Mental Health Customer Service
Resume:
Kim Lieto RN, BSN, MSN (Doctoral Candidate)
Colorado Springs, CO 80919
*********@***.***
PROFESSIONAL SKILLS:
Medical & Clinical Software (Meditech, Epic, KanTime, Availity, Klara, Zoho) Business Programs (Commercial/Medicare insurance carrier platforms, Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft OneNote, Microsoft Teams, Outlook, Zoom) Business Systems Analysis (Microsoft Visio)
E-Learning (Canvas, ProjectConcert, Ebsco, PubMed) PROFESSIONAL EXPERIENCE: TMS Nurse
Southern Colorado TMS Center, LLC
3630 Sinton Road
Colorado Springs, CO 80907
3/2021-current
-TMS nurse and clinical leader for small mental health office, serving patients with treatment resistant depression. Responsible for the overall therapeutic milieu of the office, primary point of conduct including introduction, quality customer service, continuity of care, coordination of services, and patient advocacy.
-Conduct assessments for all incoming patients, including a clinical review and mental health history. Clinical, demographic review of psychiatric criteria, necessary for gaining insurance approval. Medical review for assessing contraindications for potential transcranial magnetic stimulation (TMS).
-Prior authorization request submission to insurance carrier with clinical oversight and follow up. Perform cortical mapping identifying treatment protocols, obtain physician orders, and reevaluations during treatment.
-Maintain statistics on depressive rating scales (DRS), held AfterCare meetings with patients to identify plan of care following TMS.
-Provide detailed, extensive follow-up with stakeholders, ensuring best practices. Interact with medical/clinical directors daily for projects, problems, and resolution. Identify gaps in service, and created patient-centered processes with monitoring systems.
-Engage with community partners for collaboration on TMS services, coordinate treatment plans, and participate in resource fairs for the organization.
-Policy and procedure review, update organizational needs, development, implementation, and evaluation. Create policy/procedure manuals and update annually. Employee certification and annual training in-services.
-HIPPA Compliance officer. Employee health coordinator, monitoring incidents, sick days, and annual immunizations.
- Monitor and track licensure for all staff, accreditation for facility and providers, provider network status. Secure Single Case Agreements for out-of-network carriers.
-Conduct successful, in-house surveys with insurance carrier reviewers. Participate in interviewing and hiring of employees, terminations, and employee performance evaluations.
-Lead clinical, patient-centered training for TMS technicians, monitor documentation, and evaluate treatment plan efficacy, and protocol changes where indicated bast on best-practices. RN, BSN MGA Home Care: Field Nurse/Case Manager
1355 Garden of the Gods Rd.
Colorado Springs, CO 80907
5/2019-3/2021
-Direct a multidiscipline team in clinical support throughout the healing process by coordinating care delivery for pediatric patients.
-Conduct assessments and plan of care development. Establish goals, interventions and evaluations to include education of the patient and their families
2
-Clinically proficient in providing ventilator care and tracheostomy care, multi-system assessments, CPT vest treatments, direct patient care and enteral feedings, Kangaroo Pumps, SMART Pumps, Hoyer Lifts, Accudoses and NOVA Stat Strip Meters
-As a pediatric home care nurse, I provided education, training, and clinical support throughout the healing process by coordinating care delivery within a multidisciplinary team. I provided medication administration, education, accompanied patients to school and medical appointments.
-Maintain EHR and clinical documents as per requirements CHUBB Insurance, Warren, NJ: RN Case Manager
8/2002-12/2018
-Direct coordination of in-home skilled nursing care, including assessments, direct client care, patient/family education and transitions of care. Evaluate client nursing needs and develop plan of care and goals appropriate to client assessment per physician orders
-Responsible for planning, implementation, evaluation and communication, referral for all phases of in-home nursing care and treatment plan development.
-Oversaw disciplines and delegation of patient care to team members according to skill level, patient acuity and plan of care
-Facilitated team meetings, case conferences, and in-service education as required Care Tenders, Cincinnati, OH: RN Case Manager
10/1997-8/2002
-Supervised and managed review of reports, staff development
-Reviewed case records and reports, collected and analyzed data, evaluated clients medical and vocational status and define need and problems in order to provide proactive case management services
-Demonstrated ability to meet or surpass administrative requirements including assessments, productivity, time management, quality assessment (QA) standards with a minimum of supervisory intervention
-Rendered opinion regarding case cost, treatment plan, outcome and problem areas and made recommendation to facilitate case management goals
-Maintained contact and communicated with stakeholders to apprise them of case activity for services. Maintained contact with all parties involved on case, necessary for rehabilitation of clients
-Demonstrated excellent customer service and respect for customers, co-workers and management
-Independently approached problem resolution by appropriate use of research and resources, performed other duties as assigned
State Of Ohio, Department of Mental Health, Cincinnati, OH: RN Mental Health Administrator 3/1986-9/1997
-Responsible for cross-program operations of care coordination programs. Collaborated across departments, including behavioral health, created and integrated priorities and implement strategies and initiatives to achieve clinical and administrative goals and facilitate outcomes
-Supported alignment of care coordination programs focusing on operational efficiencies and program efficiency
-Provided clinical management support to Care Coordination and supervised team meetings with multi-disciplinary team including integration of physical and behavioral health
-Worked with the leadership team to coordinate content and completion of Care Coordination deliverables.
-Represented State of Ohio, Care Coordination programs in the community including case management and probate court hearings
EDUCATION:
Doctor of Nursing Practice (DNP) Aspen University
4615 E. Elwood St. Suite 100
Phoenix, AZ 85040
August 2023. Due to graduate 8/2025 Current GPA 3.8/4.0 Master of Science Nursing Informatics Specialist
3
Chamberlain University
Downers Grove, Illinois
Graduation August, 2020
GPA: 3.7/4.0
Bachelor of Science in Nursing
Chamberlain University
Downers Grove, Illinois
May, 2019, GPA 3.8/4.0
Associate Degree, Nursing
University of New York, NY
June, 1995 GPA 3.8/4.0
Great Oaks School of PN
Cincinnati, Ohio
December, 1985 GPA 3.7/4.0
PROFESSIONAL CERTIFICATIONS:
-American Heart Association, BLS Health Care Provider (Active)
-Registered Nurse License, NURSYS (Active)
AFFILIATIONS:
-American Nurses Association
-Colorado Nurses Association
-ANIA
-NSO
CONFERENCE PRESENTATIONS:
- Capstone PowerPoint presentation El Paso County School District 11, Board of Education, 2019 Professional and personal references available upon request
Contact this candidate