Summary
Overview
Work History
Education
Skills
Accomplishments
Affiliations
Certification
Languages
Awards
EARLIER CAREER
Timeline
Generic

Pamela Herring

Bessemer,AL

Summary

Accomplished professional with clinical experience in hospitals, including, intensive care unit, surgical intensive care unit, medical intensive care unit, cardiac intensive care unit, case management, with leadership roles as a Charge Nurse, Manager, and supervisor. Outpatient services, includes but not limited to, home health (supervisor/HCHB), hospice (Home Care Home Base), GI, dermatology, surgery, ophthalmology, pain management, utilization review (using InterQual), document reviews/audits (QA), triage, and extensive infusion therapies. Assessing patient and their ongoing care needs. Follow company policy and procedures/programs. Guaranteed high standards of culturally competent care for diverse populations. Motivated patient advocate, driving top quality, and safe patient care. Quick learner and enjoy learning new skills.

Experienced with comprehensive client assessments, ensuring personalized care plans are in place. Utilizes strong communication and coordination skills to effectively manage client services. Track record of fostering positive client relationships and achieving measurable improvements in client well-being.

Professional with strong background in case management, prepared to make significant impact. Proven ability to collaborate with teams and adapt to changing needs. Skilled in client assessment, resource coordination, and crisis intervention. Reliable and results-focused, with commitment to achieving positive outcomes.

Overview

22
22
years of professional experience
1
1
Certification

Work History

Case Manager/Clinical Support/Care Transitions

Cooper Green Mercy Healthcare Services/UAB affiliate
12.2023 - Current
  • Responsible for coordinating, negotiating, obtaining services and resources to facilitate meeting patient’s health and human service’s needs. Lead Case Manager in Paramedicine program for frequent flyer patients visiting the area emergency room hospitals. Case Review/Care transition ER patients to home setting with partnering EMTs in Paramedicine program. Ensure patients have scheduled follow up appointments with primary care and/or specialty physicians, utilizes and schedules home resources as ordered by physicians. Communicate patient needs to paramedics. Works closely with Pulmonary, PCPs, Urology, Women’s and Breast Health, and other specialists. Aid in patient adherence to medications, internal/external appointments.
  • Facilitates patient positive outcomes.
  • Builds and maintains working relationships with a network of interdisciplinary teams within and outside organization.
  • Identifies gaps in care.
  • Promotes use of evidence-based care
  • Conducts assessments of patient’s health and psychosocial needs, including health literacy status and deficits.
  • Appropriate use of healthcare services, strive to improve quality of care, and maintain cost effectiveness on a case-by-case basis.
  • Utilizes facility (facilities) EHR, performs documentation of assessments, interventions, and ongoing collaboration with the patients, families, providers, and other pertinent stakeholders.
  • Displays effective communications skills, both written and oral.
  • Demonstrates personal accountability for professional growth by meeting and maintaining current certifications, /licensure.
  • Responsible for communicating, researching patient data for Pulmonary Clinic, Paramedicine and 6 other clinics.
  • Consistently protects patient’s rights and confidentiality.
  • Supports quality and fiscal goals for department and institution. Assists with identifying obstacles for improvement, assists with policies and procedure development for facility.
  • Contributions and Highlights at Cooper Green Mercy Health Services:
  • Lead Case Manager in Paramedicine program for frequent flyer patients visiting the area hospital emergency rooms. This is a collaborative program with the Birmingham Fire & Rescue Department to monitor and ensure that Cooper Green patients receive proper care and decrease emergency room visits.
  • Case Review/Care transition ER patients to home setting with partnering EMTs in Paramedicine program along with the Safety Quality Officer at UAB.
  • CG Pulmonary Case Manager I have received several emails from Dr. Iyer-Lead Pulmonologist MD for being influential in:
  • 1. Facilitating positive patient outcomes
  • 2. Taking the initiative to perform a study to discover why the number of No-Shows patients were not decreasing. After my study the NO Show rate decreased by 80 percent. It was time consuming, but it was worth it.
  • 3. Currently, the Pulmonary Clinic No Show rate is still decreasing because myself along with the pulmonary providers implemented some of the interventions used during the study.
  • 4. Building and maintaining a close collaborative working relationship has been the impactful with a network of interdisciplinary teams within and outside organization.
  • 5. Guideway Care is a third-party coordination service that CGMHS utilizes. I serve as the Lead Coordinator with this company for the Pulmonary Clinic.
  • CG Women’s and Breast Health Case Manager: Also received several notifications from Dr. Borella-CRNP GYN Women’s and Breast Health for aiding in:
  • 1. Facilitating positive patient outcomes
  • 2. Coordinating Dr. Borella’s schedule separating annual screenings, referring to PAP clinic and managing BI-RADS 4 and greater categories suspicious Mammography’s and Breast US.
  • 3. Making sure Dr. Borella reviews and orders necessary further testing/procedures for positive mammography’s and US.
  • 4. Making sure patients are not falling through gaps in care.

