Nurse Practitioner Care Giver
Resume:
Debra Fulton-Fisette, RN, MSN, APRN, FNP-BC
The Villages, FL 32163 *****@*******.*** 904-***-**** (C)
Summary of Qualifications
Compassionate healthcare professional with more than 22 years of experience in clinical practice and 12 years’ experience in the healthcare delivery system. Patient and staff-focused NP with an ability to drive productivity and quality patient care standards. Proactive leader with exceptional work ethic and people skills.
Credentialed as Advanced Registered Nurse Practitioner (FL). Previously held: FL, GA and TX Nursing Licenses; Certified Professional Coder/AAPC and BCLS, ACLS and PALS Instructor Certifications.
Comprehensive background in primary medicine, pain management, correctional medicine, in-patient management, occupational health injuries and management, urgent care (All ages) and procedures, home health planning and treatment, medical record documentation, patient relations, quality assurance/auditing, risk management and medical billing/coding.
Expertise in medical record documentation and review. Experienced expert witness in legal cases.
Skilled in inpatient and outpatient family practice, pain management, and urgent care (all ages).
Creative, patient-centered practitioner with in-depth physical assessment, differential diagnosis, medical treatment and wellness management/disease management skills. Energetic, loyal, and self-motivated team player/coach with proven integrity. Proactive leader and conceptual thinker with a superior work ethic.
Knowledgeable and experienced in disease management/prevention, medical record documentation, national health policy, government regulations, anti-fraud risk management, compliance, public speaking, and negotiation.
Exceptional oral/written communication, clinical, business/office management, patient and staff education, presentation, organizational, assessment and leadership skills.
Proficient in Microsoft Office Suite. EMR’s include Athena, NexGen and other applications.
Professional Experience
The Villages Health- The Villages, FL 07/13/2020-Current
Nurse Practitioner- Interventional Pain Management/Urgent Care Center NP/Pain Management Consultant
Recruited as a Nurse Practitioner to provide specialized medical care to adults with chronic and acute pain issues. Perform injections- bursa/trigger point/blocks/intra-articular, order diagnostic and interventional pain management services. Review detailed imaging, determine service needs and educate patients on self-care, medication alternatives, exercise, weight reduction and medications. Involved in utilization management, cost mitigation and quality efforts across the division. Work Urgent Care Clinic 2 times per month, caring for the urgent medical needs of patients. In April 2022 moved to the Primary Care Division to lead chronic pain management of our patients in primary care. Roles include educator, trainer, consultant and medical care giver.
PROSPIRA PAIN CENTERS- The Villages, FL 04/29/19- 07/01/2020
Nurse Practitioner
Recruited as a Nurse Practitioner to provide specialized medical care to adults with chronic and acute pain issues. Perform injections- bursa/trigger point/blocks/intra-articular, order diagnostic and interventional pain management services. Treat occupational health injuries. Provide direct care for 25-30 daily patient visits. Left position due to Covid Pandemic and downsizing.
Family Care Partners- Jacksonville, FL 12/11/17- 03/31/2019
Nurse Practitioner- Wellness Clinic Coordinator/Urgent Care/FP
Recruited as a Nurse Practitioner to develop, coordinate, manage, and maintain a total Wellness Clinic program to reduce health risks, medical costs, and encourage patients to live healthy lifestyles. Ensures the delivery of compassionate quality care and provides clinical supervision by assuring adequate clinical services, staff coverage, patient education, and clinical readiness of the Wellness Clinic. Provides direct patient care, quality assessments/audits and staff education to assure compliance.
Provides clinical support/coverage to the Urgent Care facility and Family Practice.
Clinical Preceptor for Jacksonville University and University of North Florida in MSN/DNP Programs.
Riverside Spine & Pain – jacksonville, fl 05/17 - 12/7/17
Nurse Practitioner
Recruited as a Nurse Practitioner to provide specialized medical care to adults with chronic and acute pain issues. Perform injections- bursa/trigger point/blocks/intra-articular, order diagnostic and interventional pain management services. Treat occupational health injuries. Provide direct care for 30-35 daily patient visits.
Lakeview Health System- Jacksonville, FL 09/16 – 05/17
Nurse Practitioner
Recruited as a Nurse Practitioner to return to a multi-site, inpatient substance abuse treatment facility. Provide hospital coverage, admissions, discharges and daily rounds on patients. Perform lectures to patients every 1 to 2 weeks. Manage emergencies and urgent patient visits.
