Karissa A. Smith
***** *** ****** **** *** Lebanon, OH 45345
I have been certified by The Commission for Case Manager Certification
Certifications
(CCMC) as a Certified Case Manager
Publication
Get Your Patient's G.O.A.T! Testing For Orientation After a Traumatic Brain
Injury
Professional Nursing2009 Symposium (May 6-10, 2009) with Poster Presentation -1st Place
Organizations Award
I am currently a member of the Case Management Society of America (CMSA)
and I am also an active member of the local CMSA chapter for the Southern Ohio
Valley (SOV-CMSA).
Experience
Telephonic Registered Nurse Case Manager
December 2012-Present, inventive Medical Management, Augusta, Georgia
Assist patients to achieve optimal health status utilizing the most
cost effective quality resources through application of national practice
guidelines and Case Management Standards of Practice
Implement appropriate interventions to manage multiple physical,
psychological, social and financial barriers in cooperation with patient, insurance
carrier, and medical provider.
Telephonic Nurse Case Manager I/ New Hire Trainer
August 2011-November 2012, Anthem Blue Cross and Blue Shield, Miamisburg,
Ohio
Performed care management within the scope of licensure for with
complex and chronic care needs by assessing, developing, implementing,
coordinating, monitoring, and evaluating care plans designed to optimize
member health care across the care continuum and ensuring member
access to services appropriate to their health needs
Implemented care plan by facilitating authorizations/referrals as
appropriate within benefits structure or through extra-contractual
arrangements
Selected by management team to precept & orient new employees to
the role of case managers, as well as to computer systems.
Active with using video chat and online meetings to
virtually meet with members to discuss their healthcare concerns and
questions
Published Motivational Interviewing story in Patricia Russo’s (Staff
Vice President: Care Management for Anthem/Wellpoint) “The Heart of
Care Management” Newsletter, October 2011 regarding the subject of
Motivational Interviewing
Registered Nurse Telephonic Case Manager /New Hire Trainer
February 2010-August 2011 OptumHealth, United Health Group, West
Chester, Ohio
Responsible for providing health education, coaching and treatment
decision support for members, as well as transitional case
management when member has been discharged from the hospital
Proficient in multiple computer programs/systems in order to gather
information regarding member’s health information, health plans,
medications & claims/benefits, as well as train newly hired case
managers
Chosen to work on Oxford business team with employees both in
West Chester office & Connecticut office to assist in smooth transition
to OptumHealth case management model
Selected by management team to precept & orient new employees to
the role of telephonic case managers
Recognized by management & site Medical Director for a Success
Story, in which a gap in care for member was identified & resolved
with my assistance
Registered Nurse/Charge Nurse: Advanced Care Unit (ACU)
August 2009-February 2010 Grandview Medical Center, Dayton, Ohio
Capable of interacting positively with multiple and different
members of health care team
Care for cardiac and surgical patients including: post-cardiac
catheterizations, pacemaker implantations, CHF/COPD exacerbations,
hemodialysis patients and patients needing post-stroke care
Chosen by peer to be mentor involved with center’s RN Residency
Program for recently graduated nurses
Registered Nurse: Nursing Services, Staff Resource/ Critical Care Nurse
June 2009- August 2009 Veterans Affairs Medical Center, Cincinnati, Ohio
**contracted through Supplemental Healthcare Staffing**
Floated to and worked on, Surgical Intensive Care Unit (SICU),
Medical Intensive Care Unit (MICU), Surgical Telemetry Unit (6
South), 6 North (Med/Surg Telemetry and Oncology).
Registered Nurse: LTAC Staff Resource/ Charge Nurse/ New Hire Trainer
May 2008-February 2009 The Drake Center, Cincinnati, Ohio
** contract completed through Preferred Healthcare Staffing/Nurses Rx**
** Telemetry Certified through University Hospital (Cincinnati) TMP Staffing test
proctor**
Able to work correctly and efficiently with limited nursing
orientation due to contract requirements
Performed Charge Nurse duties from 2nd week of assignment on
TBI/CVA Unit (A East)
Worked on Medical/Cardiac Telemetry with Ventilators (3
Hospital/South), Progressive Wound Treatment (4 North), and Spinal
Cord Injury (1 East) units
Preceptor for 2 nursing graduates (RN) to A East unit per nurse
manager request
Received Drake Center 2008 People’s Choice Award by being
mentioned in a patient survey for outstanding care
Registered Nurse: Nursing Services, Staff Resource/ Critical Care Nurse
January 2008-May 2008 Atrium Medical Center, Middletown, Ohio
** contracted through Cirrus Concept Consulting**
Floated to and worked on ETR Observation Unit, Cardiac Telemetry
Unit (CTU), Cardiac Intensive Care Unit (CICU), Intensive Care Unit
(ICU), Intensive Telemetry Unit (ITU), 4 North (Med/Surg and
Oncology) and 4 South (Med/Surg and Pediatrics).
Registered Nurse: Neonatal Intensive Care Unit (Level III)
October 2006-August 2007 Miami Valley Hospital, Dayton, Ohio
Provided nursing care to critically ill neonates, including: assessment,
appropriate medication administration, infant development,
implementation and evaluation of plan of care, discharge planning and
teaching of care to parents/caregivers.
Cared for infants with a variety of medical and developmental issues,
including those requiring mechanical ventilation, invasive procedures,
arterial & venous central lines (UAC/UVC), and laser eye surgery
Nominated for and received the Nurse Recognition for Excellence
Award in April 2007
Registered Nurse/ New Hire Trainer: Renal Transplant/ Diabetes Unit w/
Telemetry
June 2005-September 2006 Miami Valley Hospital, Dayton, Ohio
• Proficient in care of patients with Hemodialysis and Peritoneal Dialysis
catheters, as well as A/V fistulas
• Cared for new and prior renal transplant patients (including those from
ICU with Arterial Line placements), as well as Medical/Surgical patients
with renal/diabetic secondary diagnoses
• Telemetry/ Chemotherapy Certified through nursing unit specifications
• Served as Team Leader on needed shifts and preceptor for new Registered
Nurses
• Nominated for and received the Nurse Recognition for Excellence
Award in April 2006
Registered Nurse: Nurse Internship Program: Medical/Surgical Track
January 2005-May 2005 Miami Valley Hospital, Dayton, Ohio
• Clinical rotations within the Medical/Surgical Track were as follows:
4 Northeast, Renal Transplant/Diabetes Unit: see above
6 South Surgical Unit: Cared for general surgical patients
5 East/Southeast, Gynecological and Obstetric Surgery
Patient Care Technician: Orthopedic Unit, 3 East/Southeast
June 2002-December 2004 Miami Valley Hospital, Dayton, Ohio
Responsibilities consisted of assisting patients with activities
of daily living and providing comfort measures
Worked directly under the supervision of assigned registered
nurse, and also as a part of the healthcare team
Personal Care Attendant: Office of Disability Services
September 2001-June 2002 Wright State University, Dayton, Ohio
Duties included assisting with activities of daily living, transferring to
and from wheelchairs, as well as writing class notes and typing as needed
Western Governors University, Salt Lake City, Utah Online Degree Program
Education
November 2011-Present
Master of Business Administration (MBA) with a focus on
Healthcare Management
Wright State University, Dayton, Ohio
Graduation: November 2004
Bachelor of Science Degree, Nursing (BSN)
Green & Gold Scholarship Student