CLINICAL CARE MANAGER, ADVOCATE

OptumRx/UnitedHealth Care
08.2022 - 12.2023
  • New position d/t dissolvement of previous position and closed offices. Provides clinical case management services to members part of the Alabama Group Retiree Programs. Members served by this program include Medicare eligible of State Employees Insurance Board (SEIB), Local Government Health Insurance Board (LGHIB), and Public Health Education Employees Health Insurance Plan (PHEEHIP). Used a blended approach of inpatient advocacy and post-discharge transition of care clinical case management to help with:
  • Discharge Planning Support
  • Readmissions Prevention
  • Complaint Management/member satisfaction
  • Ensuring member goes to f/u appts. With PCP or specialist.
  • Reviewing discharge plan and remove any barriers to obtaining medications, DME, and/or home assistance.
  • Educating members and caregivers on concerning signs and symptoms and how to respond to them.
  • Medication review and reconciliation.
  • Referrals to community-based services to address social determinants of health needs.
  • Giving members information on who to call for help and the best setting to get needed care (i.e., 24/7 nurse support program, PCP, Urgent Care, ER).

RN Clinical Coordinator

Diplomat New Role RN Clinical Coordinator
02.2019 - 12.2023
  • Oversaw 400-500 patients across the East and West regions.
  • Oversaw patients from Intake to discharge from Diplomat Specialty Pharmacy services.
  • Provided timely reviews of care plans.
  • Secured nursing for cleared patients.
  • Reviewed Delivery Tickets for supplies prior to shipment.
  • Troubleshot issues from patients and/or nurses.
  • Kept spreadsheets of Current, Pending, and Shipped patients.
  • Ensured open communication with patient shipping pharmacies, field nurses, nursing agencies, intake, reimbursement teams, and other teams involved in patient care and coordination.
  • Administered medications accurately and safely, reducing medication errors and adverse reactions.
  • Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
  • Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

Sr. RN Clinical Admin. Coordinator

OptumRx | UnitedHealth Care
08.2018 - 08.2022
  • Post-acquisition of Diplomat Infusion Pharmacy in 2020, continued delivering specialty infusion therapy services for acute and chronically ill patients. Placing, and performing site care for ports, using sterile techniques, PIVs, and PICC Lines.
  • Provided Education/training to patients, family members and staff.
  • Performed IV administration of various IVIG’s, SCIG’s, Remicade, Iron, Alpha1 therapies, and other treatments.
  • Actively collaborate across our network with sales, physicians, clinic and hospital administrators, and pharmacy supply chain to align expectations and generate referrals.
  • Trained and educated patients and nurses regarding the use of access devices and IV therapies, including intravenous immunoglobulin (IVIG) and antibiotics. Accountable for nursing schedules.
  • Accountable for patients from Intake to discharge from Optum Specialty Pharmacy services.
  • Liaison for services of home health/hospice, case managers, social workers, and physicians.
  • Assisted in ACHC nurse accreditation process and regulatory compliance.
  • Aided in onboarding new nurses.