N.P. Cares of America, INC- Jacksonville. FL 01/09 – 09/16
Nurse Practitioner – President/Owner
Contract/Per-Diem Nurse Practitioner working for various entities from private practice/companies, Urgent Care to hospitalist coverage.
oHospitalist coverage
oFamily Practice and Pediatric coverage
oClinical Educator- Cambridge College & Preceptor- UNF
oARNP at Urgent Care Center
oARNP at inpatient substance abuse hospital- admissions/discharges/daily rounds
oPerforming Medicare Risk Assessments as federal mandate requires
oEmployee Health Clinic ARNP
oPerform risk management wellness physical exams and disease management/prevention education for various fire and rescue providers and law enforcement officers throughout Florida
oLegal nurse consulting services performing medical record review for appropriateness of documentation, care provided
Duval County HD- Bay Street Clinic . – jacksonville, fl 10/06 - 04/09
Clinical Associate/Advanced Registered Nurse Practitioner
Recruited as a Nurse Practitioner for a 24/7 medical clinic at Jacksonville’s Pre-Trial Detention Facility, under new contract with the DCHD. Supervise, via matrix line, five or more staff and provided direct primary care for 35 plus patients daily.
Responsible for medical care of the Community Corrections Division Inmates.
Responsible for and provided medical care for the Women’s Health Clinic weekly.
Solantic Urgent care centers, Inc. – jacksonville, fl 09/03 - 02/05
Nurse Practitioner
Recruited as a Nurse Practitioner for a rapidly expanding, multi-site, urgent care center. Supervise three to five staff and provide direct urgent/emergency care for 25-35 daily patient visits. Perform initial and follow up occupational health evaluations and treat injuries. Order and interpret Xrays, injections, laceration repairs, management of infections. DOT examinations as NRCME.
First Coast Service Options, Inc. – Jacksonville, FL 11/91 - 07/03
Worked in multiple positions for the insurance company with the federal contract to adjudicate Medicare claims in Florida and Connecticut. Worked within Program Safeguards Division of the Medicare contractor for Florida and Connecticut. Ranged from medical policy analyst, fraud unit consultant, provider and beneficiary educator and manager of medical data analysis unit.
Manager / Senior Data Analyst/Data Analyst, 4/98-07/2003
Senior Provider Education Specialist, 9/97-4/98
Medical Consultant / Senior Educator, 1/93-9/97
Medical Policy Project Leader, 11/91-1/93
University of North Florida – Jacksonville, FL 2000 - 2002
Adjunct Instructor
Developed and taught Medical Coding and Medical Secretary program courses in the College of Continuing Education.
Baptist / St. Vincent’s Primary Care – Jacksonville, FL 06/96 -12/00
Nurse Practitioner
Dr. Shirley Nagel – Mt. Dora, FL 08/90 - 11/91
Nurse Practitioner- Internal Medicine
Lake Cardiology – Mt. Dora, FL 09/89 - 8/90
Critical Care Rounding Nurse/ARNP- Cardiology
Healthfield Services, Inc. – Atlanta, GA 07/88 - 08/89
Clinical Director- Pediatric Home Health/Infusion Division
Emory Hospital – Atlanta, GA 01/87 - 06/88
Clinical Nurse Specialist- Pediatric Trauma/Surgery/Neonatology
Education and Specialized Training
University of Texas – El Paso, TX 08/79-12/81
Pre-Nursing Studies
University of Texas Medical Branch – Galveston, TX 01/82-12/83
B.S.N.
University of Texas Graduate School of Bio Medical Science – Galveston, TX 06/85-12/86
M.S.N. / Nurse Practitioner (PNP)
University of North Florida Graduate School of Nursing – Jacksonville, FL 08/03-08/05
Family Nurse Practitioner Post Graduate Certificate Program (FNP)
American Academy of Professional Coders- Certified Professional Medical Coder 1999-2004
American Nurse’s Credentialing Center- Board Certified FNP 11/08-11/23
ACLS and BCLS Certified 2009-Current
Department of Transportation Certified Medical Examiner (NRCME) 04/14
DOT Medical Examiner
Controlled Substance Registration (DEA) 09/30/19- 09/30/24
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