Mitzi Musick-Gothard
Clinical Internal Medicine Nurse Practitioner
Johnson City, TN 37615
*************@*****.***
I am an advanced practice nurse with 19 years clinical experience currently seeking employment within a busy clinical setting. Although I am grateful for the opportunity I've had to work and learn within the palliative care specialty, the independent, in-home setting has not proven to be where I feel most comfortable or perform my best. My goal is to re-establish myself in a primary care, urgent care or specialty setting working within a team. I enjoy learning within a regimented, challenging, yet safe environment.
Work Experience
Palliative Care Nurse Practitioner - Aspire Health - Nashville, TN August 2018 to Present
Providing quality palliative care for patients dealing with complex, advanced stage medical diagnoses
(cancer, COPD, CHF, connective tissue/auto-immune disorders, CKD, cirrhosis, etc). This is accomplished while collaborating with the patient’s other medical providers in attempt to maintain a team approach.
• Excellent communication skills are a must as one must explain diagnoses, explain end-of-life Expectations, and offer emotional support to patient and family.
• Management of patient panel consisting of nearly 200 patients and the needs of their families. Gastroenterology Nurse Practitioner - Gastroenterology Associates - Kingsport, TN August 2015 to August 2018
Developed an understanding and respect of gastroenterology as its own specialty.
• Extensive education provided by seven gastroenterologists while seeing patients on each physician’s schedule throughout the day.
• Management/treatment of multiple hepatitis genotypes.
• Management of Inflammatory Bowel Disease, cirrhosis, chronic constipation/diarrhea, IBS.
• Management of GERD, esophageal and gastric motility disorders, Barrett’s esophagus. Clinical Internal Medicine Nurse Practitioner - Clinchfield Family Medicine - Kingsport, TN July 2011 to August 2015
Managed the broad and comprehensive spectrum of illnesses that affect adults through diagnosis, treatment, health promotion, and disease prevention.
• Further developed understanding of essential steps needed to establish a private medical office proving financial viability, obtaining proper credentialing, establishing workspace and clinical workflow design, electronic health record establishment, development of revenue cycle, designing a web presence, appropriately marketing, hiring experienced staff for management assistance, billing, nursing, front desk, etc.
• Served as independent PCP, with own patient panel, seeing approx. 15-18 chronically ill patients with multiple comorbid conditions daily.
• Offered urgent/acute care visits within available time slots. Clinical Internal Medicine Nurse Practitioner - Apex Healthcare - Kingsport, TN August 2009 to July 2011
Developed an understanding of necessary steps required to establish a private medical office- I was employed during initial phase of establishment to work directly with the entrepreneur.
• Managed the broad and comprehensive spectrum of illnesses that affect adults through diagnosis, treatment, health promotion and disease prevention.
• Developed further knowledge regarding the country's opioid epidemic and necessary safeguards a provider must possess/develop in order to deal with the addicted in private office setting.
• Served as independent PCP, with own patient panel, seeing approx. 20 chronically ill patients with multiple comorbid conditions daily.
• Offered urgent/acute care visits within available time slots.
• Completed 240 hrs of preceptorship to family practice nurse practitioner student of East TN State University (June 2011 to August 2011).
Clinical Internal Medicine Nurse Practitioner - Community Medical Care - Lebanon, VA May 2009 to August 2009
Worked independently between multiple primary care offices within rural communities of Southwest Virginia- Hansonville, Castlewood, Rosedale and Lebanon.
• Educated patients of rural areas regarding need for glucose, cholesterol and weight control, preventative medicine/healthy lifestyle, smoking/alcohol cessation, medication management.
• Assessed and treated approx 14 patients with multiple comorbid conditions, and the occasionals with acute illness, daily. This patient population needed a great deal of direct patient time for education and counseling. Many had previously worked in coal mines making respiratory work-ups necessity given abundance of Black Lung Disease, COPD and tobacco use. Clinical Family Practice Nurse Practitioner - Holston Medical Group - Weber City, VA February 2002 to May 2009
Managed acute and multiple comorbid conditions throughout the entire lifespan.
• Accepted optional shifts and/or mandatorily rotated through the company's urgent care centers during evening hours- Weber City, VA, Sapling Grove, Bristol, TN, and Stone Drive, Kingsport, TN.
• Learned the multi-specialty approach to healthcare through one 'medical group' encompassing not only primary care providers but specialists practicing within most medical specialties.
• Workload of 20-23 complex chronic and acute cases daily.
• Was first NP within the group allowed to establish my own patient panel serving as the PCP for those individuals.
• Completed 560 hrs of preceptorship to adult/occupational health nurse practitioner students of Vanderbilt University, Nashville, TN, (September 2002 to Aug 2003).
• Competed 129 hrs of preceptorship to family/midwifery nurse practitioner student of Frontier School of Midwifery, Hyden, KY (March 2009 to August 2009). Clinical Registered Nurse - ATC Healthcare Services - Knoxville, TN March 1999 to April 2002
Clinical registered nurse positions on medical surgical, psychiatric, acute long-term care and critical care floors/units in area hospitals in need of agency/PRN staffing. Primary sites Ft. Sanders Regional and St. Mary's Hospitals. I further developed nursing skills throughout multiple specialties and the ability to quickly adapt to necessary needs of changing patient environments. Clinical Family Practice Nurse Practitioner - Rocky Top Medical Center - Sevierville, TN February 2001 to February 2002
Began managing both acute and chronic medical conditions throughout the patient lifespan within a private family practice setting. Workload of approx. 20 patients daily. Clinical Registered Nurse - Bristol Regional Medical Center - Bristol, TN September 1998 to September 1999
Charge nurse position on medical surgical/psychiatric floor with patients of age throughout lifespan including an adolescent unit.
Clinical Registered Nurse - Woodridge Psychiatric Hospital - Johnson City, TN July 1997 to September 1998
Charge nurse position with concentration on adolescent but experience working all other mental health units as well- intensive/acute, geriatrics, detox. Education
Masters of Science in Nursing Bachelors of Science in Nursing Vanderbilt University - Nashville, TN Milligan College - Elizabethton, TN August 2000 May 1997
Associate of Applied Science in Medical Assisting
East TN State University - Johnson City, TN
August 1994
Nursing Licenses
RN CNP
Expires: February 2020 Expires: February 2020
State: TN State: TN
TN DEA
February 2020
Skills
Urgent Care, Geriatrics, Acute Care, Suturing, BLS, LEADERSHIP SKILLS (10+ years), PROBLEMSOLVING
(10+ years), Internal Medicine, Primary Care, Geriatric, RN, CMA Additional Information
I have the ability to diagnose and treat both simple acute and chronic advanced stage medical conditions throughout all bodily systems. I also have excellent communication abilities and interpersonal skills necessary for providing appropriate levels of empathy/compassion to patient, family and extended family members experiencing extreme levels of emotional stress. My experience has helped me fully-develop leadership skills pertaining to the nursing field as a profession. Furthermore, my self-confidence, analytical skills, problem-solving skills, knowledge of both math and science, maturing throughout my years of experience as an advanced practitioner, have allowed me to develop a loyal patient panel.