Tiera Brown
Wilmington,DE
Summary
Compassionate, experienced, and dedicated BSN Registered Nurse seeking to obtain employment that would best benefit from community nursing expertise, clinical nursing education, and complex case management experience. History of working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
16
16
years of professional experience
1
1
Certification
Work History
RN Clinical Case Manager
AmeriHealth Caritas
Wilmington, DE
10.2019 - Current
- Manage caseload of 70 members who are physically disabled, cognitively impaired, or suffering from chronic illness
- Complete face to face quarterly assessments of members and determine level & complexity of care required by each individual
- Coordinate care of in-home supports and provide long term support to maintain optimal health within the community
- Assist with discharge planning from hospitals and nursing facilities
- Coordinate care and follow-up with preventative care, medication compliance, dialysis compliance, and chronic disease management, and physician office visits
- Maintain relationships with in-network providers and assist with coordination of scheduling
- Create nursing care plans and authorize services
- Provide resources, respite care, and support to families and caregivers of member.
Medical-Surgical Registered Nurse
Christiana Care Health Systems
Newark, DE
08.2016 - Current
- Assume dual roles of charge nurse and unit clerk, Oversee 8 nurses, 4 PCTs, and manage nursing care of 40 patients; Perform full assessments on patient's social, mental, and physical status; Develop plans of care unique to patient's needs; Provide individualized treatment and symptom management for patients with various diagnoses; Provide end of life care and palliative treatment; Perform wound assessments, treatments, and skill with vacuum dressings; Collaborate with physicians, social workers, case managers, and family members to identify needs and facilitate best outcome for patients; Maintain accurate documentation; Skilled at administering level 2-5 medications, blood transfusions, and managing IV drips.; Skilled with care of tracheostomies, chest tubes, surgical drains, peg tubes, and colostomies
- Perform Admissions, Discharges, and patient education
- Precept new nursing staff.
Nurse Supervisor/Staff Development
Shipley Manor Healthcare & Rehabilitation
Wilmington, DE
02.2016 - 08.2016
- Oversee 3 nurses, 7 CNAs, and manage nursing care of 60 patients
- Audit written MARs and patient plans of care
- Ensures patient/family satisfaction and adherence to policies, procedures, standards, and regulations; Train and orient clinical staff to their job responsibilities; Provide leadership in clinical problem solving; Serve as liaison with physicians and assists with medical care planning; Perform and assist with patient assessments, examinations, med administration, procedures, and treatment
- Assure compliance with CMS regulations.
Registered Nurse
Kentmere Rehabilitation & Healthcare Center
Wilmington, DE
09.2014 - 12.2015
- Provided skilled nursing care as a float nurse on rehabilitation, long-term care, and dementia units
- Performed head-to-toe assessments and administered medication for a diverse patient population
- Supervised and trained 15 CNAs.
Medical Billing/Coding Specialist
St. Francis Hospital, MRSI
10.2011 - 08.2012
Medical Billing/Coding Specialist
MRSI
05.2007 - 10.2011
- Audited documentation at clinics, hospitals, and private practices for HEDIS compliance
- Submitted ICD-9,
- ICD-10, and CPT codes to process health insurance claims and patient billing
- Collaborate with Aetna,
- BCBS, Cigna, Coventry, UHC, Medicare and Medicaid companies to process payment requests.
Education
ADN -
Delaware Technical Community College
05.2016
BSN -
Wilmington University
05.2014
Skills
- Problem solving
- CPT Coding
- ICD-10
- HEDIS
- Nursing
- ICD-9
- Medical Billing
- EMR Systems
- Case Management
- Medication Administration
- Dementia Care
- Critical thinking and proactive with problem solving
- Able to adapt to changing environments and complex needs of patients
- Effective with time management and organization
- Professional and effective communicator
- 5 years of skilled nursing care experience 25 years in acute nursing care
- Specializes in providing care for dementia, psychiatric, and substance abuse population
- Charge nurse capable; DAISY Award Nominated
- ANA Medical-Surgical board certified
- Service Utilization Improvements
- Employee Performance Evaluations
- Employee Work Scheduling
- Nurse Collaboration
Certification
April 2019 to April 2024
Medical-Surgical Certification
CPR Certification
Medical Coding Certification
Compact State Nurse License
Certified Case Manager
Additional Information
- Willing to relocate: Anywhere, Authorized to work in the US for any employer
Timeline
RN Clinical Case Manager
AmeriHealth Caritas
10.2019 - Current
Medical-Surgical Registered Nurse
Christiana Care Health Systems
08.2016 - Current
Nurse Supervisor/Staff Development
Shipley Manor Healthcare & Rehabilitation
02.2016 - 08.2016
Registered Nurse
Kentmere Rehabilitation & Healthcare Center
09.2014 - 12.2015
Medical Billing/Coding Specialist
St. Francis Hospital, MRSI
10.2011 - 08.2012
Medical Billing/Coding Specialist
MRSI
05.2007 - 10.2011
ADN -
Delaware Technical Community College
BSN -
Wilmington University
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