Stacy Spencer
Children’s Healthcare of Atlanta
Jonesboro,GA
1
Certification
17
years of professional experience
Dynamic individual with hands-on experience in people and patient mangement and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Work History
Nurse Case Manager
2 Years 6 Months- Collaborate with interdisciplinary teams and community providers to develop discharge plans and coordinate outpatient services for safe transitions of care.
- Coordinate with outside providers and facilities across levels of care to assess patient needs and secure appropriate placements.
- Provide comprehensive care coordination and assess patients to determine clinical acuity and appropriate level of care.
- Verified insurance eligibility and obtained prior authorizations for hospitalizations, medications, equipment, and supplies, ensuring timely access to necessary care.
- Connected patients and families with resources and referrals to address social, financial, and legal needs, enhancing support for overall well-being.
- Participated on crisis response team to de-escalate and manage agitated or potentially violent patients, promoting safety for patients and staff.
Nurse Supervisor
3 Years 8 Months- Supervised and provided clinical guidance to multidisciplinary team of nurses, medical assistants, social workers, and nutritionists to enhance patient care quality.
- Oversee the development and implementation of comprehensive care plans addressing medical, behavioral, medication, and social needs.
- Monitor care transitions to promote patient safety, continuity of care, and reduce avoidable hospital readmissions.
- Review patient charts to ensure quality, accuracy, and compliance with care standards.
- Managed staff schedules and addressed day-to-day personnel and operational needs to ensure smooth clinic operations.
Nurse Consultant
5 Years 1 Month- National travel to conduct comprehensive assessments to identify clients’ medical, functional, and psychosocial needs and develop individualized care plans with short- and long-term goals.
- Collaborated with primary family caregivers, attorneys, financial planners, and trustees to align client care strategies.
- Managed workers’ compensation cases by coordinating care for injured employees and facilitating access to appropriate providers and treatment facilities.
- Monitored treatment plans to ensure timely, medically appropriate care while optimizing cost-effectiveness.
Utilization/ Concurrent Review
3 Years- Evaluate the medical necessity, appropriateness, and efficiency of healthcare services in accordance with clinical criteria, payer guidelines, and organizational standards.
- Liaised between healthcare providers, insurance companies, and hospital administration to facilitate effective communication and resolve care-related issues promptly.
- Promoted high-quality, cost-effective care while ensuring adherence to insurance policies and guidelines.
- Identify barriers to discharge, coordinate appropriate services, and support timely access to necessary resources.
- Identified discharge barriers, coordinated services, and ensured timely access to necessary resources.
Clinical Coordinator
2 Years 5 Months- Managed daily clinical operations, staff assignments, and patient care workflows, facilitating communication between administrative leadership and medical teams.
- Supervised nurses and medical assistants, delegated responsibilities, and ensured timely delivery of patient care.
- Audited and maintained patient records, ensuring compliance with safety regulations, privacy requirements, and healthcare standards.
- Collaborate with interdisciplinary teams to develop disease management protocols and optimize telehealth services.
Education
MSN - Nursing
BSN
AND
Skills
Patient advocacy
Efficient documentation
Regulatory compliance
Community resource coordination.
Cross-departmental collaboration.
Experience managing high-acuity
fast-paced environments
· Technical proficiency
· Strong analytical and critical thinking skills.
· Ability to adapt to a changing work environment based on member and client needs (field-based or remote work)
Ability to adapt to a changing work environment based on member and client needs (field-based or remote work)
Excellent written and verbal communication skills.
Remote work adaptability
· Culturally competent care
· Strong work ethic
Accomplishments
Registered Nurse with multistate Nurse Licensure Compact
Certified Case Manager
Basic Life Support (BLS/CPR)
Certified Case Manager
Notary Public
Certification
- Licensed Registered Nurse
- Certified Case Manager
- Basic Life Support
Timeline
Nurse Case Manager
Children’s Healthcare of Atlanta
02.2024 - CurrentRead More
Nurse Supervisor
Somatus
04.2020 - 12.2023Read More
Nurse Consultant
National Care Advisors
02.2015 - 03.2020Read More
Utilization/ Concurrent Review
United Healthcare
01.2012 - 01.2015Read More
Clinical Coordinator
Atlanta Veterans Affairs Medical Center
06.2009 - 11.2011Read More
Hostos Community College
AND
Read More
Kaplan University
BSN
Read More
Benedictine University
MSN from Nursing
Read More