RN Field Nurse | RN Clinical Coordinator

Diplomat Specialty Pharmacy | Formally Comfort Infusion
08.2018 - 08.2020
  • Acquired by OptumRx infusion 7/2020
  • Started as a field nurse administering IVIG, SCIG, Alpha1 therapies, Remicade, teaching administration of Factor to newly diagnosed Hemophilia patients, and acute patient.
  • Experienced in mixing, pooling, and reconstituting the above therapies.
  • Assessed, and monitored patients through therapy administration.
  • Accessed ports using sterile technique, PIVs, and PICC Lines.
  • Provided Administration of a variety of IVIG, SCIG, Remicade, and Alpha1 therapies.
  • Administered medications accurately and safely, reducing medication errors and adverse reactions.
  • Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
  • Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
  • Administered medications via oral, IV, and intramuscular injections and monitored responses.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
  • Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
  • Improved patient outcomes by providing high-quality nursing care and implementing evidence-based practices.
  • Served as a liaison between physicians and patients'' families to facilitate clear communication regarding treatment options and progress updates.
  • Mentored new nursing staff, contributing to a supportive work environment and improved retention rates.
  • Assessed patient conditions promptly upon admission to determine appropriate interventions and prioritize care needs.
  • Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
  • Provided emotional support to patients during challenging times, fostering a sense of trust and rapport that contributed to better overall wellbeing.
  • Provided direct patient care, stabilized patients, and determined next course of action.
  • Monitored patient reactions to drugs and carefully documented findings.
  • Managed patient caseloads effectively, ensuring timely interventions and thorough follow-ups to mitigate potential complications.
  • Participated in professional development opportunities regularly to stay current on best practices in the field of nursing.
  • Managed care from admission to discharge.
  • Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.

Case Manager RN

Princeton Medical Center
08.2017 - 08.2018
  • Ensured that patients were admitted and transitioned to the appropriate level of care.
  • Had an effective plan of care and receiving prescribed treatment.
  • Prepared for services and plans needed during and after their stay.
  • Completed medical assessments, medication reconciliations, care plans and care coordination for patients’ hospital stay and post hospitalizations.
  • Used InterQual guidelines to work with physicians to discharge patients not meeting inpatient criteria.
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
  • Enhanced communication between clients and providers through consistent follow-ups and progress updates.
  • Achieved positive client outcomes by developing and implementing comprehensive case management plans.
  • Provided crisis intervention support for clients experiencing emergencies, using appropriate techniques to de-escalate situations safely.
  • Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
  • Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
  • Developed and implemented comprehensive case management plans to address client needs and goals.
  • Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
  • Improved client satisfaction by efficiently addressing concerns or grievances in a timely manner.
  • Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
  • Assisted clients in setting achievable goals while providing ongoing encouragement and support throughout the process of reaching those objectives.
  • Coordinated essential services for clients, resulting in improved overall well-being and selfsufficiency.

OR RN Nurse

Callahan Eye Foundation
10.2016 - 08.2017
  • RN Circulator for 17 Operating Rooms in a variety of surgeries such as Plastics, ENT, Dermatology, and Ophthalmology.
  • Verified patient preps patient; using sterile technique cleans the surgical area.
  • Placed patient in the correct position.
  • Documentation in EMR/Meditech.
  • Prepared MD requested medication needed in surgery (blocks, end injections, IV antibiotics, etc.).
  • Assisted MD with blocks.
  • Administered medications accurately and safely, reducing medication errors and adverse reactions.
  • Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
  • Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
  • Administered medications via oral, IV, and intramuscular injections and monitored responses.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
  • Improved patient outcomes by providing high-quality nursing care and implementing evidence-based practices.
  • Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
  • Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
  • Managed care from admission to discharge.
  • Mentored new nursing staff, contributing to a supportive work environment and improved retention rates.
  • Served as a liaison between physicians and patients'' families to facilitate clear communication regarding treatment options and progress updates.
  • Assessed patient conditions promptly upon admission to determine appropriate interventions and prioritize care needs.

Director of Account Services

Barnes HealthCare Services
03.2014 - 10.2016
  • Provided effective marketing and education to discharge planners, social workers, case managers, and physicians on Barnes chronic care/disease state management programs through lunch/dinner in-services and appointments. Coordinate patient discharges from hospital/short-term care (STC)/ long-term care (LTC) facilities to home.
  • Played an integral role in obtaining patient insurance authorizations and precertification's.
  • Keenly examined patient clinical history, laboratories, and diagnostic services for infusion, respiratory and nutritional qualifications.
  • Prepared and submitted clinical outcomes report along with infection control report to medical doctors, social workers, case managers, and discharge planners.
  • Developed and fostered strong relationships with client stakeholders.
  • Launched targeted marketing campaigns designed specifically for key accounts which resulted in increased engagement levels.
  • Actively participated in networking events on behalf of the company to increase brand visibility among prospective clients.
  • Established clear communication channels between internal departments and clients, facilitating timely resolution of issues.
  • Collaborated with cross-functional teams for seamless execution of client projects, resulting in increased revenue.
  • Maintained an in-depth understanding of industry trends, enabling proactive adjustments to account strategies as needed.

