Summary
Overview
Work History
Education
Skills
Timeline
Generic

Timica Dukes, RN

Charlotte,NC

Summary

Experienced Supervisor leading team members on-time job completion. Assign tasks, train employees, provide feedback, mediate interpersonal conflicts and implement company procedures. Excellent communication and listening skills. Provide leadership and vision which drives teams to meet goals.

Overview

16
16
years of professional experience

Work History

Supervisor, Utilization Management

Centene
06.2024 - Current
  • Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
  • Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
  • Handled customer complaints, resolved issues, and adjusted policies to meet changing needs.
  • Monitored workflow to improve employee time management and increase productivity.
  • Maintained compliance with company policies, objectives, and communication goals.
  • Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.

Senior Clinical Review Nurse-Prior Authorization

Centene
06.2023 - 06.2024
  • Maximized efficiency within the department by organizing workload according to priority level, ensuring deadlines were met consistently.
  • Served as a liaison between various departments involved in care coordination efforts, promoting seamless communication throughout the continuum of care.
  • Maintained strict adherence to HIPAA regulations during all clinical review activities, ensuring patient confidentiality was upheld at all times.
  • Provided mentorship to junior nurses seeking guidance on best practices related to clinical review, fostering growth within the profession as a whole.
  • Conducted regular audits of clinical documentation and provided constructive feedback to clinical review nurses.

Clinical Review Nurse-Prior Authorization

Centene, WellCare
10.2021 - 06.2023
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Submitted cases for criteria failures and helped facilitate resolutions and approvals.
  • Performed prior authorization review of services requiring notification.
  • Obtained clinical documentation from various types of providers to review necessity of care.

Telephone Triage Registered Nurse

Novant Health
09.2019 - 07.2021
  • Obtained case history and gathered triage information to determine appropriate avenue for care.
  • Performed additional clinic and non-triage nurse duties such as instructing patients in general and specific medical care and health issues and administering or dispensing medication and injections.
  • Relayed triage information and facilitated communication between provider and patient concerning patient disposition.
  • Counseled patients via telephone according to established guidelines and protocols, advising on provider-established plans of care.
  • Suggested appropriate disposition to acting physicians based on assessment.

Registered Nurse, Emergency Department

Novant Health Mint Hill Medical Center
08.2018 - 09.2019
  • Administered different therapies and medications in line with physician orders and treatment plan.
  • Kept optimal supply levels in treatment rooms, triage and other areas to meet typical patient loads.
  • Educated patients and answered questions about health condition, prognosis and treatment.
  • Administered medications via oral, IV and intramuscular injections and monitored responses.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.

Registered Nurse, IMCU

Novant Health- Presbyterian Medical Center
11.2017 - 07.2018
  • Oversaw various aspects of telemetry by administering PA catheters and arterials, vasoactive drugs, titration, thrombolytic therapy, dysrhythmia interpretation and chest tubes.
  • Administered medications to treat patients' symptoms and address underlying disease progression.
  • Operated critical care equipment to keep patients stable and promote recovery.
  • Guided patients, caregivers and family members on plans of treatment and helpful resources available locally to support care.
  • Conducted patient assessments, recorded vitals and analyzed records and charts to define care requirements.

Registered Nurse

Seton Medical Center Harker Heights
05.2017 - 10.2017
  • Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit.
  • Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
  • Administered medications via oral, IV and intramuscular injections and monitored responses.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.

Travel Registered Nurse

Core Medical Staffing
01.2016 - 05.2017
  • Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Worked with interdisciplinary healthcare team to develop, implement and manage care plans, ensuring inclusion of patients' individual needs.
  • Documented all elements of care and updated patient charts and confidential files to reflect changes in care plans, interventions applied and observations.
  • Documented all patient interactions and interventions in various EMR's, including physical and psychological assessments, care plans, treatment and observations.

Registered Nurse, Medical-Surgical Unit

Novant Health
08.2008 - 02.2016
  • Performed emergency medical procedures such as BLS, ACLS and other condition stabilizing interventions.
  • Administered medications via oral, IV and intramuscular injections and monitored responses.
  • Managed care from admission to discharge, including patient assessments, care planning, health educations and discharge support.
  • Provided direct patient care, stabilized patients and determined next course of action.
  • Ordered and analyzed diagnostic tests to identify and assess patient conditions.
  • Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.

Education

Bachelor of Science - Nursing

Western Governor's University
05.2026

Associate of Science - Nursing

ATS Institute of Technology
01.2008

Associate of Science - Practical Nursing

ATS Institute of Technology
10.2005

Skills

Training and mentoring

Staff Management

Employee Motivation

Complex Problem-Solving

Inventory Control

Staff Development

Staff Discipline

Processes and procedures

Process Improvement

Schedule development

Timeline

Supervisor, Utilization Management

Centene
06.2024 - Current

Senior Clinical Review Nurse-Prior Authorization

Centene
06.2023 - 06.2024

Clinical Review Nurse-Prior Authorization

Centene, WellCare
10.2021 - 06.2023

Telephone Triage Registered Nurse

Novant Health
09.2019 - 07.2021

Registered Nurse, Emergency Department

Novant Health Mint Hill Medical Center
08.2018 - 09.2019

Registered Nurse, IMCU

Novant Health- Presbyterian Medical Center
11.2017 - 07.2018

Registered Nurse

Seton Medical Center Harker Heights
05.2017 - 10.2017

Travel Registered Nurse

Core Medical Staffing
01.2016 - 05.2017

Registered Nurse, Medical-Surgical Unit

Novant Health
08.2008 - 02.2016

Bachelor of Science - Nursing

Western Governor's University

Associate of Science - Nursing

ATS Institute of Technology

Associate of Science - Practical Nursing

ATS Institute of Technology
Timica Dukes, RN