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
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