Corporate Registered Nurse, Regional Infusion Educator

Omni Care Specialty Pharmacy
06.2013 - 03.2014
  • Efficiently provided informative classes for licensed practical nurses (LPNs) and registered nurses (RNs) within contracted LTC/STC facilities.
  • Provided education of essentials of Infusion Therapy, Teaching policy/procedures, Joint Commission on Accreditation of Healthcare Organizations (JACHO), ACHC and Infusion Nurse Society INS regulations.
  • Taught courses on: Total Parenteral Nutrition (TPN) | Hypodermoclysis | Central Venous Access Devices (CVAD) and CVAD Removal-1 hour class.
  • Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
  • Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
  • Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.

RN - Clinical Endo Therapy Specialist

Olympus of America
09.2011 - 06.2013
  • Gained comprehensive knowledge of Olympus DME products for gastrointestinal endoscopic retrograde cholangial-pancreatography (GI ERCP) and endoscopic ultrasound (EUS) procedures.
  • Played an integral role in conducting in-service and demonstrations to GI physicians, nurses, and staff on Olympus product lines in procedures rooms, GI laboratory, bedside, and operating room (OR).
  • Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

Versatile Positions

Multi
03.2003 - 03.2011
  • Amedisys Hospice | Coram Specialty Infusion Pharmacy | Care First Home Health and Hospice Brookwood Medical Center | University of Alabama at Birmingham | Baptist Health System (Montclair Hospital) | Alabama Gastroenterology Assoc. Portamedic – Hartsdale, NY and Hoover, AL | Urbane Reassurance, Tarrytown, NY |Meditech Urgent Care, Thornwood, NY
  • Self-motivated, with a strong sense of personal responsibility.
  • Worked effectively in fast-paced environments.
  • Skilled at working independently and collaboratively in a team environment.
  • Proven ability to learn quickly and adapt to new situations.

Education

Bachelor of Science - Nursing

Chamberlain College of Nursing
Online
08.2017

Master of Science -

Chamberlain College of Nursing
Online
12.2025

Skills

  • Advanced communication skills, critical thinking skills
  • Supervisory/Leadership
  • Strong organizational skills/multitasking
  • Ability to work with various disciplines, MD collaboration, staff in all departmental areas
  • Recruiting, Retention, Termination, Time management
  • CPR, Epic, OPex, Electronic Medical Records, Excel, Word, SharePoint, PPT, Visio
  • Telephonic/Nurse Case Manager Skills, InterQual review criteria
  • Medicare/Medicaid, commercial knowledge
  • Advanced problem-solving ability, Critical thinking skills, (Knowledge, and experience)
  • Advanced skills in clinical Assessment/clinical documentation
  • Education/Training (On site/Virtual)
  • Knowledge of Quality Assurance, assistance with monitoring, accreditation & operational responsibilities to ensure adherence to regulatory requirements
  • Patient, family, and staff education/training (on-site/Virtual)
  • Utilization Review/Chart Audits, Compliance/Adherence to regulatory req
  • Chronic disease management
  • Discharge planning
  • HIPAA compliance
  • Multidisciplinary approach
  • Care coordination
  • Home care management
  • Utilization review
  • Clinical assessment
  • Case evaluation
  • Community resources
  • Medication management
  • Quality improvement
  • Palliative care
  • Case management
  • Critical thinking
  • Interdisciplinary collaboration
  • Training staff
  • Strong clinical judgment
  • Documentation
  • Patient and family advocacy
  • Accurate documentation
  • Decision-making
  • Patient care assessment
  • Direct patient care
  • Microsoft office
  • Attention to detail
  • CPR/AED
  • Preventive healthcare
  • ICD-10/CPT Coding
  • EMR / EHR
  • Preventive health
  • Delegation and motivation
  • Infection control
  • Clear patient communication
  • Home care
  • Needs assessment
  • Treatment plan modification
  • Patient condition monitoring
  • Medication and IV administration
  • Nursing performance assessment
  • Community program referrals
  • Patient care oversight
  • Medication administration
  • Treatment recommendations
  • Medical supply management
  • Specialized healthcare referrals
  • Diabetes management
  • Patient consultation
  • Healthcare personnel supervision
  • Medical procedure preparation
  • Medical recordkeeping
  • Acute care expertise
  • Intake and discharge
  • Unit oversight
  • Nursing consultation
  • Patient counseling
  • Intravenous therapy
  • Diagnostic test evaluations
  • Test interpretations
  • Healthcare program planning
  • Insulin medication assistance
  • Treatment preparation
  • Women's health
  • Well visit procedures
  • Rehabilitation assistance

