Stephanie Wilkinson BSN-RN
Summary
Compassionate, diverse, and experienced Registered Nurse (RN) with progressive career history in direct patient care, triage, and care coordination in fast-paced environments. Demonstrated ability to remain calm under pressure and effectively handle difficult patients and high-stress situations. Known for consistently developing strong relationships with patients and families through empathetic communication, respectful attitude, and commitment to excellent customer service.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Registered Nurse Case Manager
Acentra Health
07.2024 - Current
- Assess and document current and previous conditions, diseases and needs
- Evaluate goals of treatment, and available resources for each patient and connect to optimal providers and care.
- Advocate for patients by communicating care preferences to practitioners, verifying interventions met, treatment goals, and identifying insurance coverage limitations.
- Prepare clinical notes and updates for review by utilization management nurse.
- Assist clients in navigating housing, legal services and public benefits to gain access to valuable resources.
- Participate in patient and family planning process, IDT meetings, as well as address questions and concerns.
- Coordinate with interdisciplinary professionals to develop plans of care
- Uses EMR: Atrezzo, MMIS, Microsoft Teams, Outlook, Excel, Word, OneNote, UKG, Deltek, Cerner, and Sharepoint to maintain database and coordinate patient care
- Respond promptly and professionally in all settings
- Work with suppliers and vendors on provision of medical equipment, items and services.
- Conduct re-evaluations to address changes in needs adding updated revisions to care plans.
- Author initial assessments of patients to create ongoing S.M.A.R.T. goals and processes to adequately meet needs and achieve measurable outcomes.
Registered Nurse Circulator
Ochsner Medical Center
04.2023 - 07.2024
- Knowledge of multiple types of surgeries: Robotics, GYN, Ortho, Cystoscope, General Surgery, etc
- Operating Room Lead, performing 'Time Out' protocol, ensuring each member of the team is aware of procedure type, location, specific needs and significant health data of each patient
- Serve as an intermediary to interpret and educate individual patients on his/her diagnoses and treatment plan established by the Surgery Team, prior to induction
- Advocated for and strived to protect health, safety, and rights of patient.
- Collected, labeled and transported specimens and delivered to lab for testing.
- Assisted physicians in operating room by providing necessary supplies and equipment.
- Prepped operating rooms, sanitized, selected and organizing instruments, equipment and supplies according to surgeon preferences..
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
- Managed patients recovering from medical or surgical procedures.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
Registered Nurse Case Manager
Molina Healthcare, Inc.
10.2022 - 04.2023
- Use of clinical skills to help formulate Individualized Care Plans (ICP's) while aiding members utilization of benefits to the best of their ability
- Serve as an intermediary to interpret and educate the individual on his/her diagnoses and the treatment plan set up by the Interdisciplinary Care Team
- Facilitate treatment between providers and the member
- Provide resources to members to help them in understanding of care established
- Partner with Molina's designated parties to further outsource benefits, maximizing member's healthcare goals
- Accurately document all interactions to successfully meet Best Practice Measures
- Follow specific member account instructions provided by my team and supervisors
- Used Microsoft Suite, EMR, Kiosk, Sharepoint, and OneDrive to maintain database of relevant information for practitioners and to coordinate patient care.
- Attend all mandatory virtual meetings, interacting to achieve maximum productivity
- Complete assignments within the designated time period while following QRG policies and procedures
- Liaised with physicians regarding patient needs, performance and changes.
Workman's Comp RN Case Manager
Genex Services
03.2022 - 07.2022
- Use clinical skills to help coordinate the individual's treatment program while maximizing cost containment
- Serve as an intermediary to interpret and educate the individual on his/her disability, and the treatment plan proven by the case manager, physicians, and therapists
- Facilitate treatment between providers and the worker
- Provide resources for claims personnel when needing providers in certain locales
- Partner with employers figuring out modified work
- Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
- Educated patients and caregivers on healthcare protocols and processes.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
- Recorded details regarding therapies to keep patient charts updated.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Accurately document meeting Best Practices timeframes
- Report billing hours per case activity and billing practices
- Follow specific account instructions
- Demonstrate professionalism within the workplace and in dealing with injured workers
Cardiac Unit Case Manager
Memorial Hospital Gulfport
07.2020 - 03.2022
- Networking and establishing relationships with physicians, clinics, and community facilities to ensure safe and successful transitions of care.
- obtained 6 month training in preparation to transition to UM Review Manager
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems: Cerner, InterQual, Epic, Microsoft systems and SharePoint.
- review of patient charts to validate the level of care, applying medical necessity screening tools, securing authorizations for clinical services, and ensuring adherence to the utilization process is in compliance with CMS conditions
- assessed patients status based on CMS Conditions of Participation regarding utilization review and discharge planning.
- Monitored clients' progress and maintain status of progression towards discharge.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Key player in discharge planning process
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Leveraged data and analytics and launched quality assurance practices to make informed decisions and drive business improvements.
- Streamlined and monitored quality programs to alleviate overdue compliance activities.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
- Performed prior authorization review of services requiring notification.
Hospice Transitional Liaison RN
Encompass Health & Hospice
10.2018 - 07.2020
- Assess, evaluate, and communicate the Medicare Hospice Benefit to all collaborating entities involved in end-of-life post-acute care
- Reviewing all records to assure qualifying hospice diagnosis established
- Hospice is initiated when appropriate education has been provided, consent to care established; admitting to these services within 24-48 hours or less of discharge
- Liaison focus is primarily on difficult discharges and difficult placements
- Communication and reassessment of acuity is continuous throughout this process from admit to a discharge disposition
- Successfully communicated with entities inside and outside of business.
