcomes and supporting team efficiency

Overview

1
1
Certificate
11
11
years of professional experience
1
1
year of post-secondary education

Education

Vocational Nursing

Navarro College
Midlothian, TX
08.2023 - 08.2024

Diploma -

Remington College

Skills

  • EPIC
  • ClickCare
  • BLS Certified
  • ICD-10
  • RX Edit Manager
  • Training leadership
  • Analytical Thinking
  • Organizational Skills
  • Interpersonal Communication
  • Professional Demeanor
  • Grievance management
  • Written Communication
  • Problem-Solving
  • Self Motivation
  • Policy Development
  • Active Listening
  • Insurance knowledge
  • Vital signs monitoring
  • Diabetes management
  • EHR Software
  • Health Promotion
  • Compassionate Care
  • Catheter Care
  • Taking and Recording Vital Signs
  • Medication and dosage
  • Medical Records Management
  • Patient Education
  • Patient Evaluation
  • Patient Advocacy
  • Grooming support
  • Activities of Daily Living ADLs
  • Nursing Assessments
  • Work Planning and Prioritization
  • Policy Interpretation
  • BLS CPR CERTIFIED

Certification

  • BLS/ CPR Certified (Adult, Pediatric, Infant, AED)

Work History

LVN Student Nurse

Clinical Preceptorship
Ennis, tx
06.2024 - 07.2024
  • Performed physical assessments of patients and reported abnormal findings to nurse.
  • Assisted with wound care and dressing changes.
  • Administered injections, prescribed medications, and monitored for adverse reactions.
  • Maintained accurate records of nursing interventions, treatments administered and patient response to treatments in accordance with hospital policies and procedures.
  • Ensured compliance with HIPAA regulations regarding confidentiality of information.
  • Documented patient care services by charting in designated areas.
  • Reported changes in patient conditions to registered nurse or physician.
  • Assisted patients in ambulation and transfers using proper body mechanics.
  • Performed vital sign assessments, such as taking blood pressure and temperature.
  • Provided assistance with activities of daily living, including bathing, dressing and grooming.

LVN Student Nurse

Clinical Practicum
Midlothian, TX
01.2024 - 05.2024
  • Performed physical assessments of patients and reported abnormal findings to nurse.
  • Conducted clinical rounds to assess patients' needs and coordinate appropriate interventions with other healthcare providers as needed.
  • Administered injections, prescribed medications, and monitored for adverse reactions.
  • Provided patient care, including vital signs and medication administration.
  • Assisted patients in ambulation and transfers using proper body mechanics.
  • Assisted with range of motion exercises and other rehabilitative activities per physician orders.
  • Provided assistance with activities of daily living, including bathing, dressing and grooming.

Grievances & Appeals Representative 3

Humana Pharmacy Solutions
Louisville, KY
10.2019 - Current
  • Manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal or further request is warranted
  • Process Part B/D appeals by sorting faxes, creating cases, routing cases for clinical review, providing requestor with final determination notification
  • Team Engagement

HCPR Customer Care Specialist - Faxes

Humana Pharmacy Solutions
Louisville, KY
02.2013 - 10.2019
  • Assist in Obtaining Prior Authorization for member medications by authenticating and verifying correct information obtained from medical offices
  • Team SME for improvement in efficiencies, quality, and up-training
  • Sort and triage faxes through PAHub
  • Initiate calls to providers and or pharmacies if missing information critical to process a PA request
  • Strong contributor to engagement within team and department
  • Experience with Internet research and proof-reading/editing
  • Promote team growth by assisting when needed in coaching, side by sides, and mentoring

Timeline

LVN Student Nurse

Clinical Preceptorship
06.2024 - 07.2024

LVN Student Nurse

Clinical Practicum
01.2024 - 05.2024

Vocational Nursing

Navarro College
08.2023 - 08.2024

Grievances & Appeals Representative 3

Humana Pharmacy Solutions
10.2019 - Current

HCPR Customer Care Specialist - Faxes

Humana Pharmacy Solutions
02.2013 - 10.2019

Diploma -

Remington College

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Misty DupreeLicensed Vocational Nurse