Leslie Carter

Nashville, TN *****

ad2p41@r.postjobfree.com

+1-615-***-****

Work Experience

Correctional Nurse

Wellpath - Nashville, TN

January 2020 to Present

• Assists in planning an individual treatment program by using available resources in planning care, and consults with RNs and other staff as appropriate while applying knowledge and resources in planning care and patient teaching.

• Implements individualized treatment programs as directed by the Health Care Practitioner.

• Count controlled substances, syringes, needles, and sharps at the beginning of each shift with another staff member and sign count logs.

• Implements clinical and technical aspects of care in accordance with established policies, procedures, and protocols. Intervenes with proper safety techniques, procedures, and standard precautions.

• Responds to a code or health emergency within standard guidelines.

• Implements medical plan through administering medications in accordance with Health Care Practitioner's orders and protocols: Administers medications according to proper techniques and procedures including IV therapy (when certified) and all other approved routes of administration. Uses pharmacy knowledge and available resources to include drug reactions and overdose in the administration of medications.

Charge Nurse

WATERS OF SMYRNA - Smyrna, TN

May 2019 to December 2019

As a charge nurse at our skilled nursing facility, a licensed practical nurse (LPN) leads the team to provide excellent patient care. Supervises support staff including training, scheduling and assigning work; reviewing performance of CNA and patient discharges; and assisting in problem-solving for staff issues.

● Providing nursing care to residents, including prescribed treatments, such as changing dressings, drawing blood, changing catheters, inserting or removing NG tubes, doing laboratory work, etc.

● Directing the day-to-day functions of nursing aides and support staff

● Performing administrative duties like documenting assessments, managing inventory and requesting supplies and equipment

● Admitting, transferring and discharging resident

● Performing emergency procedures like CPR and, in the event of death, notifying family and appropriate parties

Utilization Management Nurse

ANTHEM HEALTH SERVICES, INC - Nashville, TN

November 2015 to May 2017

Responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. Ensured Anthem

Health Services met CMS compliance standards in the area of service decisions and organizational determinations. Conducted timely clinical decision reviews for services requiring prior authorization in a variety of clinical areas, including but not limited to surgical procedures, Medicare Part B medications, Long Term Supports and Services (LTSS), and Home Health (HH). Provided decision-making guidance to clinical teams on service planning as needed.

• Implemented and administered medical policies to deliver oversight and integration of disease and medical care management programs, quality assurance, appeals and grievances, and regulatory compliance programs.

• Communicated results of reviews verbally, in medical records, and through official written notification to the primary care team, specialty providers, vendors, and members in adherence with regulatory and contractual requirements.

• Ensured accurate documentation of clinical decisions and verified consistency when applying policy.

• Collaborated closely with Clinicians, Medical Staff, and Peer Reviewers to facilitate escalated reviews in accordance with Standard Operating Procedures (SOPs).

• Performed ongoing communication with rendering service providers to ensure proper coordination of services.

• Participated in coordinating care for members with chronic illnesses, co-morbidities, or disabilities, as directed by the responsible RN, and in conjunction with the RN to ensure cost-effective and efficient utilization of health benefits.

• Escalated any concerns regarding appropriate receipt of approved and authorized services, compliance with regulatory requirements and other identified member safety or clinical care risks to the Care Management Supervisor.

LPN

SOUTHERN HILLS MEDICAL CENTER - Nashville, TN

November 2004 to September 2013

Performed the full range of daily monitoring direct patient care for 12+ patients. Provided comprehensive care to patients based on physicians' medical care plan to meet the physical needs of patients. Completed required patient care documentation and recorded significant observations and actions. Lead team nursing and head to toe assessments.

* Administered psychotropic, prescribed oral, subcutaneous, and intramuscular medications.

* Reviewed Quality Improvement Plans and demonstrated knowledge of Quality Improvement Process.

* Delivered patient care that was appropriate to the cognitive, physical and emotional needs of all patient groups served. * Provided drug information to patients and healthcare providers and counseled patients on safe and effective use.

* Effectively collaborated with physicians, physical and occupational therapists, social worker, and nutritionists to establish cross-cutting efforts to foster the most comprehensive patient care. Education

High school diploma in Leadership Healthcare

BETHEL UNIVERSITY - McKenzie, TN

2015 to Present

Nursing

TENNESSEE TECHNOLOGY CENTER - Paris, TN

1998

Nursing Licenses

PN

Expires: November 2025

State: TN

Skills

• EMR Systems

• Nursing

• Patient Care

• Tube Feeding

• Vital Signs

• Utilization Management

• Experience Administering Injections

• Medication Administration

• Venipuncture

• Epic

• EMR systems

• Vital signs

• Leadership

• Nursing

Certifications and Licenses

CPR Certified, American Heart Association 2015

Present Concentration: Organized Leadership Healthcare 199*-****-****

1993 1998 Licensed Practical

Contact this candidate