Lael King, Bcpa, Msn-Ph, Rn Email & Phone Number

Damascus, Md, Us

Nightingale Nurse Consultants is a company devoted to finding human-lead solutions to healthcare problems for patients, providers, facilities, and the system as a whole.Our consultants aid patients through advocacy, research, and emotional support; support providers through finding billing, coding, and reimbursement solutions to improve their bottom line; assist facilities through ensuring evidence-based policies and procedures; and improve the healthcare system by innovating care implementation to ensure equity, equality, and quality care for all.

I completed clinical appeal reviews for Level 1 and Level 2 healthcare professionals and facilities, completing case and medical record reviews to ensure accuracy in coding and medical treatment plans. I drive compliance, regulatory adherence, and focus on meeting the needs of patients through member benefit programs. In this position, I conduct continuous process improvement, identifying new methods of supporting lean, efficient operations while scaling the organization and reviewing unprecedented caseloads.

Baltimore, Maryland, Us

In this role, I serve as a guide, coach, and mentor to students, delivering education and knowledge to BSN students at the clinical site, as well as during laboratory skills events. I support their professional growth and development by providing a continuous learning environment.

I earned an internship with the organization to derive real-world experience in completing a thesis project required for graduation with a Master in Nursing degree. I was partnered with the Director of Minority Outreach and Technical Assistance programs, overseeing 18 separate community health programs with grant-funded operations, supporting project management, oversight, and technical assistance to grantee community programs.

Bloomfield, Ct, Us

This role enabled me to learn and develop a new skill set within utilization management and clinical review processes. I oversaw a caseload of clinical appeal reviews for Level 1 and Level 2 healthcare professionals and facilities, partnering with medical directors, SMEs, and leaders to maximize benefit utilization while adhering to guidelines, contractual agreements, and ensuring medical necessity for services rendered.

Maximize safety and satisfaction for families laboring and delivering in the birth center. Directly assist the midwife in caring for the family during labor. Act as the "second pair of hands" during births and/or emergencies. Directly assist the family immediately following birth and during the postpartum period.

In this role, I provided hands-on care, serving the organization as a Registered Nurse, transitioning across multiple units within the 120-bed acute care hospital. I utilized experience and expertise in nursing to enhance clinical outcomes, improve patient care and safety, and deliver healthcare at the highest level.

Louisville, Ky, Us

Ongoing patient assessments and implementation of interventions. Collaborated with physicians and other professionals to optimize patient outcomes. Experience with ventilators and critical care environments. In addition to my role as a staff nurse, I gained experience in the administrative department by performing concurrent and retrospective audits, acted as clinical scheduler, surveyor liaison, and nursing project manager.

Deerfield, Il, Us

Worked as Senior Pharmacy Technician at multiple locations with duties to include responsible for operating pharmacy systems to obtain patient and drug information and process prescriptions, supervised and coached pharmacy technicians in the operation of pharmacy systems and cashiers in the operation of their responsibilities, lead Pharmacy Department inventory management activities, such as, ordering, unpacking, checking and storing shipment of pharmaceuticals, maintained knowledge of asset protection techniques, and files claims for warehouse overages, shortages, and order errors or damaged goods involving Rx drugs, analyzed and seeked to improve pharmacy financial, customer service, and inventory performance data; reviewing Rx KPIs with Store Manager and Healthcare Supervisor.

Master'S Of Nursing, Public Health

Bachelor Of Science, Registered Nursing/Registered Nurse

Associate Of Arts (Aa), Liberal Arts And Sciences/Liberal Studies