Brittanylove Robinson
Clinical Manager at Comfort Care Hospice- Claim this Profile
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Bio
Credentials
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Case Manager Certification (CCMC)
Commission for Case Manager Certification (CCMC)Jan, 2020- Nov, 2024 -
Registered Nurse
Alabama Board Of NursingMar, 2012- Nov, 2024
Experience
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Comfort Care Hospice
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United States
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Hospitals and Health Care
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100 - 200 Employee
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Clinical Manager
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Oct 2021 - Present
• Provides leadership in promoting and maintaining standards and compliance with accreditation and licensure.• Supervises professional personnel in all aspects of their delivery of care. • Reviews and completes payroll for clinical staff. • Performs and monitors the skill competencies and services of the field employees. • Supervises the implementation of the Physician’s Plan of Treatment and coordinates interdisciplinary team meetings biweekly or as appropriate.• Coordinates the total Plan of Care with the appropriate resources based on ICD coding, PPS guidelines, and input from the billing/financial department, including insurance companies and authorizations as required. • Responsible for maintenance of current and accurate client records.• Participates in the selection and orientation of new employees. • Assists with the planning and direction of in-service educational programs.• Assists with performance improvement activities and serves as a member of the Quality Committee to assure total quality management. • Interprets nursing policies and procedures to nursing/non-nursing personnel. • Collaborates with administration to provide necessary statistical and financial data for reimbursement of provider services.• Ensures professional scheduling and assignments as appropriate based on client needs, staff expertise, and geographical locations. • Review and manage pharmacy and durable medical equipment costs ensuring the budget is met weekly.• Participates in local professional organizations and activities, promoting agency services. • Performs all responsibilities in a professional manner that follows all agency rules of conduct. • Provides oversight of all patient care services and personnel.
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UnitedHealth Group
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Hospitals and Health Care
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700 & Above Employee
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Nurse Advocate
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May 2021 - Jun 2022
• Engage with the hospital care transition or discharge planning teams to analyze cases to determine if the admitting discharge meets the criteria for additional benefits and to prepare member/family or caregiver to prepare for transitions to home, SNF, AIR or LTAC and assist in facilitating the discharge plan. •Ensure member/family understand the current discharge plan, provide education of disease process, self-care management, and medications.•Assist Member/Family with appeals’ process if request for secondary level of care has been denied.•Analyze documentation for sufficiency of appellate process.• Recognize gaps or barriers in treatment plans and/or home situation, assures that the proper application of UnitedHealth Group standard operating procedures are followed final determinations of benefits.• Interact with medical directors or member’s PCP in order to coordinate post-discharge care and services for members as necessary.• Initiate referrals to available internal and external resources
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Comfort Care Hospice
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United States
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Hospitals and Health Care
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100 - 200 Employee
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Admissions Nurse
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Sep 2019 - Apr 2021
• Evaluated pre-service determinations for Medicare, Medicaid, and commercial insurance recipients.• Analyzed hospice eligibility by completing health assessment and utilizing Centers for Medicare & Medicaid Services (CMS) guidelines. •Completed admission process, explained procedures and process for grievances, consents, services, and pt/cg responsibilities. •Maintained working quality assurance knowledge and ensured CMS compliance and regulations. • Evaluated pre-service determinations for Medicare, Medicaid, and commercial insurance recipients.• Analyzed hospice eligibility by completing health assessment and utilizing Centers for Medicare & Medicaid Services (CMS) guidelines. •Completed admission process, explained procedures and process for grievances, consents, services, and pt/cg responsibilities. •Maintained working quality assurance knowledge and ensured CMS compliance and regulations.
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UnitedHealth Group
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Hospitals and Health Care
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700 & Above Employee
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Telephonic RN Case Manager
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Jun 2017 - Sep 2019
• Managed targeted population daily census and identify those patients’ appropriateness for face-to-face contact. •Communicated regularly with patients and families, with hospital team, and document regularly in required systems for outcome reporting.• Evaluated adequacy of discharge plan and risk associated with compliance of plan of care.• Developed plan of care and interventions with patient and family input. •Initiated post discharge follow-up; telephonically or in home as appropriate.•Independently conducted initial assessments within designated time frames for members identifying as having complex case management needs (assessment areas include clinical, behavioral, social, environment and financial).• Collaborated effectively with Interdisciplinary Team (IDT) to establish an individualized care plan for members with interventions to assist the member in meeting short and long term goals.•Engaged patients, families, and caregivers to assure that a well-coordinated care plan is established.•Identified member needs, developed care plan and prioritized goals; using evidence-based practice, developed interventions while considering member barriers independently.• Made outbound calls to assess member health status, identify gaps, or barriers in care plan.
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Kindred Hospice
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United States
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Hospitals and Health Care
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400 - 500 Employee
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Clinical Manager/RN Case Manager
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Nov 2014 - May 2017
• Responsible for the overall direction of clinical services. •Responsible for management of pharmacy, DME, labor, mileage, and supply costs within budget. •Hired, trained, oriented, supervised, and evaluated qualified hospice interdisciplinary team personnel. •Provided quality assurance of nursing staff documentation according to appropriate payer source.•Ensured knowledge and regulations of CMS guidelines are implemented.•Planned and implemented in-service and continuing education programs to meet education and training needs of personnel as required.•Provided skilled professional nursing care to patient/family/caregivers as prescribed by the physician. primary care, including all clinical care, palliative care, and symptom control, and identified other physical, psychological, social and spiritual needs for assigned patients. •Implemented provisions to the plan of care to meet patients’ needs and initiated appropriate interventions and support for the patient and family.
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Baptist Health - Central Alabama
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United States
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Hospitals and Health Care
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300 - 400 Employee
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Charge Nurse
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Feb 2012 - Nov 2014
•Created patients' assignments for RNs, LPNs, and patient care staff. •Supervised care for patients on unit and address issues or concerns from patients and families. •Communicated and reported to Nurse Manager and House Supervisor regarding patient care, staffing, and operations within the unit. •Provided skilled nursing care, mentored, and oriented new employees. •Created patients' assignments for RNs, LPNs, and patient care staff. •Supervised care for patients on unit and address issues or concerns from patients and families. •Communicated and reported to Nurse Manager and House Supervisor regarding patient care, staffing, and operations within the unit. •Provided skilled nursing care, mentored, and oriented new employees.
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Education
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2022 - 2023
University of North Alabama
Master of Science - MS, Nursing Education -
2017 - 2018
Jacksonville State University
Bachelor of Science - BS, Registered Nursing/Registered Nurse -
2009 - 2011
Troy University
Associate of Science - AS, Nursing Science
Community
