Summary
Overview
Work History
Education
Skills
Timeline
Generic

Schrita Herriott

Waxhaw,NC

Summary

Master’s level Advance Practice Clinician with over 25 years of combined experience in Medical Claims Review, Medical Appeals, Home Health, Managed Advantage - Risk Adjustment Model, Medical/Surgical Nursing and Woman’s Oncology. Additionally, successfully lead a team of thirty-five Advance Practice Clinicians performing Health Risk Assessments for Medicare Advantage members. Well organized and able to collaborate well with teams and/or independently in remote settings. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

40
40
years of professional experience

Work History

Nurse Practitioner

Via HealthPartners
Fort Mill , SC
02.2024 - Current
  • Provided comprehensive physical examinations.
  • Provided guidance during end-of-life decisions for terminally ill patients and their families.
  • Prescribed medications based on patient needs and current clinical standards of care.
  • Managed acute illnesses such as infections, respiratory disorders, or chronic diseases like diabetes or hypertension.
  • Coordinated with members of multidisciplinary teams to provide integrated services for complex cases.
  • Educated patients and families about medical treatments and self-care management techniques.
  • Prescribed medication and treatment regimens to manage acute and chronic conditions.

Nurse Practitioner

Agape Care Group
Lancaster, SC
11.2022 - 02.2024
  • Assess and manage patients with terminal illness.
  • Perform serious ill conversations
  • Conduct Advance Care Planning discussions with patient and families.
  • Provide education about chronic illness disease trajectory and life expectancy.
  • Participate in Interdisciplinary Group meetings
  • Perform Medicare Face to Face recertification visits to determine eligibility for Hospice services.
  • Assessed need for, ordered, obtained and interpreted appropriate lab tests.
  • Managed patients with acute and chronic conditions to relieve symptoms.
  • Make referrals for Hospice Service

HouseCalls Clinical Team Manager

United HealthCare
Minnetonka, MN
01.2014 - 11.2022
  • Manage the daily operations of the field staff Nurse Practitioners
  • Under the direction of the Regional Manager, I assisted in planning strategies that result in efficiently managing specific markets while ensuring high quality services to our members
  • Responsible for monitoring key performance metrics and quality improvement as well as procure internal and external relationships which will support expansion and success of House Calls business initiatives
  • Serve as a mentor and coach to House Calls Providers (Physicians Assistants and Nurse Practitioners); Demonstrate clinical expertise and guidance, program insight, and support in all aspects of the role; Conduct mandatory training and team meetings; Participated in committee activity to foster innovation and improve clinical processes
  • Plan and conduct Supervisory Ride Along visits in accordance with guidelines set forth by senior leadership; Assist in hiring and training new HCP’s; Ensure enterprise, department, HIPPA, and regulatory compliance: Maintaining security of Protected Health Information (PHI) and Intellectual Property (IP)
  • Responsible for all GSS functions: Update status change, terminations, PTO management, population, and network development reconciliation, perform yearly common reviews and continually manage performance
  • Implement coaching plans and/or corrective action plans related to standards set forth by business initiatives
  • Regular meetings and collaboration with supporting departments to ensure operational efficiency
  • Provide solutions to scheduling, assignments, and staffing plans, Plan and develop compelling market strategies and present to Senior Leadership during Business Reviews
  • Workforce management: Manages demands of a rapidly changing staffing environment with resilience
  • Analyzes and makes fact-based decisions utilizing forecasting model
  • Host monthly team meetings to communicate updates on company goals and performance: Monitor and address field concerns and communicate to senior leadership
  • Mentor and coach Clinical Advisor APC for the region.

HCP’sHouseCalls Nurse Practitioner, Sunbelt Staffing and XL Health, United HealthCare
Baltimore, MD
01.2009 - 01.2014
  • Perform in-home assessments on health plan member’s predominantly adult and geriatric populations in their homes and in facilities, Review past medical history, Review of patient systems, perform comprehensive physical examination, provide medication review, education and compliance teaching, perform depression screening, pain assessment and provided education, performed vital signs, conduct routine foot exam including monofilament test and vibratory testing and performed urine dipstick
  • Identify diagnoses based on patient symptoms and prescribed medications, formulate a list of current and past medical conditions using clinical knowledge and judgment and clinical findings, communicate assessment finding to PCP to help close potential gaps in care
  • Identify member specific needs and generated appropriate clinical referrals to Primary Care Providers, Care management, Social Services and Clinical Hot Line to facilitate appropriate follow up
  • Educate members on topics such as disease process, medication adherence and compliance
  • Compliance with all HIPAA regulations and maintain security of protected health information (PHI)
  • Maintain satisfactory clinical quality and patient satisfaction
  • Completed all mandatory compliance and training in accordance with company policy and procedure, Participates in pilot program for electronic medical record of health assessments.

Nurse Practitioner, Physician

ElderCare, Fidelis Secure Care
Charlotte, NC
01.2008 - 01.2010
  • Clinical Practitioner for wound care team of Long-Term Care facility including wound care nurse, staff nurses and physical therapist
  • Function as Primary Care Practitioner for members/residents of Long-Term Care Facilities, obtained detailed medical histories and perform patient examination on residents of Long-Term Facilities and Subacute rehab facilities, Performed Comprehensive Health Assessments on elderly residents
  • Participated in system wide call rotation for the practice including specialized triage system covering over forty facilities
  • Ordered and interpreted laboratory tests and x-rays, Provide and recommend treatment plans
  • Manage chronic health conditions such as diabetes, hypertension, and COPD, etc
  • Provide preventative care and promote wellness practices
  • Prescribe medications, other therapies and monitored response to treatment
  • Responded to medical emergencies within the facility
  • Facilitated family conference to update family members on patient’s condition
  • Refer patients to specialist and other health care providers as needed
  • Performed in facility home assessment on geriatric resident and documented HCC twice a year.

