Registered Nurse Practitioner
Resume:
Kimberly Reid, APRN, PMHNP-BC
*******@*********.***
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
Contact this candidate