Summary
Overview
Work History
Education
Skills
Certification
Personal Information
Awards
References
Timeline
Generic

Terra Roberts

Atlanta,Ga.

Summary

Continue to obtain experience and expand my career in healthcare while increasing critical thinking skills and knowledge as a registered nurse. As a licensed, healthcare professional, my goals include providing exceptional care and education for all patient populations by utilization of the nursing care process. My experience in emergency medicine has challenged my critical thinking skills and use of creative skills in a fast-paced, high- acuity medical environment. Embracing teamwork and being part of a confident medical team is essential to achieve positive patient care outcomes. For the past 5 years, I have worked as an inpatient nurse case manager for Kaiser at Emory Midtown and Piedmont hospitals. During the Pandemic, I was provided the opportunity to successively work remotely, while continuing to meet all job responsibilities as an Inpatient RN Case Manager. As a registered nurse with 22 years of dedicated knowledge, skill, exceptional experience, and patient education continues to inspire my role as an evolving healthcare professional.

Overview

22
22
years of professional experience
1
1
Certification

Work History

RN Care Manager

Strategic Staffing Solutions (S3)
01.2024 - 04.2024
  • Completed a contract at Blue Cross Blue Shield of Michigan as a remote RN Care Manager
  • Responsibilities included outreaching BCBSM members, utilizing motivational interviewing skills to build a rapport with members by assisting with health goals, promoting compliance with medications and plan of care
  • Providing education on disease processes in order to prevent progression of medical conditions
  • Promoted members to take charge of health conditions by grasping the concept of condition management
  • Introduced different vendors to members, such as Livongo for management of diabetes and Genex for members who were considered catastrophic and required complex assistance
  • Provided correspondence to inform members of care programs that were available as well as the dedicated RN Care Manager who provided support when needed
  • Goals included decreasing unnecessary ER visits by educating members on urgent care facilities, virtual care appointments and providing them with information on the 24/7 Nurse Care Line.

Inpatient Case Manager

American Mobile Nursing
04.2023 - 08.2023
  • Completed a 13-week assignment at Kaiser Mid-Atlantic, Holy Cross hospital located in Silver Springs, Md
  • Worked as an inpatient case manager and work responsibilities included completing assessments for new admissions, rounding with hospital medicine providers, and creating safe, attainable post discharge care plans for patients who were approaching hospital discharge
  • Goals included decreasing length of stay, providing patient education especially ensuring that patients fully understood the post-discharge plan to prevent readmission to the hospital
  • Discharge plans included securing home-health services, transition to skilled nursing facilities, setting up home IV antibiotics, ordering DME and arranging transportation for those who met criteria.

Inpatient RN Case Manager

Southern Regional Medical Center
08.2022 - 04.2023
  • Worked as an inpatient RN case manager for patients with commercial health insurance, Medicare and those without health insurance
  • For those without health insurance, I would provide patients with community resources and information on obtaining a new health plan
  • Other responsibilities included completing assessments on new admissions, creating post-hospital discharge plans, and arranging non-emergent transportation
  • Discharge plans included ordering DME, securing home-health services, arranging inpatient or home hospice, and transition to skilled nursing facilities
  • Identifying frailties on hospital day #1 in order to assist patients with a smooth transition when approaching hospital discharge.

Kaiser Emergency Care Management HUB RN Specialist

Kaiser Permanente
05.2022 - 08.2022
  • Responsibilities included collaboration with Internal Medicine Hospitalists for admitted Kaiser patients at non-Kaiser hospitals
  • This position was remote and daily I communicated with other RNs at various hospital facilities for our doctors to perform a Peer-to-Peer review with non-Kaiser physicians
  • Our goal was to repatriate patients from non-Kaiser hospitals to Kaiser hospitals once stabilized
  • Also arranged transportation for patients that were able to be repatriated and communicated with other emergency care management staff daily.

