Tonisha Simon
Summary
LICENSED PRACTICAL NURSE
Hardworking nursing professional bringing 5+ years of clinical experience delivering exceptional care to Homehealth/SNF/Geriatric patients. Knowledgeable and skilled at maximizing patient comfort and safety while meeting strict cost control standards. Well-organized and forward-thinking in managing patient needs.
Overview
10
10
years of professional experience
Work History
Travel Nurse
Aya Healthcare
05.2023 - 12.2023
- Traveled to various home/group home/facility settings to perform skilled care and implement or revise POC
- Provided care involving: wound care, ostomy/catheter care/breathing treatments, infection prevention and pain management assessments
- Coordinated care with various hospital staff and MD offices to conduct further
- Monitored/assessed patients Vital statuses, Plan of care, medications and reported any abnormalities to md office and supervising nurse.
Nurse Care Coordinator
Right at home
02.2022 - 06.2023
- Conducted phone and/or face-to-face support on setting up and using care coordination tools or equipment placed in the patient's home
- Managed patients in current disease management programs, completing and revising as necessary, the information in care coordination documentation system
- Developed and monitored members plan of care, to include progress toward meeting established goals and self management activities.
Home Health LPN (per-diem)
Justkier
05.2019 - 01.2022
- Deliver in home services/assessments involving: Diabetic teaching, Insulin administration, wound dressing &care, gtube feedings with medications, assessment of vitals/body systems and ordering supplies
- Advised and coached patients progressing from hospitals, rehab facilities, and other medical organizations to at-home treatment settings.
- Maintained knowledge of competencies related to the nursing profession by participating in educational programs, continued education units, internal learning management skills and skill evaluations.
Clinical Review Nurse/Med Billing
GoldenCare of BC
01.2020 - 01.2022
- Performed pre-certification and/or authorization activities for all patients leaving hospital, SNF, treatment centers to determine eligibility through Medicare/Medicaid insurance billings and benefit coverages
- Proficiently entered various data collection of insurance, clinical history, treatment plan, and DME information into computer systems in a timely/accurate manner
- Operated many administrative functions to include; medical record request, faxing and calls to members and providers as needed
- Required to track, monitor and report on the status of records and volume of work
- Maintained compliance with federal and state guidelines as well as contractual requirements as determined by line of business; this includes coordinating with the Medical Director to ensure requests are processed timely
- Served as a liaison between the Medical Director, physicians and office staff in resolving prior authorization questions, issues and problems, and communicates denial determinations to providers when indicated.
Pharmacy Technician
CVS Pharmacy
01.2016 - 04.2019
- Researched and resolved dosage/drug conflicts(pediatric/geriatric), potentially harmful drug interactions, insurance issues and other matters to ensure patient safety and wellness
- Assisted the pharmacist with medication preparations, insurance claims, inventory/order management and customer service
- Efficiently answered multiple high-volume phone calls from doctors, nurses, insurance companies, and other pharmacy corporations.
Caregiver – mental disability
Unicare Home Care
- 01.2016
- Provided full supervision and assisted care to up to 5 residents living in a private group home facility
- Delivered basic skills such as feeding, bathing, recording vital signs, measuring I&O, neurological changes and wound and other skin treatments
- Enforced safety, rights, dignity, and comfort through patient care duties involving personal/hair care, transportation, and transferring and incontinent care procedures.
Caregiver
Caring People HC Inc.
08.2013 - 12.2015
- Aided in-home childcare/geriatric services while managing schedule changes and light house keeping
- Assisted with medical administration, routine doctor visits and food preparation for entire family
- Managed schedules, appointments, meal plans, medication records/refills and filing personal patient records
- Effectively assisted residents with daily needs/activities such as: personal care, companionship, nutrition (meal preparations), lifts/transfers, etc.
Medical Transcriptionist
PhysAssist/MRH
01.2015 - 08.2015
- Transcribed and edited physician reports from dictation using EPIC/Cerner EMR system.
- Followed all HIPAA rules and regulations regarding patient confidentiality.
- Accurately and timely charted all patient encounters, involving patient history, exams/labs, diagnostic findings, consultations with other providers, diagnoses/treatment etc.
- Ability to problem solve under pressure and multitask using various computer projects and coordinate care with team
Education
Bachelor of Science - Nursing
Nightingale College
Ogden, UT01.2026
Licensed Practical Nursing -
Atlantic Technical
12.2018
Registered Pharmacy Technician -
Florida Board of Pharmacy
12.2018
BLS/CPR certification -
American Heart Association
02.2023
Skills
- HIPAA Compliant - Privacy and Confidentiality
- EMR Management
- Medication Administration/Assessments
- Infection Control
- Case Management/Prior Auth/Med Billing
- Medical-Surgical Nursing
- Tracheostomy care/suctioning BLS Instructor, wound/ostomy
Timeline
Travel Nurse
Aya Healthcare
05.2023 - 12.2023
Nurse Care Coordinator
Right at home
02.2022 - 06.2023
Clinical Review Nurse/Med Billing
GoldenCare of BC
01.2020 - 01.2022
Home Health LPN (per-diem)
Justkier
05.2019 - 01.2022
Pharmacy Technician
CVS Pharmacy
01.2016 - 04.2019
Medical Transcriptionist
PhysAssist/MRH
01.2015 - 08.2015
Caregiver
Caring People HC Inc.
08.2013 - 12.2015
Caregiver – mental disability
Unicare Home Care
- 01.2016
Bachelor of Science - Nursing
Nightingale College
Licensed Practical Nursing -
Atlantic Technical
Registered Pharmacy Technician -
Florida Board of Pharmacy
BLS/CPR certification -
American Heart Association
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