Registered Nurse

Carolinas Medical Center
Charlotte, NC
01.2006 - 01.2007
  • Provide primary nursing care to gynecology/oncology patients
  • Served as Charge Nurse when required
  • Provided patient and family education
  • Supervised Nurses and Nurse Technicians

Registered Nurse, Staff Nurse

Gaston Medical Center
Gastonia, NC
01.2005 - 01.2006
  • Performed Charge Nurse duties as required
  • Performed primary nursing duties, clinical procedures and provided direct patient care
  • Provided patient and family education

Medical Appeals Nurse

CIGNA HealthCare
Charlotte, NC
01.2002 - 01.2006
  • Research, resolved and responded to medical appeal request in accordance with company policy, state and government laws and utilized InterQual and Milliman guidelines
  • Review, compile and presented clinical documentation and provided succinct narrative for physician medical reviewer
  • Maintained federal and state compliance by resolving appeals in a timely manner
  • Consultant to claim/appeals processor
  • Identified potential fraud and abuse cases and reported to appropriate department

Registered Nurse

Total Care Home Health
Myrtle Beach, SC
01.1999 - 01.2000
  • Completed OASIS assessments documentation at Start of Care
  • Completed nursing assessments and provided nursing care to patients in their homes
  • Supervised Licensed Practical Nurses and Nursing Assistants
  • Provided patient and family education
  • Counseled patients and families

Medical Appeals Nurse

Blue Cross Blue Shield of South Carolina
Surfside Beach, SC
01.1993 - 01.1996
  • Research, Resolved and responded to medical appeal request for military personnel using Department of Defense guidelines
  • Reviewed / audited medical claims to assess for potential fraud and abuse cases
  • Review, compile and presented clinical documentation for physician medical reviewer
  • Maintained federal and state compliance guidelines to resolve medical appeals in a timely manner
  • Consultant to claim/appeals processor.

Staff Nurse

Grand Strand Regional Hospital
Myrtle Beach, SC
01.1990 - 01.1993
  • Performed clinical nursing duties for patients on a medical/surgical unit
  • Utilized the Nursing process to provide direct patient care
  • Assisted physicians with clinical procedures

Pharmacy Assistant

Front Street Pharmacy
Georgetown, SC
01.1985 - 01.1990
  • Filled prescriptions under direct pharmacist supervision, Maintained pharmacy inventory, Leader of expired inventory control program

Education

Polysomnography Technician Course -

Greenville Technical College
01.2021

UNCC Coding for HealthCare Professionals -

01.2016

Master of Science - Nursing

East Carolina University
01.2007

Certificate in Cardiac Care Technician -

Midland Technical College
01.2004

Bachelor of Science - Nursing

Medical University of South Carolina
01.1998

Certificate in Health Science -

01.1996

Diploma - Practical Nursing

Horry-Georgetown Technical College
01.1990

Skills

  • Geriatric Treatment
  • Patient-Centered Care
  • Preventive Care
  • Health and Wellness Expert
  • Problem Solving
  • Critical Thinking
  • Physical Examinations
  • Attention to Detail
  • Diagnosis and Treatment
  • Patient Education
  • Drug Regimen Counseling
  • Care Planning
  • Medication Prescribing
  • Judgement and Decision Making
  • Support Staff Supervision
  • Standards of Care
  • Treatment Planning

Timeline

Nurse Practitioner

Via HealthPartners
02.2024 - Current

Nurse Practitioner

Agape Care Group
11.2022 - 02.2024

HouseCalls Clinical Team Manager

United HealthCare
01.2014 - 11.2022

HCP’sHouseCalls Nurse Practitioner, Sunbelt Staffing and XL Health, United HealthCare
01.2009 - 01.2014

Nurse Practitioner, Physician

ElderCare, Fidelis Secure Care
01.2008 - 01.2010

Registered Nurse

Carolinas Medical Center
01.2006 - 01.2007

Registered Nurse, Staff Nurse

Gaston Medical Center
01.2005 - 01.2006

Medical Appeals Nurse

CIGNA HealthCare
01.2002 - 01.2006

Registered Nurse

Total Care Home Health
01.1999 - 01.2000

Medical Appeals Nurse

Blue Cross Blue Shield of South Carolina
01.1993 - 01.1996

Staff Nurse

Grand Strand Regional Hospital
01.1990 - 01.1993

Pharmacy Assistant

Front Street Pharmacy
01.1985 - 01.1990

Polysomnography Technician Course -

Greenville Technical College

UNCC Coding for HealthCare Professionals -

Master of Science - Nursing

East Carolina University

Certificate in Cardiac Care Technician -

Midland Technical College

Bachelor of Science - Nursing

Medical University of South Carolina

Certificate in Health Science -

Diploma - Practical Nursing

Horry-Georgetown Technical College
Schrita Herriott