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Registered Nurse Practitioner

Location:
Atlanta, GA
Posted:
September 23, 2020

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Resume:

Kimberly Reid, APRN, PMHNP-BC

678-***-****

adgc1y@r.postjobfree.com

Board Certified Psychiatric Nurse Practitioner seeking a challenging and rewarding role.

Experience

**/*/****-*/**/2020 Life Healing Center Loganville, GA

Psychiatric Mental Health Nurse Practitioner Student: Preceptorship

Interviewing and obtaining medical history from psychiatric patients across the lifespan; in the outpatient private practice setting

Documenting the subjective and objective findings into the ICAnotes electronic health record

Impression and plans discussed; with treatment plans developed by the student learner with the preceptor’s guidance and supervision

Cognitive behavioral therapy with psychotherapist

Educational insight provided by Charles Guillaume PMHNP, and psychotherapist Michael Bergquist, LPC

9/2/19-11/6/2019 Psychiatric Consultants of Atlanta Sandy Springs, GA

Psychiatric Mental Health Nurse Practitioner Student: Preceptorship

Interviewing and obtaining medical history from psychiatric patients across the lifespan; in the outpatient private practice setting

Documenting the subjective and objective findings into the Practice Fusion electronic health record

Impression and plans discussed

Educational insight provided by psychiatrist Dr. Bryon Evans, and CNS Taryn Lazzari

5/2019-8/2019 Temple Medical Clinic Temple, GA

Preceptorship in Internal Medicine Setting

Interviewing and obtaining medical history from patients across the lifespan; in the outpatient internal medicine private practice setting

Documenting the subjective and objective findings into the electronic health record

Impression and plans discussed

Educational insight provided by Lori Hudson NP

10/2019-Current Northside Gwinnett Lawrenceville, GA

Utilization Review PRN

Utilization review for inpatient stays

Collaborating with interdisciplinary healthcare teams to ensure admission and discharge appropriateness

Providing relevant written and or verbal data to insurance companies to drive appropriate reimbursement

Experience with InterQual evidence-based guidance tool

Meticulously documenting indications for admission and interventions provided in the Allscripts electronic health record

7/2018-8/31/2019 GreenKey Resources: Blue Cross of Idaho Remote-Work from Home

Appeals and Denials Nurse Contractor

Reviewing post-service appeals requests; to include behavioral health appeals

Navigating through various clinical applications necessary to compile data

Collaborative efforts with various internal disciplines to gain further insight to drive the direction of a given case

Analyzing enrollees’ medical records, benefits, and evidence-base guidelines to provide a written recommended determination to the Medical Directors

Complying with time constraints

Meticulously documenting in various systems necessary for processing and case updates

Experience with CMS National and Local Coverage Determinations, InterQual Guidelines, Blue Cross’ Medical Policies

1/2016-3/2018 Aetna Remote-Work from Home

Appeals Nurse Consultant

Reviewing expedited, pre-service and post-service appeals requests; to include behavioral health appeals

Navigating through various clinical applications necessary to compile data

Collaborative efforts with various internal and external disciplines to gain further insight to drive the direction of a given case

Analyzing enrollees’ medical records, benefits, and evidence-base guidelines to provide a written recommended determination to the Medical Directors

Complying with time constraints

Meticulously documenting in various systems necessary for processing and case updates

Experience with CMS National and Local Coverage Determinations, Milliman Care Guidelines, Aetna Clinical Policy Bulletins

Precepting new hires

Auditing charts

10/2014-3/2016 Gwinnett Medical Center Lawrenceville, GA

Registered Nurse Resource Case Manager: Staff to PRN

Analyzing, managing and following outpatient, observation and inpatient admissions in the infant to adult populations

Collaborating with interdisciplinary healthcare teams to ensure admission and discharge appropriateness

Coordination of care and assessment of needs from admission through discharge

Providing relevant written and or verbal data to insurance companies to drive appropriate reimbursement

Experience with InterQual, and referring appropriate written cases to secondary reviewer

Meticulously documenting indications for admission and interventions provided in the Allscripts electronic health record

9/2014-2/2015 Northeast Georgia Health System Gainesville, GA

Master’s Nursing Student - Clinical Informatics Analyst

By way of practicum experience, exposed to project management teamwork and collaborative efforts, triage assignments, and troubleshooting efforts

Exposed to McKesson’s Paragon Care Station nursing assessment, physician document, dietary, and medication administration builds; the modification of preexisting developments, as well as Meaningful Use (MU) guides, best practices, variances that drive developments; data aggregation, extraction, and analysis

Completed a Physician Documentation Optimization Project, by way of system design lifecycle (SDLC) and iterative process methodologies; to enhance legal document standardization, and to contribute to social change

3/2009-09/2014 UnitedHealth Group Telecommute

Registered Nurse Case Manager

Rendering chronic disease management education services to Medicare and Medicaid recipients and their families in an effort to improve overall quality outcomes; while increasing member awareness, self-management and empowerment; conducive to decreasing utilization, disparities and expenditures

Completing Community Assessment annually, post-hospital assessments as needed, and following up with the member monthly to update the plan of care

Collaborating with interdisciplinary team members such as physicians, pharmacists, social workers, and behavioral health advocates to determine how members can be best supported by way of care coordination

Initiating referral process as needed

Documenting meticulously in patients’ EHR

Addressing nurse line calls and referrals assigned

Educating staff members on the use of the Autodialer application

1/2008-2009 Amedisys Home Health Lawrenceville, GA

Home Health Nurse-PRN

Admitting and assessing the home care patient; to include surgical, elderly, psychiatric, and developmentally delayed

Patient and caregiver teaching on disease process

Performing wound care and other treatments ordered

Documenting meticulously in patients’ EHR

2005–2010 Piedmont Hospital Atlanta, GA

Staff Registered Nurse – Medical Surgical

Admitting and assessing the medical-surgical patient

Administering medications and treatments ordered

Collaborating with interdisciplinary team

Delegating appropriate tasks to unlicensed personnel

Documenting meticulously in patients’ EHR

2002-2003 Harvard Street Health Center Dorchester, MA

Adult Medicine Nurse Manager

Evaluating staff and specific clinical requirements with physicians

Patient and family teaching on health care needs, and options.

Preparing staff schedules, delegating tasks to staff and students

Ensuring staff are following appropriate protocols, policies and procedures

1999–2005 Praestar Health Inc., Preferred Healthcare Inc., Culture Care MA

Temp Agency Registered Nurse

Temp nurse at various long-term, rehab, and sub-acute facilities.

Providing nursing care to the elderly, psychiatric, geriatric psychiatric, Alzheimer’s/dementia, traumatic brain injured, and developmentally delayed patients

Assessing patient status, carrying through with appropriate interventions and action plans as needed, administering prescribed medications

Performing ordered treatments and dressing changes

6/1999-12/1999 New England Rehabilitation Hospital Woburn, MA

Staff Registered Nurse - Orthopedic Unit

Second in charge on orthopedic unit.

Assessing patient status, administering medication and gastrostomy nutrition, and performing prescribed treatments.

Delegating tasks to unlicensed personnel and agency nurses.

Floating frequently to traumatic brain injury and spinal cord injury units as needed.

Education

Post-Master’s Certificate 8/2018-4/26/2020

Concentration: Psychiatric Nurse Practitioner

Regis College

Weston, MA

Master’s in nursing 4/2012-2/2015

Concentration: Nursing Informatics

Walden University

Minneapolis, MN

Associates Degree of Science in Nursing 1/1997-12/1998

Concentration: Nursing

Laboure’ College

Dorchester, MA

References furnished upon request



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