Torra Harris
Registered Nurse
Columbus,GA
Summary
Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, telephonic care management, and care coordination in fast-paced environment. Highly developed interpersonal and problem-solving skills. Ability to function independently and as a team player. Proven to remain calm under pressure and skillfully handle complex patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.
Overview
19
19
years of professional experience
1
1
Certification
Work History
RN Nurse Coach
CareCentrix
6 2019 - Current
- Perform telephonic assessments/evaluation for Medicaid, Medicare, and commercial patients with recent hospitalization/discharge
- Identify gaps in care and communicate/coordinate with provider for resolutions
- Act as liaison and member advocate between the member/family, physician, facilities, and community agencies
- Complete med reconciliation
- Review medication to help understand possible side effect or drug interactions
- Assist with scheduling patient post-discharge follow up appointment with primary care physician and/or specialists
- Perform patient assessments, coordinate with home health agencies, durable medical equipment companies, physicians, and act as a clinical resource
- Identify cases that require escalation to health plan and/or medical director
- Arrange for the appropriate level of intervention to facilitate coordination of quality care
- Promote effective utilization and monitor health care resources
- Evaluate the member’s need for alternative services
- Complete utilization/concurrent review for SNF/rehab stay
- Educate patient, families and caregivers on chronic disease, treatment options, disease process, and management and lifestyle options
- Provided emotional support to patients/family members during telephonic outreach, strengthening overall trust in the healthcare team
- Review discharge instruction with patient or caregiver.
RN Case Manager Supervisor
Health Integrated/EXL
06.2018 - 06.2019
- Supervised Case Management team
- Assigned/monitored caseloads for team as required
- Performed audit of patient’s telephonic record for compliance
- Participated in CMS audits
- Conducted interviews for nursing/case management personnel
- Reported production goals, monitored attendance and punctuality, provided routine performance feedback, conducted departmental meetings, administered disciplinary measures, and participated in annual performance evaluations
- Ensured report generation for productivity and activity tracking is accurate and complete
- Coordinated/conducted ICT meetings.
RN Case Manager
Health Integrated/EXL
08.2016 - 06.2018
- Performed telephonic case management and care coordination for Special Need Plan members
- Collaborated with providers to ensure optimal care for member were provided
- Participated in Interdisciplinary meeting with medical director/team for continuity of member support
- Coordinated care for members during transitions
- Researched and provided member with community resources for financial and/or social assistance
- Participated in process improvement projects
- Peer Mentor/Preceptor.
RN Care Manager
Humana
12.2014 - 08.2016
- Performed care management services to members in Special Need Plan
- Performed telephonic clinical assessments/evaluation
- Participated in Interdisciplinary meeting for collaboration of member’s care
- Create/update individual care plans
- Performed peer/team chart audit for quality/compliance
- Preceptor.
RN Complex Case Manager
Aetna
04.2013 - 06.2014
- Utilized a collaborative process to meet member’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes
- Performed clinical assessment of members and development of case management plans based on the assessment
- Applied appropriate clinical criteria, guidelines, policies, procedures, regulatory standards and plan documents
- Arranged for the appropriate level of intervention to facilitate coordination of quality care
- Performed telephonic assessments/evaluation
- Monitored/reviewed member’s electronic records
- Worked from home office.
RN Disease/Complex Case Manager
Freedom Health
10.2011 - 04.2013
- Promoted effective utilization and monitors health care resources
- Evaluated the member’s need for alternative services and made appropriate referrals
- Assessed short-term and long-term goals
- Established case management objectives and executes plan to achieve objectives
- Obtained prior authorizations for transplant members
- Participated on special team to develop/create assessments based on NCQA and CMS guidelines
- Performed disease specific education to Special Need Plan members.
LPN Care Partner/RN Care Manager
Aids Healthcare Foundation
06.2005 - 07.2011
- Created individualized care plan
- Educated client regarding disease process, co-morbidities, prevention and medication compliance
- Collaborated with ASO's, Project Aids Care Providers and other Community providers to ensure appropriate access to service
- Interviewed patients and families to assess needs and risk categories to develop and implement appropriate plan of care
- Participated in community outreach events
- Accompanied clients to provider appointments
- Performed home visits to ensure continuity of care/support
- Completed chart reviews and communicated with the doctor about client's plan of care
- Provided community resources for rental, utility, social support, and food assistance.
Education
Bachelor of Science Nursing -
Western Governors University
Associate of Science Nursing/License - undefined
Palm Beach Community College
Practical Nursing Certification/License - undefined
South Technical Center
Skills
Health Promotion
Quality Improvement
Geriatric Care
Community health
Clinical judgment
Compassion and Empathy
Patient Management
Precepting
Insurance plan expert
Managing deadlines
Care Planning
Nursing staff leadership
Certification
Certified Case Manager # 4220306
Timeline
RN Case Manager Supervisor
Health Integrated/EXL
06.2018 - 06.2019
Certified Case Manager # 4220306
08-2016
RN Case Manager
Health Integrated/EXL
08.2016 - 06.2018
RN Care Manager
Humana
12.2014 - 08.2016
RN Complex Case Manager
Aetna
04.2013 - 06.2014
RN Disease/Complex Case Manager
Freedom Health
10.2011 - 04.2013
LPN Care Partner/RN Care Manager
Aids Healthcare Foundation
06.2005 - 07.2011
RN Nurse Coach
CareCentrix
6 2019 - Current
Bachelor of Science Nursing -
Western Governors University
Associate of Science Nursing/License - undefined
Palm Beach Community College
Practical Nursing Certification/License - undefined
South Technical Center