- Cultivated positive relationships with vendors to deliver timely services and and equipment for comfort measures
- Patient-centered education and coaching to staff, family and the patient to address death and dying, goals and expectations.
- Gathered, organized and input information into digital database.
- Trained staff in proper approach to difficult conversations regarding end-of-life measures
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process: management and lifestyle options.
- Evaluated patient histories, prognosis, openness to conversation and current symptoms.
- Remained calm during high-stress, critical situations, demonstrating sustained empathy and compassion
- Solved conflicts and addressed issues that occurred between other entities and business.
- Provided reports for analysis and support of decision-making.
- Explained course of care to patients and caregivers in easy-to-understand terms.
- Participated in service education programs, patient care conferences and staff meetings to advance knowledge and foster multidisciplinary communication.
- Demonstrated clinical competence in administering care to support care plan and policies.
- Prepared visit notes, updated and summarized client records and conferred with health care disciplines in providing coordinated client care.
- Fostered strong relationships with patients and families to support comfort during challenging end-of-life decision making processes.
- Collected and analyzed data and feedback to identify opportunities to improve relationship between other entities and business.
Registered Nurse Field Case Manager
Camellia Home Health
06.2011 - 11.2014
- Independently worked in a home-based setting to promote optimal healing and well being of the elderly population
- Case managed approx 25-40 patients: assessing and identifying appropriateness of care, approval/denial for DME, medication needs, frequency of visits, as well as which disciplines will participate and for how long
- Educated through demonstration patients and caregivers proper wound management, discharge plan objectives, safe medication use, and disease management.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
Registered Nurse
Hancock Medical Center
03.2005 - 06.2011
- Multiple nursing roles including Primary Labor and Delivery RN, Community Health Nursing, ICU nursing, PACU RN, ER training, C-section Circulator, and Postpartum/Nursery Nurse
- Ensuring optimal nursing care following the nursing process and company-initiated policies and procedures
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Monitored patient reactions after administering medications and IV therapies.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Registered Nurse
St. Tammany Parish Hospital
05.2007 - 10.2009
- Labor and Delivery, Postpartum, Post-Surgical, Recovery, Surgery Circulator, Preterm Labor/Triage Nurse
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
- Evaluated patient histories, complaints, and current symptoms.
- Monitored patient reactions after administering medications and IV therapies.
Registered Nurse
Tulane University Medical Center
05.2004 - 03.2005
- Medical-Surgical Nurse, Step-Down Bariatrics Nurse
Education
Nursing prerequisites -
Pearl River Community College
Poplarville, MS2+2 Program for BSN Nursing -
MGCCC-Jefferson Davis Community College
Biloxi, MSBachelor of Science - Nursing Practice
University of Southern Mississippi
Long Beach, MSSkills
- EPIC
- Microsoft Teams, Office, PowerPoint, Excel, Outlook, Word, OneNote
- Sharepoint
- InterQual
- Atrezzo
- Utilization review
- Quality improvement
- HIPAA compliance
- Neonatal resuscitation (NRP)
- Crisis prevention intervention (CPI)
- CPR AED (CPR AED)
- Patient care planning
Certification
- Mississippi State Board of Nursing Multi-State Licensure (Compact), 2004
- BLS, ACLS, Current
- Injectables and Fillers Certification, Current
- Medical-Chemical Peel Certification, Current
Affiliations
- Mississippi Nurses Association
Timeline
Registered Nurse Case Manager
Acentra Health
07.2024 - Current
Registered Nurse Circulator
Ochsner Medical Center
04.2023 - 07.2024
Registered Nurse Case Manager
Molina Healthcare, Inc.
10.2022 - 04.2023
Workman's Comp RN Case Manager
Genex Services
03.2022 - 07.2022
Cardiac Unit Case Manager
Memorial Hospital Gulfport
07.2020 - 03.2022
Hospice Transitional Liaison RN
Encompass Health & Hospice
10.2018 - 07.2020
Registered Nurse Field Case Manager
Camellia Home Health
06.2011 - 11.2014
Registered Nurse
St. Tammany Parish Hospital
05.2007 - 10.2009
Registered Nurse
Hancock Medical Center
03.2005 - 06.2011
Registered Nurse
Tulane University Medical Center
05.2004 - 03.2005
Nursing prerequisites -
Pearl River Community College
2+2 Program for BSN Nursing -
MGCCC-Jefferson Davis Community College
Bachelor of Science - Nursing Practice
University of Southern Mississippi
Similar Profiles
Courtney DerricksonCourtney Derrickson
Customer Service Representative at Acentra HealthCustomer Service Representative at Acentra Health
Brianna XayavongBrianna Xayavong
Mailroom Clerk at Acentra HealthMailroom Clerk at Acentra Health
CAROLINE MASSEYCAROLINE MASSEY
Program Director at Acentra HealthProgram Director at Acentra Health
Gifty WALKERGifty WALKER
Clinical Assessor at Acentra HealthClinical Assessor at Acentra Health
SABRINA BOOTHSABRINA BOOTH
RN (Registered Nurse) Case Manager/Support Team, Clinic Nurse Administrator), RN (Registered Nurse) Case Manager/Team Leader at United Health Group, OptumRN (Registered Nurse) Case Manager/Support Team, Clinic Nurse Administrator), RN (Registered Nurse) Case Manager/Team Leader at United Health Group, Optum