Quanita Gramma
Thibodaux,LA
Summary
Hardworking Registered Nurse Care Manager with success providing individualized patient care. Committed to delivering best-in-class patient care through effective education and counseling. Proven leadership focused on increasing and enhancing patient care and satisfaction. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
13
13
years of professional experience
Work History
Utilization Review Nurse
Optum
12.2024 - Current
- Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
- Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
- Maintained professional competence by staying current on industry trends, best practices, and regulatory requirements specific to utilization review nursing.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Supervised and maintained all utilization review documentation through Software.
- Assisted discharge planning efforts through prompt identification of medically stable patients who were ready for transition to alternate levels of care.
Assessment Nurse
Long Term Solutions
Lafayette, LA
02.2019 - Current
- Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
- Provided long term care insurance companies with patient assessment details and answered patient care-related questions.
Registered Nurse Care Manager
Landmark Health
Detroit, Michigan
05.2020 - 12.2024
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
Home Health Nurse
STAT Home Health
Houma, LA
11.2019 - 07.2020
- Provided physical assessments, medication, and chronic disease management to home health patients.
- Educated patients and families on disease processes, medications and treatments.
- Coordinated with other healthcare team members to support patient needs.
- Monitored vital signs, developed and implemented care plans, and documented patient progress via OASIS system.
Registered Nurse Care Manager
Humana
Florida
05.2017 - 05.2020
- Educated patients and caregivers on healthcare protocols and processes.
- Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
- Collaborated with healthcare leaders and physicians to support and offer resources in performance of duties to maintain high-quality and efficient patient care.
- Gathered and recorded patient health information and data to assess, identify and manage characteristics that affect care outcome.
- Analyzed patient responses to medications, therapies and variances in plans of care.
- Educated family members and caregivers on patient care instructions.
Charge Nurse Manager
Compass Behavioral Health Hospital
Houma, LA
01.2016 - 05.2017
- 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.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Provided direct patient care, stabilized patients and determined next course of action.
- Led successful team comprised of RNs, LPNs and ancillary staff.
Charge Nurse Manager
Thibodaux Regional Medical Center
Thibodaux, LA
08.2013 - 03.2017
- Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals.
- Managed care from admission to discharge.
- 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.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Monitored patient reactions to drugs and carefully documented findings.
- Supervised, directed and motivated high-quality performance from nursing staff.
Registered Nurse
Ochsner Health Center
New Orleans, LA
06.2012 - 08.2013
- 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.
- Provided direct patient care, stabilized patients and determined next course of action.
- Managed care from admission to discharge.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Collected blood, tissue and other laboratory specimens and prepared for lab testing.
Education
Bachelor of Science - Nursing
Nicholls State University
Thibodaux, LA05.2012
Bachelor of Science - Management
Nicholls State University
Thibodaux, LA05.2002
Timeline
Utilization Review Nurse
Optum
12.2024 - Current
Registered Nurse Care Manager
Landmark Health
05.2020 - 12.2024
Home Health Nurse
STAT Home Health
11.2019 - 07.2020
Assessment Nurse
Long Term Solutions
02.2019 - Current
Registered Nurse Care Manager
Humana
05.2017 - 05.2020
Charge Nurse Manager
Compass Behavioral Health Hospital
01.2016 - 05.2017
Charge Nurse Manager
Thibodaux Regional Medical Center
08.2013 - 03.2017
Registered Nurse
Ochsner Health Center
06.2012 - 08.2013
Bachelor of Science - Nursing
Nicholls State University
Bachelor of Science - Management
Nicholls State University