Accomplishments

  • Participated in [Committee Name].
  • Managed care for over [Number] patients.
  • Earned "[Name of Award]" for [Reason].
  • Managed and tracked certification and re-certification schedules for over [Number] staff.
  • Educated over [Number] nurses and staff within [Department Name].
  • Surgical Preparation - Assisted in patient surgery preparation by administering proper medication, monitoring patients' conditions and charting abnormalities.
  • Human Resources - Assisted in new hire process by calling and scheduling appointments with candidates, filling out required paperwork and preparing new hire manuals.
  • Documentation - Ensured charting accuracy through precise documentation.
  • Quality Assurance - Ensured and enforced medical office compliance with HIPAA, OSHA and CLIA regulations for maximum quality and control.
  • Patient Transfer - Safely lifted up to 80 pounds and pushed 300 pounds on wheels.
  • Patient Advocacy - Explained treatment procedures, medication risks, special diets and physician instructions to patients.
  • Intensive Care - Responsible for unit of 18 patients, providing daily functions such as grooming, bathing, feeding and turning in bed.
  • Vitals Testing - Measured an average of 30 patients' weight, height, body temperature, pulse rate and blood pressure daily.
  • Patient Care - Delivered compassionate care that exceeded hospital requirements.Successfully provided quality care to [number of] patients in [type of] environment.
  • Clinical Skills - Monitored patients' respiration activity, blood pressure and blood glucose levels in response to medical administration.
  • Supervision - Headed onboarding process for new nursing staff.
  • Charting - Developed and organized 300+ charts for all new and current patients, routinely updating information for physician reference.

Affiliations

Infusion NRSG Society of America, ANA, National NRSG Society.

Certification

  • Certified BLS/CPR, American Heart Association 2025
  • RN License
  • Certified Case Manager (In progress)

Languages

English
Full Professional

Awards

Recognized for assisting with the smooth transition in acquisition from Diplomat Specialty Infusion Pharmacy to Optum Specialty Infusion Pharmacy, 2020, Ruby Leadership award issued by OptumRx Infusion Pharmacy, 2021 BRAVO awards for Leadership and Teamwork with Optum 2021

EARLIER CAREER

Amedisys Hospice | Coram Specialty Infusion Pharmacy | Care First Home Health and Hospice Brookwood Medical Center | University of Alabama at Birmingham | Baptist Health System (Montclair Hospital) | Alabama Gastroenterology Assoc. Portamedic – Hartsdale, NY and Hoover, AL | Urbane Reassurance, Tarrytown, NY | Meditech Urgent Care, Thornwood, NY

Timeline

Case Manager/Clinical Support/Care Transitions

Cooper Green Mercy Healthcare Services/UAB affiliate
12.2023 - Current

CLINICAL CARE MANAGER, ADVOCATE

OptumRx/UnitedHealth Care
08.2022 - 12.2023

RN Clinical Coordinator

Diplomat New Role RN Clinical Coordinator
02.2019 - 12.2023

Sr. RN Clinical Admin. Coordinator

OptumRx | UnitedHealth Care
08.2018 - 08.2022

RN Field Nurse | RN Clinical Coordinator

Diplomat Specialty Pharmacy | Formally Comfort Infusion
08.2018 - 08.2020

Case Manager RN

Princeton Medical Center
08.2017 - 08.2018

OR RN Nurse

Callahan Eye Foundation
10.2016 - 08.2017

Director of Account Services

Barnes HealthCare Services
03.2014 - 10.2016

Corporate Registered Nurse, Regional Infusion Educator

Omni Care Specialty Pharmacy
06.2013 - 03.2014

RN - Clinical Endo Therapy Specialist

Olympus of America
09.2011 - 06.2013

Versatile Positions

Multi
03.2003 - 03.2011

Bachelor of Science - Nursing

Chamberlain College of Nursing

Master of Science -

Chamberlain College of Nursing

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