Nadine Thomas

• Maintained correct number of staffers to meet budget parameters while promoting high levels of patient care.
• Managed cases and oversaw nursing care with strong commitment to offering patients optimal treatments, resources and quality care.
• Called upon staff members to discuss patient care and treatment.
• Enforced disease prevention protocols among staff members, patients and visitors.

• Coordinates and provides direct patient care in the home and infusion treatment site to ensure patient safety with continuity and compliance under the physicians plan of care.
• Coordinates discharge planning and prepares discharge summaries with patient instructions, thoroughly reporting patient care needs, goals and transferring care.
• Accessed patient ports and PICC lines to start infusions and check for cleanliness.
• Administered prescribed medication and treatments in alignment with nursing standards.
• Provide on-call support

• Supporting up to 42 staff by tracking trends in performance and providing feedback
• Managing daily support and coordination of staff in 3 roles specific positions

Sexual Assault Nurse Examiner
 Treatment and evidence collection for 102 adult/adolescents and children who are victims of physical/sexual abuse, human trafficking and domestic violence.
 Appearance in court for prosecution of perpetrators of the crime

• Advocated for patients by supporting and respecting basic rights, values and beliefs.
• Answered patient questions and provided take-home materials for further information.
• Advocated for patient needs with interdisciplinary team and community resources implementing outlined treatment plans.
• Trained and mentored new SANE RNs on best practices, hospital policies and standards of care.

• Supervised team of 27 nurses in delivery of care.
• Integral member of the "Top 3" leadership team for strategic planning and ongoing process improvement, ensuring Squadron, Wing, and ultimately the Air Force mission is met.
• Resolved staffing issues by recruiting and hiring top-level talent.
• Regularly evaluated employee performance, provided feedback and assisted, coached and disciplined staff as needed.
• Developed and arranged continuing education opportunities for all staff to increase knowledge and skills.

 Coordination of care and education of available benefits to provide basic & enhanced healing restoring members' quality of life to the best possible level.
Certified Case Manager (CCM)

• Determined and coordinated appropriate level of care to meet individual patient needs.
• Reviewed treatment plans against individual goals and healthcare standards.
• Oversaw and minimized specialist queues with average of 25new referrals per month.
• Coordinated resources from diverse providers for intervention plans.

• Determined medical necessity and cost-effectiveness of services through utilization review processes.
• Kept detailed documentation on all utilization reviews by using software unique to Aetna.
• Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations.
• Remained up-to-date on various benefit plans, medical policies and state-specific clinical guidelines or criteria.
• Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
• Reviewed patient admissions to determine medical necessity as directed by the Milliman Care Guidelines criteria.