Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tiffany Thomas

Ardmore,OK

Summary

Registered Nurse with 5+ years of experience in clinical care, case management, and utilization review. Skilled in benefit coordination, medical necessity review, and chronic/complex disease management (CHF, COPD, CKD, diabetes, HTN, behavioral health). Experienced in collaborating with FQHCs and tribal health systems (Chickasaw Nation) to improve care delivery and reduce readmissions. Highly proficient in Epic EMR and experienced with HCHB EMR. Eligible to sit for the Certified Case Manager (CCM) exam.

Overview

4
4
years of professional experience

Work History

Registered Nurse Case Manager

Ideal Home Health
05.2022 - Current

• Conduct comprehensive clinical assessments to determine medical necessity, develop individualized care plans, and monitor progress.

• Coordinate care with FQHCs, tribal health clinics, and community health centers.

• Apply clinical criteria and policies to facilitate appropriate benefit utilization.

• Document and monitor patient progress in HCHB EMR, ensuring compliance with CMS/payer standards.

• Educate patients/families on disease self-management and medication adherence, reducing hospital readmissions.

Registered Nurse, Intensive Care Unit

Mercy Hospital Ardmore
Ardmore
01.2022 - 04.2024

• Delivered evidence-based care to critically ill patients with multiple comorbidities.

• Collaborated with providers to evaluate treatment options and facilitate appropriate care transitions.

• Documented care and outcomes in Epic EMR (highly proficient) for accurate and timely reporting.

• Supported hospital quality improvement initiatives, enhancing patient outcomes and adherence to standards

Licensed Practical Nurse, Rehabilitation

Mercy Hospital Ardmore
07.2021 - 01.2022

• Delivered evidence-based care to patients with multiple comorbiditie recovering from critical illness or surgery

• Collaborated with providers to evaluate treatment options and facilitate appropriate care transitions.

  • Administered medications and monitored patient responses for optimal care.
  • Collaborated with healthcare team to develop and implement care plans.
  • Conducted routine assessments to evaluate patient conditions and needs.

• Documented care and outcomes in Epic EMR (highly proficient) for accurate and timely reporting.

• Supported hospital quality improvement initiatives, enhancing patient outcomes and adherence to standards

Education

Bachelor of Science - Nursing

Oklahoma Panhandle State University
01.2025 - 12.2022

Associate of Applied Science - Nursing

Murray State College
08.2019 - 12.2021

Skills

Utilization Management & Coverage Determinations

Clinical Review & Benefit Coordination

Chronic & Complex Case Management

Quality Improvement & Closing Care Gaps

Epic (Highly Proficient) & HCHB EMR

Patient & Family Education Care Transitions

FQHC & Tribal Health Collaboration

Value-Based Care & Population Health

Timeline

Bachelor of Science - Nursing

Oklahoma Panhandle State University
01.2025 - 12.2022

Registered Nurse Case Manager

Ideal Home Health
05.2022 - Current

Registered Nurse, Intensive Care Unit

Mercy Hospital Ardmore
01.2022 - 04.2024

Licensed Practical Nurse, Rehabilitation

Mercy Hospital Ardmore
07.2021 - 01.2022

Associate of Applied Science - Nursing

Murray State College
08.2019 - 12.2021
Tiffany Thomas