Carolann Billie Williams RN MSN

*** ****** ****** ******** *********** 39218 601-***-**** ad4pja@r.postjobfree.com PROFESSIONAL OBJECTIVE: A career opportunity in a progressive healthcare environment that enables me to utilize my diverse clinical background to impact on the outcome of patient related services. EDUCATION: Certificate of Veterans Affairs, August 2017, Mississippi State University Certificate of Gerontology, June 2017, University of Phoenix Master of Science in Nursing, March 2016, University of Phoenix Bachelor of Science in Nursing, June 2014, University of Phoenix Associate in Applied Sciences in Nursing, December 1993, Hinds Community College, Jackson, MS LICENSURE/ CERTIFICATES:

• BLS instructor Advanced Training Center 6/4/2014- 6/4/2018

• New York State and Mississippi State Registered Professional Nurse

• Basic Life Support Provider, American Heart Association

• PRI Assessor, New York State Department of Health

• Critical Care Nursing Course (25 CEU), Laura Gasparis Vonfrolio (2009)

• Sexual Assault Forensic Examiner (SAFE) Certification, NYC Alliance Against Sexual Assault (2007)

• Rape Crisis Counselor Confidentiality Privilege, Mount Sinai Sexual Assault and Violence Program (2006) EXPERIENCE:

09/2020- PRESENT Care Centrix, Nurse Coach 20 Church Street Hartford, CT 06103- Remote

• Responsible for educating patients about their disease, medications, and all aspects of care following hospitalization/clinic visit

• Work collaboratively with interdisciplinary teams

• Educate patients on pathophysiology and health promotion, managing acute and chronic illness, and postoperative care

• Plan health education programs, prepare teaching materials, develop teaching plans tailored to individual patients and their needs

02/2019- 09/2020 Care Centrix, Nurse Liaison 20 Church Street Hartford, CT 06103- Remote

• Managed the transition of assigned Post-Acute patients from acute care setting to the skilled nursing facility and/or home setting utilizing face to face and/or telephonic outreach to accomplish the goals of the Post-Acute Program

• Care coordination and facilitation with hospital discharge planners, case managers and hospitalist to obtain Post-Acute orders for engagement. In partnership with the UM team, authorized admission and continued stay at Skilled Nursing Facilities and Home Health care using approved medical care guidelines and collaboration with physicians and professionals within the healthcare setting

• Engaged the patient/caregiver using tools such as standard assessments, patient care plans, and documented all interactions in the Homebridge care coordination platform

• Communicated patient plan of care and discharge status with the Primary Care Physician and/or Specialist Carolann Billie Williams

• Facilitated obtaining appropriate home health physician orders for the home care services when needed

• Acted as a clinical resource for unlicensed Post-Acute Care Coordinators, providing clinical expertise and helping to clarify referral source directives. Received/responded to requests from unlicensed staff regarding scripted clinical questions and issues

• Contacted referral sources to advise them of referral status

• Participated in performance, operational and quality improvement activities and ensures the collection of data for improvement analysis and prepares reports as requested

• Communicated customer service/provider issues to supervisor for logging and resolution

• Assisted team in implementing and maintaining standardized operational processes to ensure compliance to company policies, legal requirements and regulatory mandates

• Participated in implementing / maintaining operational processes to ensure compliance to company policies, legal requirements and regulatory mandates

Carolann Billie Williams

10/2017- 02/2019 Age Well New York, RN Care Manager

• Designated responsible for the clinical review of acute and subacute services for appropriateness based on medical criteria

• Utilized effective and efficient clinical resources to support care management services among members

• Monitored and facilitated cost-effective utilization of resources using appropriate clinical criteria

• Provided all reviews in compliance with regulatory requirements and clinical criteria guidance

• Served as a patient advocate, seeking and coordinating solutions to members' health care needs without compromising quality outcomes

• Followed the utilization management process with clinically sound judgement, respecting patients' and providers' rights

• Interfaces with physician's offices, facilities and other providers of health care services and supplies to ensure appropriateness of requested services

• Documented outcomes of UM reviews in the member's care management record, promptly and accurately, in a timely basis and in compliance with Age Well New York standards and federal/state regulations

• Coordinated with facilities and, acting in conjunction with the clinical team, ensures that transition planning and coordination is carried out so that discharge can occur on a timely basis and the return to home or other placement is seamless

• Processed appeals related to concurrent and retrospective reviews as required

• Functioned as a resource to the care teams regarding approved criteria, clinical practice guidelines and alternative treatment options as examples

• Trained, evaluated and supervised new employees for inpatient Care Management Position 8/2014- 3/2017 St. Francis Hospital, RN Care Manager Roslyn, NY

• Perform concurrent and retrospective reviews of medical records from day of admission to day of discharge

• Work collaboratively with a multidisciplinary team of professionals to promptly initiate discharge planning

• Review complex cases with Physician Advisor, evaluate appropriateness of admissions, level and intensity of services

• Daily rounds, Broad experience with Medicaid, Medicare, managed care InterQual and Milliman Care Guidelines

• Trained, supervised and evaluated new employees in Care Management Positions 11/2010- 7/2014 Nassau University Medical Center, RN Case Manager East Meadow, NY

