Whitney Wilson Email & Phone Number

Hogansville, Ga, Us

I ensure the accuracy and integrity of clinical documentation, coding, and billing processes. My role involves conducting comprehensive audits, analyzing medical records, and providing education and training to staff. I collaborate on corrective action plans and stay current with healthcare regulations and trends to continuously improve documentation and coding practices, ultimately enhancing patient care and compliance.

I provide professional website development services tailored for independent small businesses, encompassing online booking systems, interactive chat features, and secure e-commerce platforms. With a focus on user-friendly designs and seamless functionality, I empower businesses to enhance their online presence, engage customers effectively, and drive merchandise sales.

United States

As a Case Management Nurse at Twin Health I utilize software, video conferencing, and the Twin Health electronic medical record to provide comprehensive member support. My approach involves promoting member self-care management through clinical judgment, data analysis, and critical thinking. I evaluate member progress towards goal achievement, identifying and addressing barriers to their plan of care and health status. Efficiently managing individual members on the Twin journey, I monitor health condition reversal trends, conduct lab reviews, and support medication management. Close collaboration with colleagues, including nurses, health coaches, providers, and operations teams, ensures a seamless member experience.Following the nursing philosophy, I capture a holistic picture of the member's clinical status from Intake to ongoing care management, providing appropriate health guidance based on clinical knowledge and protocols. Utilizing the nursing processes, I triage member alerts and inquiries, strictly adhering to Standard Operating Procedures for member management and escalations. Timely responses and feedback regarding member care are priorities, and I conduct detailed monitoring to support medication reconciliation and adherence.Additionally, I collaborate with members and pharmacies to identify cost-saving solutions and reduce coverage gaps. I maintain accurate records while adhering to federal law and Twin policies to ensure confidentiality. Furthermore, I generate and analyze reports, identifying trends, anomalies, and areas of concern, thereby contributing to the development and improvement of cost-effective, quality clinical care.Continuous professional growth is paramount, and I actively participate in ongoing education and performance improvement activities.

As a Nurse Case Manager, I proficiently coordinate the diverse care needs of a substantial roster comprising over 600 Medicare/Medicaid dual eligible patients. My primary objective is to ensure optimal patient outcomes and satisfaction by effectively managing discharge and impending admission care. With unwavering dedication, I focus on keeping patients in strict compliance with DSBP (Dual Special Needs Plan) measures, HEDIS (Healthcare Effectiveness Data and Information Set) standards, and the STARS campaign.By meticulously overseeing the care coordination process, I aim to facilitate seamless transitions for patients, enabling them to receive continuous, high-quality care. I collaborate closely with multidisciplinary teams, including physicians, nurses, case managers, and other healthcare providers, to devise and implement comprehensive care plans tailored to each patient's unique needs and circumstances.My responsibilities encompass proactive monitoring of patient progress and medical status, promptly identifying any potential challenges or barriers that might hinder adherence to prescribed treatments or care recommendations. I actively engage patients and their families in the decision-making process, fostering a patient-centered approach that empowers individuals to actively participate in their care management.To ensure optimal health outcomes and compliance, I leverage evidence-based practices and stay abreast of the latest advancements in medical guidelines and protocols. I meticulously track and analyze relevant data, continuously seeking opportunities for improvement and implementing best practices to enhance the overall quality of care provided to our patients.

Atlanta, Georgia

Exemplified proficiency in oncology case management, with a specialized focus on Phase 1 and Clinical Trial medical oncology patients. Skillfully executed a comprehensive range of responsibilities, including the facilitation of genetic and molecular testing, imparting extensive chemotherapy and immunotherapy education to patients, and assuming the role of a dedicated support system throughout their treatment journey.As an oncology case manager, I diligently coordinated all aspects of patient care, ensuring seamless and efficient processes for genetic and molecular testing. My expertise in providing detailed education on chemotherapy and immunotherapy empowered patients with vital knowledge, enhancing their understanding of treatment modalities and potential outcomes.Beyond imparting knowledge, I actively assumed the pivotal role of a compassionate and empathetic support system for patients, offering unwavering guidance and emotional assistance before and after the receipt of specified treatment for their diagnoses. Through adept communication and genuine concern for patients' well-being, I fostered a strong rapport that helped instill confidence and resilience during the challenging phases of their medical journey.By consistently demonstrating a professional and empathetic approach to oncology case management, I played a vital role in ensuring positive patient experiences, contributing to the successful outcomes of medical oncology patients participating in Phase 1 and Clinical Trial protocols.

As an ICU Registered Nurse, I proficiently executed a diverse range of responsibilities. These encompassed providing expert counseling and education to neonates' family members on health maintenance and disease processes. Additionally, I actively participated in neonatal conferences and diligently completed continuing education courses, ensuring that I remained up-to-date with the latest advancements in healthcare practices. My dedication to excellence in patient care and commitment to professional growth contributed significantly to the positive outcomes of neonatal care within the ICU setting.

As a licensed medical-surgical Registered Nurse, I skillfully fulfilled a comprehensive array of duties. These encompassed educating and counseling patients on specific malignant disease processes, offering clear instructions upon discharge to ensure proper health management. Demonstrating cultural competence, I consistently provided compassionate and personalized care to all patients, promoting positive health outcomes and patient satisfaction.

As a highly competent professional, I efficiently managed day-to-day operations, demonstrating expertise in various areas. These encompassed proficient telephonic communication, meticulous EPIC documentation, overseeing the unit paging system, skillfully admitting and discharging patients from the unit system, coordinating seamless communication on the unit, facilitating patient care coordination, and offering personalized assistance with daily activities for patients. My diligent approach to these responsibilities contributed to the smooth functioning of operations and the delivery of exceptional patient care.

As a proficient supervisor, I effectively managed a team of 20 employees within a nonprofit group home dedicated to providing care for adults and elderly individuals with special needs. Throughout my tenure, I upheld an unwavering commitment to maintaining a high level of professionalism in all aspects of my role.My leadership style emphasized fostering a cohesive and collaborative work environment, promoting open communication and teamwork among the staff. I led by example, consistently demonstrating ethical conduct, respect, and empathy in interactions with both employees and residents.In addition to supervisory responsibilities, I actively engaged in recruitment, training, and performance evaluation processes. By identifying areas for improvement and implementing effective strategies, I facilitated employee development, contributing to enhanced skills and performance within the team.Resolving challenges and conflicts with diplomacy and tact, I ensured a harmonious and supportive atmosphere for all stakeholders. My proactive approach to problem-solving and decision-making optimized the group home's overall efficiency and effectiveness.In alignment with the organization's mission, I focused on improving the lives of adults and elderly individuals with special needs. By fostering a positive work environment and prioritizing the well-being of both employees and residents, I played a key role in creating a nurturing and compassionate atmosphere within the organization.