RN Inpatient Case Manager

Kaiser Permanente
02.2018 - 09.2021
  • Responsibilities include collaboration with Internal Medicine Hospitalist and other specialties such as Infectious Disease, Surgical Oncology and Nephrology to ensure that the patient is without any gaps of care during the hospital admission
  • Implementation of appropriate, safe discharge care plans which may include home with home IV antibiotic therapy, inpatient/outpatient short-term rehabilitation, home-health services, arranging inpatient/outpatient Hospice, providing durable medical equipment as indicated and ensuring that the patient’s family is well informed during the admission process and especially the discharge care plan
  • Creating attainable discharge plans for patient(s) to reduce the risk for readmission and encouraging outpatient compliance with primary care and other specialties
  • Collaborating directly with contracted vendors to assist in attaining a safe, realistic discharge plan
  • Daily rounding with the physician which includes but not limited to current medical status, ordering and completion of diagnostics within a timely manner and a thorough discussion for discharge planning needs and education
  • Performed utilization review (UM) using MCG criteria for all inpatient and observation hospital admissions, this also included concurrent review
  • Lastly but most importantly, providing patient/family education on chronic or acute conditions by promoting medication compliance and post-hospital discharge follow-up care.

Urgent Care/Ambulatory Care clinic Staff RN

Kaiser Permanente
01.2014 - 02.2018
  • Lead Healthcare Team RN for Adult Internal Medicine, also cross-trained for Pediatrics for primary care
  • Focused on preventative care and management of chronic illnesses such as hypertension, diabetes, hyperlipidemia while assisting in the prevention disease progression
  • Served as a crucial resource for the healthcare team which includes a LPN, physician, and Kaiser members
  • Participated in conscious sedation with each assignment physician
  • Time-out was performed prior to each conscious sedation procedures to ensure that we were performing the correct procedure for the right patient as well as following all universal precautions for patient safety
  • Responsibilities all included inventory of medication for the department and maintaining records for managerial review or audit
  • Functioned as a liaison between other departments involved such as the lab and pharmacy
  • Ensuring that the clinical schedules are accurate and that Kaiser members are appropriately scheduled for appointments that may or may not be necessary
  • Provides teaching for members that are newly diagnosed with Diabetes, which includes diet, medication management, self-insulin administration if indicated and providing the member with resources such as classes and other forms of outreach
  • Performs & interpret EKGs, IV therapy, medication/vaccine administration and member/family-centered education
  • Awareness of HEDIS measurements to assist in preventative care along with testing such as mammograms, PAP SMEARS, Diabetic Retinal Exams, and Immunizations
  • Documentation and electronic records for HEDIS measures were important areas of focus during office visits, RN Nurse Visit Schedule and during member(s) as scheduled or non-scheduled telephone encounters.

Clinic Manager for City of Refuge Clinic

St. Joseph’s Mercy Care Services
10.2012 - 11.2013
  • Works as a clinic manager RN that provides care for the un-insured and under-insured population
  • Provided free vaccines for children and access to primary care for those with chronic illnesses such as Hypertension and Diabetes
  • Program that allowed patients to obtain their blood pressure and diabetes medications for free or at more affordable rate assisted homeless families in enrolling their children in schools while insuring that had all required documentation
  • Mercy Care also provided free HIV medication and counseling for those in need in the Atlanta area
  • Offered free STD/HIV testing, pap smears and mammograms to promote early detection and treatment of breast or cervical cancer
  • Responsibilities included medication/vaccine inventory and storage
  • Ordering of medications, medical and office supplies
  • Overseeing other clinical staff which included MAs, front and back office
  • Dispensed free medication on site for those that had chronic illnesses such as hypertension or diabetes as well as encouraging follow-up care
  • Ensured that the clinic kept up to date on site inventory and accurate patient-care- documentation
  • Served as clinical and educational resource for staff and patients.

ER, RN, PRN

Emory Adventist Hospital
12.2008 - 10.2012
  • Emory Adventist Hospital ER was a small facility with approximately 12 to 14 beds and although most of our patient population didn’t exhibit severe acuity, however on occasion there were patients in our department with severe acuity who required transportation to larger facilities in order to obtain a higher level of care
  • Responsibilities included RN patient triage, charge nursing and initiation of standing order protocols while working in conjunction with the ER attending to provide immediate care for patients
  • Team-work oriented environment and practiced appropriate RN delegation when needed
  • Constant communication with other departments such as lab, x-ray, and CT, especially during after-hours because most techs for these departments had to be called in due to the small size of the facility
  • Therefore, as the RN, it was my responsibility to ensure that the departments were alerted for diagnostics to be performed in a timely manner
  • Initiation of IV(s), IV therapy, administering of PO/IM/IV and assisting physicians with the insertion of central lines
  • Also performed EKGs, assisted with pelvic exams, conscious sedations, cardiovascular monitoring for patients being held for ICU admission or patients awaiting to be transferred to a facility of higher care
  • Charting and documentation were completed using electronic medical records, Cerner and FirstNet Systems.

