RN with over 12 years of experience, currently pursuing medical school due to a insatiable love of science and using that knowledge to improve the lives of patients. Currently seeking to obtain a position in which nursing, community outreach and professional leadership experience can be utilized to enhance the proficiency of the nursing department, while advocating for patients with compassion, dignity, and respect. Specialty areas include Neurology, MedSurg, Geriatrics, HomeHealth and Behavioral Health/Substance Abuse. My lifes' work is helping people and in my free time I manage a community-based non-profit program for at risk women and youth, serving as Founder & Project Manager.
Summary of Qualifications
Skilled physical/mental assessments
Proven case management success
New policy & program dev & implementation
Familiarity with disease management programs
Effective team player
Sound clinical judgment
Strong problem resolution
Decisive, team-centered supervisory skills
Superior oral/written communication skills
Improved patient/staff relations.
Clinical DirectorJul 2009 to Current Carolina Home Advantage － Thomasville, NC
Supervise and supported clinical and support staff in skilled and non-skilled patient care in the home.
Developed and maintained quality care systems, including creating and improving medical protocols and complying with new guidelines set forth by DHHR for corresponding service.
Delivered high quality and compassionate treatment to indigent and low-income patients.
Provided palliative care ranging from assessment to development and implementation of care plans.
Led CNA training program and conducted classes for prospective CNAs. 10 years experience in AHEC certification in Medicaid PCS both initial & supervisory assessments
Clinical Case ManagerOct 2014 to Jun 2016 AON Hewitt － Orlando, FL
Reduced loss ratios through fair and detailed clinical review of claims.
Managed a caseload of 60 clients each quarter.
Conducted assessments, gathered detailed information and provide medical consultation.
Medical Review AnalystOct 2011 to Oct 2014 Blue Cross Blue Shield of NC － Winston-Salem, NC
Duties include conducting various types of medical claim review.
Primary functions include review of medical necessity, pre-existing conditions, utilization review and making recommendations regarding cost-effective care.
RN consultant in providing medical expertise across a broad clinical spectrum as it relates to inpatient care, rehabilitation, outpatient care, home health and durable medical equipment.
Disability Nurse ConsultantNov 2009 to Jan 2011 Aetna － High Point, NC
Duties include telephonic assessment, teaching r/t varied disease processes.
Collect, analyze, interpret, and evaluate data to make determinations of specific impairments.
Provide consultative nursing recommendations as it relates to function, and prognosis.
Collaborate with interdisciplinary healthcare team, and provide management of ancillary clinical professionals such as LCSW, LPC, LMHC, for effective patient outcomes.
Served as member of Appeals Team including gathering information from patient history and conducting assessments for reporting purposes and suggestions to Medical Director.
Clinical Nurse SupervisorOct 2007 to Jul 2010 Novant Health － Thomasville, NC
Duties include supervision of skilled healthcare staff, care plan development, admissions, staff development, patient/family teaching, discharge planning, UR, and obtaining prior auth.
Focus on behavioral health.
Certifications in Group Therapy, Therapeutic Communication/Milieu, Inpatient Psychiatry Services.
Organized and successfully led support groups in subjects related to physical and emotional health with positive results.
Education and Training
Bachelor of Science, PRE-MEDICAL2018Salem College － Winston Salem, NCBIOCHEMISTRY
Bachelor of Science, NURSING2013Western Governor's University － Salt Lake City, UT
Associate of Applied Science, NURSING2004Davidson County Community College － Lexington, NC
Nursing Who's Who Among Students In America's Junior Colleges
Phi Theta Kappa Honor Society
NC Academic Excellence Award Recipient and Keynote Speaker for System (NCCCS) spokesperson
President of the Student Government Association/Student Ambassador and Board of Trustees
Bachelor of Science, Biology1998Fayetteville State University － Fayetteville, NC
Medical consultant & liason, utilization review, disease process management, staff development, assessment nursing, supervision, teaching, behavioral health, home health, neurology, Internal Medicine, long-term
care, Psychiatry, Qualified Professional (QP),Director of Nursing, Oncology, outpatient care, careplan development, improvement processes, computerized reporting and documentation across multiple software systems, also proficient in MSOffice.