Nashonda Simmons, FNP-BC, CCM
Queens Village,NY
Summary
Caring, Dedicated, and flexible, Certified Family Nurse practitioner, certified through both The American Nurses Credentialing Center and The American Academy of Nurse Practitioners Certification Board. Instrumental in conducting patient assessments and physical examinations. I am eager to continue my journey by excelling as a Nurse Practitioner with a strong focus on delivering high-quality, patient-centered healthcare.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Nurse Practicitioner Supervisor
Centerlight Healthcare
Ridgewood, New York
10.2023 - Current
- Supervises and manage Nurse Practitioners assigned to their locations and assists with the oversight of other Diagnostic Treatment Centers's clinical staff as needed
- Complete direct reports and annual performance appraisals, and collaborate with other DTC managers, providing annual performance feedback to the DTC clinical staff as needed.
- Perform wellness exams, including semi-annual, annual, and acute assessments, on all assigned site participants.
- Provides urgent car services to participants and facilitates the provision of same day access
- Assesses and manages participants with acute changes, upon return from hospital or Emergency in condition in a timely manner
- Participates in all clinical documentation improvement activities to obtain goals, being an accurate and full capture of the burden of illness of our participants and appropriate risk adjustment.
- Support families during times of illness or injury by providing emotional support and assistance with decision-making processes.
- Conduct home visits as needed
Utilization Management Supervisor
VillageCareMAX
New York, NY
04.2021 - 10.2023
- Supervises the concurrent review function, acts as a subject matter expert and provides guidance on concurrent review processes to UM clinical and non-clinical staff
- Reconciles inpatient and SNF census daily and addresses discrepancies
- Supervises the UM RNS to ensure concurrent and post reviews for inpatient acute care, skilled and long-term care facilities are completed in a timely manner.
Nurse Discharge Planner
Village Care Max
05.2018 - 04.2021
- Coordinate safe discharges for members in the hospital being transitioned back to the community
- Read and interpret PRI/Screen assessments for Utilization reviews
- Assess and Authorize services such as: DME, PT, OT and SN for members in their homes.
Nurse Care Manager
Village Care Max
05.2016 - 05.2018
- Assist members in accessing all necessary covered services in conjunction with the plan of care as directed by the Care Management Supervisors
- Communicates authorizations to providers and members as appropriate.
Intake Specialist
Fidelis Care at Home
06.2012 - 05.2016
- Provided Home assessments to members in the community who are eligible for MLTC
- Facilitate respect, private, honest communication and optimal data Collection in all interactions.
Education
Master of Science -
Herbert H. Lehman College
Bronx, NY09.2022
Bachelor's in science; BSN -
Herbert H. Lehman College
Bronx, NY05.2004
Associate in applied science -
Borough of Manhattan Community College
NY, NY05.2002
Skills
- Current New York, New Jersey RN License
- Microsoft Word/Excel spread sheet/Word Perfect/Microsoft Power Point
- Proficient in InterQual, Altruista/Guiding Care programs, MCG Guidelines, Care Compass, Patient Pattern
- Care plan implementation
- Policy and procedure compliance
Affiliations
- Sigma Theta Tau National Honor Society of Nursing
- National Black Nurse Practitioner Association
- The American Nurses Credentialing Center (AANC)
- The American Academy of Nurse Practitioners Certification Board (AANP)
Certification
- FNP-BC (ANCC and AANPCP)
- Certified Case Manager (CCM)
- BCLS certified
- Federal Drug Enforcement Administration (DEA) License – U.S. Department of Justice.
Personal Information
Title: MSN, FNP-BC, CCM
References
ARE AVAILABLE UPON REQUEST.
Timeline
Nurse Practicitioner Supervisor
Centerlight Healthcare
10.2023 - Current
Utilization Management Supervisor
VillageCareMAX
04.2021 - 10.2023
Nurse Discharge Planner
Village Care Max
05.2018 - 04.2021
Nurse Care Manager
Village Care Max
05.2016 - 05.2018
Intake Specialist
Fidelis Care at Home
06.2012 - 05.2016
- FNP-BC (ANCC and AANPCP)
- Certified Case Manager (CCM)
- BCLS certified
- Federal Drug Enforcement Administration (DEA) License – U.S. Department of Justice.
Master of Science -
Herbert H. Lehman College
Bachelor's in science; BSN -
Herbert H. Lehman College
Associate in applied science -
Borough of Manhattan Community College
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