Travel RN, ER

FastStaff/U.S. Nursing
03.2010 - 09.2012
  • Worked as travel RN for emergency rooms in various states including Minnesota, D.C., and New York
  • Also completed two work action assignments for U.S
  • Nursing in Minnesota and D.C
  • Orientation is minimal when working as a travel RN during work action assignments and therefore the expectations for independency with efficiency while maintain all standard levels of care
  • In addition to the work action assignments, I completed an 8-week contract at Washington Hospital Center ER in Washington, D.C
  • The ER had sixty beds and the acuity levels were extremely complex
  • The facility had ae extremely high rate of HIV positive patients including all populations due to the city’s high rate of IV drug use
  • Care populations also included acutely/chronically ill patients with hypertensive emergency, CVAs, acute MI and DKA
  • Responsibilities included initiation of standing nurse protocols, difficult IV insertion, administering vasopressors, conscious sedation, performing EKGs, foley catheter insertion/care and stabilization of ICU holds until transferred to the unit
  • Ensuring that patients had ordered diagnostics such as x-rays, CT and MRIs performed and communication of results with the ER physician
  • Work-action assignments (RN Strikes) completed included a 24-hour nursing strike in Minneapolis, MN and a 5-day strike in Washington, D.C
  • Assigned to work in the ER during both strikes
  • Although orientation was minimal, safety is always my priority, and I was able to function efficiently and work independently
  • Responsibilities remained consistent as an ER nurse, caring for sub-acute and or acute patients by providing immediate intervention and care while working in unfamiliar environments
  • I also returned to Washington, D.C
  • And completed an 8-week travel assignment.

Travel RN, ER

Adex Medical Staffing
04.2011 - 07.2011
  • Completed a 13-week assignment in the ER at the Coliseum Medical Center in Macon, Ga
  • Functioned independently in a level 2 trauma center and twenty-four bed emergency department
  • Although there as a traveler, I functioned well with the permanent hospital staff through open communication and embracing teamwork
  • Delegated task to ancillary staff when appropriate, worked closely with ER physicians and mid-level providers
  • Often assigned to the urgent care area of the ER which included eight beds and was supervised by the assigned Charge RN, who also closely observed triage and quickly moved urgent care patients from the waiting area to an exam room for evaluation
  • Performed splints, established INTs, assisted with conscious sedation, and administered mostly PO and IM medications
  • Used electronic medical records system for patient flow and documentation with use Pyxis machine(s) to access medication for patients.

ER, RN

Emory University Hospital Midtown
05.2002 - 10.2010
  • Began my ER residency at EUHM in the emergency department and for a course of 3 months I shadowed an RN as well as collaborating closely with other ancillary staff to become accustomed to my new profession
  • After residency, I remained at EUHM for 8 years as a staff RN, charge nurse and preceptor
  • During this time, the hospital was migrating from paper charting to electronic medical records, so the ability to adapt was extremely important
  • Responsibilities were consistent with working as an ER nurse and included working closely with ER attending physicians and residents, utilizing standing protocols, nurse triage and functioned as assigned charge nurse, ensuring that the department is functioning safely and effectively
  • Leadership skills were valuable as charge nurse because responsibilities increased such as directing EMS traffic, learning to be creative in providing safe patient care even when staffing is low, and the volume is high
  • Remaining aware of patients that were considered level one and ICU bound while ICU beds were unavailable
  • When this situation would occur, my focus was to remain as a constant resource for the nurse caring for the critical patient and offering support for the other patients that they are responsible for at that time
  • Proficient in Cerner/FirstNet, Pyxis and Omni-cell for medication administration
  • Delegation utilized often, performed EKGs, assisted with conscious sedation, difficult IV insertion, administered PO/IM/IV medications as well as cardiac drips and vasopressors.