• Perform concurrent and retrospective reviews of medical records from day of admission to day of discharge

• Work collaboratively with a multidisciplinary team of professionals to promptly initiate discharge planning

• Review complex cases with Physician Advisor, evaluate appropriateness of admissions, level and intensity of services

• Daily rounds, Broad experience with Medicaid, Medicare, managed care InterQual and Milliman Care Guidelines

• Discharge planning, subacute, acute, assisted livings, reinstatement of home health aides, home care

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06/2007-07/2010 The Hospital for Special Surgery, RN Case Manager New York, NY

• Case Management, Utilization Review and Discharge Planning duties for Orthopedic and Spinal Surgery Services

• Performed concurrent and retrospective reviews of medical records from day of admission to day of discharge

• Reviewed complex cases with the Physician Advisor; evaluated appropriateness of admissions, level and intensity of services required and seek cost-effective alternatives of care within acceptable time margins

• Made daily rounds; verify that interdisciplinary documentation effectively substantiates are rendered Carolann Billie Williams

• Determined medical necessity by utilizing InterQual Criteria® and Milliman Care Guidelines®

• Broad experience with Medicaid, Medicare, managed care and third party reimbursement criteria

• Submitted length of stay and discharge status reports; identified barriers impeding timely care delivery

• Successful in negotiating authorizations and continued stay approvals from managed care providers

• Trained and Supervised and evaluated new employees in Care Management Positions 09/2002-06/2007 Caritas Health System - St. John’s Queens Hospital, RN Case Manager Elmhurst, NY

• Maintained concurrent and retrospective reviews in a 10-bed CCU, 10-bed MICU and 34-bed Orthopedic Surgery Unit.

• Effective communication and relationships with representatives from a myriad of managed care providers; highly successful in securing authorizations and negotiating continued stay approvals.

• Arranged a variety of discharge plan components, including long-term care, rehabilitation, home care services, hospice, durable medical supplies, occupational/ respiratory/ physical, speech therapies and community referrals.

• Interviewed patients and primary care physicians; projected goals for prompt return to work.

• Worked closely with the NYS Insurance Fund to facilitate payments; verified that documentation corroborated 05/2002-08/2002 Concentra Integrated Services, Field Case Manager (Temp. Position) Woodbury, NY

• Conducted reviews of worker’s compensation cases from day of injury through final discharge of the claim

• Medical justification for the claim and arranged independent medical examinations as necessary 04/1999-05/2002 Long Island Jewish Medical Center, Staff Nurse - Post-Anesthesia Care Unit New Hyde Park, NY

• Frequent charge role in a 33-bed unit recovering adult and pediatric surgical patients in a Level I Trauma Center

• Clinical duties similar to those detailed under current position 03/1998-11/1998 Northern Westchester Hospital, Staff Nurse - Post-Anesthesia Care Unit Mt. Kisco, NY

• Clinical duties similar to those detailed below

10/1997-02/1998 Lloyd’s Staffing Agency, Staff Relief - Post-Anesthesia Care Unit Great Neck, NY

• Consistent assignment to North Shore University Hospital; recovered inpatients and overflow of same day surgeries

• Stabilized direct O.R. admissions following general, spinal, MAC, epidural and regional anesthesia

• Typical surgeries: orthopedics, GYN, GU, GI, trauma, neurosurgery, reconstructive and general procedures

• Performed hemodynamic monitoring; maintain A-lines and triple lumen catheters, CVP Swan-Ganz and ICP

• Utilized advanced skill in respiratory assessments and care of ventilator patients; assisted with extubation

• Administered pain therapies via epidural and IV-PCA.; titrate vasopressors, antiarrhythmics and other critical drips

• Extensive experience with hemovacs, chest tubes, Jackson-Pratt, CSF drains, VAC dressings and T-tubes 06/1996-10/1997 St. Dominic’s Hospital, Staff Nurse - Coronary Care Unit Jackson, MS

• Received direct admissions from the O.R. for post-anesthesia recovery from open-heart; managed post valve replacements, cardiac catheterizations, MI, AAA repairs, pacemaker insertions and other cases

• Proficient in hemodynamic monitoring; member of hospital-wide code team with skill in cardioversion

• Counseled patients and family members regarding advanced directives and end-of-life decisions Carolann Billie Williams

05/1995-02/1997 Mississippi Methodist Rehabilitation Center, Staff Nurse Jackson, MS

• Performed daily health assessments to evaluate patient's physical, mental and emotional status and implemented and evaluated plans of care

• Communicated with patients, families and co-workers in an empathetic and caring manner

• Delivered quality care to all patients, preserved and protected patient rights

• Performed medication administration, including titration, following established protocols

• Documented patient information accurately and effectively 07/1993-01/1997 Mississippi Baptist Medical Center, Staff Nurse - Medical/ Surgical Jackson, MS

• Provided quality nursing care to patients on a 36 bed Medical/Surgical Diabetic Unit,

• Administered insulin drips, and educated diabetic patients on diabetes management and treatment

• Assessed patients with HIV and Sickle Cell Disease and provided treatment, education and counseling

• As Charge Nurse supervised nursing team and monitored care delivery to patient in unit, trained new nurses and supervised, evaluated their work and documentation.

References will be provided upon request

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