Summary
Overview
Work History
Education
Skills
Affiliations
Timeline
PROFESSIONAL SUMMARY
Generic

Timia Simmons

Saint Petersburg

Summary

Dedicated Registered Nurse currently advancing into the role of Advanced Registered Nurse Practitioner. Specializing in clinical claim reviews, interdisciplinary collaboration, and improving health outcomes through effective utilization of resources. Eager to bring proven clinical insight and leadership to a dynamic, fast-paced healthcare setting.

Overview

11
11
years of professional experience

Work History

RN

Apollo Health and Rehabilitation
11.2024 - Current
  • Administered patient care, ensuring compliance with established protocols and best practices.
  • Collaborated with multidisciplinary teams to develop and implement comprehensive care plans.
  • Monitored vital signs and documented changes in patient conditions for timely interventions.
  • Educated patients and families on health management and post-discharge care strategies.
  • Collaborated with interdisciplinary teams to develop and implement individualized care plans.
  • Administered patient care, ensuring adherence to safety protocols and best practices in nursing.
  • Educated patients and families on health management, promoting understanding of treatment options.
  • Streamlined medication administration processes, improving efficiency in patient care delivery.
  • Advocated for patients' needs within healthcare settings, fostering a supportive environment for recovery.
  • Utilized EMAR to document nursing assessments, treatments, medications and discharge instructions.
  • Provided effective patient education, ensuring understanding of medical conditions and treatment protocols for better self management.
  • Delivered treatments and direct nursing care according to physicians' orders in skilled nursing environment.
  • Promoted a safe environment by consistently adhering to infection control policies and procedures.
  • Collaborated with healthcare team members to assess, implement and evaluate nursing care plans.

LPN | Skilled Nursing

Gale Healthcare
11.2017 - 11.2024
  • Conduct clinical reviews ensuring compliance with state and federal mandates for improved patient care outcomes.
  • Collaborate effectively within self-directed teams to meet performance metrics while adapting to changing environments.
  • Utilize strong communication skills for benefit determinations including coverage guidelines and reimbursement decisions.
  • Collaborated with healthcare teams to develop and implement patient care plans.
  • Administered medications and monitored patient responses to ensure safety and efficacy.
  • Conducted routine assessments, documenting patient progress and changes in conditions.

LPN Case Reviewer

US Army
01.2015 - 10.2017
  • Performed detailed case management reviews applying ICD-10 coding knowledge for accurate documentation.
  • Worked independently and collaboratively with medical directors enhancing provider experience through efficient claims processing.
  • Demonstrated solid organizational skills managing multiple priorities in high-pressure situations.

LPN Utilization Review Nurse

Health Integrated Services
01.2015 - 05.2016
  • Executed utilization reviews aligning with established guidelines leading to cost-effective healthcare delivery.
  • Applied analytical problem-solving abilities in assessing clinical information against benefit language criteria.
  • Proven ability as a self-starter handling extensive caseloads efficiently while maintaining exemplary documentation standards.

Education

Associate Degree - Nursing

Breckenridge School of Nursing
Tampa, Florida

Bachelor of Science - Nursing

South University
Tampa, FL

Skills

  • Clinical judgment
  • Discharge planning
  • Chronic disease management
  • HIPAA compliance
  • Multidisciplinary approach
  • Care coordination
  • Home care management
  • Utilization review
  • Case evaluation
  • Clinical assessment
  • Quality improvement

Affiliations

Black Nurses Association

Timeline

RN

Apollo Health and Rehabilitation
11.2024 - Current

LPN | Skilled Nursing

Gale Healthcare
11.2017 - 11.2024

LPN Case Reviewer

US Army
01.2015 - 10.2017

LPN Utilization Review Nurse

Health Integrated Services
01.2015 - 05.2016

Associate Degree - Nursing

Breckenridge School of Nursing

Bachelor of Science - Nursing

South University

PROFESSIONAL SUMMARY

Experienced healthcare professional with over 20 years of clinical experience, possessing a deep understanding of healthcare regulations and compliance, as well as proficiency in insurance guidelines, reimbursement processes, and EHR systems for maintaining accurate patient records.

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