Education

Bachelor of Science in Nursing - Nursing

Emory University School of Nursing
Atlanta, GA
05.2002

Skills

  • Communicates effectively with the healthcare team
  • Encourages teamwork with consistent leadership skills throughout my career as appointed charge RN in various emergency room departments, healthcare team leader while working in primary care and an “informal” leadership role as an Inpatient Case Manager
  • As a leader, respect for fellow co-workers, efficiency, quality, and patient-care safety is part of my daily practice
  • Previous work history includes travel nursing, which displays my ability to adapt and function independently in new environments
  • Work well under pressure while offering quality patient care, even in large populations that lack resources for patients that are acutely or chronically ill
  • Function as a Registered Nurse Inpatient Case Manager for adult patients that are admitted for acute and or chronic conditions
  • Promotes preventative care and HEDIS metrics by utilizing panel management, acknowledging care gaps and goals for our population
  • Proficient in utilization of appropriate inpatient hospital admission criteria, orders such as “Observation vs Inpatient” status and recognizing medical necessity for all hospital admissions
  • Discussion of laboratory and imaging results with patients and educating patients/families of attainable life-style modifications to improve patient outcomes
  • Emergent/Urgent care role includes nurse triage, establishing IVs, administering IV fluids, PO/IM medications and assisting urgent care provider in transferring patients to a higher level of care such as hospital ER, medical admission and recognizing when patients meet criteria for ICU admission
  • Developing appropriate and safe discharge plans for patients by recognizing frailties on day #1 of hospital admission
  • As a Nurse Case Manager, it’s my responsibility to recognize any issues that may place the patient at risk for decompensation or readmission
  • Proficient in electronic medical record systems such as Cerner, Epic, and Allscripts
  • Experienced in Microsoft Word, Outlook, TEAMS, Excel, OneDrive and OneNote

Certification

  • Basic Life Support (BLS)
  • Advanced Cardiac Life Support (ACLS)
  • Georgia RN Compact License, RN160807, expires 1/31/2025
  • New York State

Personal Information

Title: RN, BSN

Awards

  • Student of the Semester, Math & Science Department, Spring 1998 awarded by Dr. Glenn Clark
  • Scholarship to attend Emergency Medical Conference, Atlanta, Ga. 2006, awarded by Dr. Matthew Graber, Attending ER Physician @ Emory Midtown Hospital
  • Kaiser RN Nurse Case Manager “Rock-Star” Award & “Team Leadership” May 2019

References

  • Tipawan Middlebrooks, RN, HCT, Kaiser-Cascade Medical Office, 678-702-1214
  • Dr. Stephanie Morish, Leadership of Care Coordination, Kaiser Inpatient Case Management, 770-309-8177
  • Dr. Charles Fowler, Outpatient Primary Care Provider, Internal Medicine, Kaiser Permanente, 404-277-0843
  • Dr. Manassa Tejani, Kaiser Internal Medicine/Hospitalist, Kaiser Permanente, 404-971-5130
  • David Lindsey, RN, BSN, EUHM Manager (2002-2008), 404-668-3167
  • Linda Rucker, MA, St. Joseph’s Mercy Care Services, 404-556-0681
  • Dr. Ngeche Fobi, Outpatient Kaiser Internal Medicine & Urgent Care Provider, Kaiser Permanente, 770-508-4925
  • Dr. Kelli Nowikowski, Kaiser Internal Medicine/Hospitalist, Kaiser Permanente, 678-756-4014

Timeline

RN Care Manager

Strategic Staffing Solutions (S3)
01.2024 - 04.2024

Inpatient Case Manager

American Mobile Nursing
04.2023 - 08.2023

Inpatient RN Case Manager

Southern Regional Medical Center
08.2022 - 04.2023

Kaiser Emergency Care Management HUB RN Specialist

Kaiser Permanente
05.2022 - 08.2022

RN Inpatient Case Manager

Kaiser Permanente
02.2018 - 09.2021

Urgent Care/Ambulatory Care clinic Staff RN

Kaiser Permanente
01.2014 - 02.2018

Clinic Manager for City of Refuge Clinic

St. Joseph’s Mercy Care Services
10.2012 - 11.2013

Travel RN, ER

Adex Medical Staffing
04.2011 - 07.2011

Travel RN, ER

FastStaff/U.S. Nursing
03.2010 - 09.2012

ER, RN, PRN

Emory Adventist Hospital
12.2008 - 10.2012

ER, RN

Emory University Hospital Midtown
05.2002 - 10.2010

Bachelor of Science in Nursing - Nursing

Emory University School of Nursing

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