Kristi Moss
Scott
Summary
Seasoned healthcare professional with experience in case management and critical thinking, notably at Arkansas Blue Cross and Blue Shield. Excelled in care coordination and active listening, significantly enhancing patient satisfaction. Demonstrated a strong ability to multitask and organize, achieving improved patient outcomes through effective problem-solving and ethical decision-making.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Member Triage Nurse
Arkansas Blue Cross and Blue Shield
12.2021 - Current
- First line of response for members calling in with Case Management needs.
- Maintained a calm and professional demeanor during high-stress situations, effectively managing patient expectations and alleviating concerns.
- Scheduled appointments for patients not requiring emergency services but needing examination from provider and consulting directly with provider.
- Provided clear and concise instructions to patients regarding home care plans, ensuring proper understanding and adherence to treatment protocols.
- Counseled patients via telephone according to established guidelines and protocols, advising on next course of action for care.
- Maintained accurate patient records, ensuring thorough documentation of triage assessments and treatment plans.
- Assisted in management of patient utilization of health care system and provided patient education relative to health care needs, use of community resources and responsibilities of membership in managed care.
- Developed strong rapport with patients through active listening skills, empathetic communication, and genuine concern for their wellbeing.
- Obtained case history and gathered triage information to determine appropriate avenue for care.
Case Manager
Arkansas Blue Cross and Blue Shield
05.2021 - 12.2021
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Improved client satisfaction by efficiently addressing concerns or grievances in a timely manner.
Registered Nurse, Medical-Surgical Unit
Baptist Health Medical Center-North Little Rock
10.2010 - 05.2021
- Charge nurse responsible for managing a staff of RNs, LPNs, and Patient Care Techs to provide excellent quality of care to a 35 bed med-surg unit.
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
Registered Nurse
St. Joseph Mercy Hospital
01.2010 - 10.2010
- Administered chemotherapy safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Maintained accurate and detailed documentation of patient assessments, interventions, progress notes, and discharge planning activities in electronic medical records systems.
- Provided emotional support for oncology patients experiencing distress related to their diagnoses or treatments, utilizing active listening skills and empathetic communication techniques.
- Assessed patients during course of treatment to identify concerning reactions.
- Monitored patients closely for side effects and complications related to cancer treatments, intervening promptly when necessary to manage symptoms effectively.
Licensed Practical Nurse Oncology
St. Joseph Mercy Hospital
06.2008 - 01.2010
- Improved patient outcomes by administering medications, monitoring vital signs, and documenting relevant information.
- Cared for wounds, provided treatments, and assisted with procedures.
- Assisted with admissions, appointments, transfers, and discharges.
- Collaborated with interdisciplinary healthcare teams to ensure continuous quality improvement in patient care delivery.
Education
Bachelor of Science - Nursing
Chamberlain University
Springfield, IL05-2018
Associate of Science - Nursing
Ouachita Technical College
Malvern, AR12-2009
LPN Certification - Nursing
National Park Community College
Hot Springs06-2008
Skills
- Case Management
- Time Management
- Case documentation
- Problem-solving
- Healthcare ethics
- Critical thinking
- Clinical documentation
- Active listening
- Documentation and reporting
- Care coordination
- Multitasking and organization
Certification
Case Manager - CCMC
Timeline
Member Triage Nurse
Arkansas Blue Cross and Blue Shield
12.2021 - Current
Case Manager
Arkansas Blue Cross and Blue Shield
05.2021 - 12.2021
Registered Nurse, Medical-Surgical Unit
Baptist Health Medical Center-North Little Rock
10.2010 - 05.2021
Registered Nurse
St. Joseph Mercy Hospital
01.2010 - 10.2010
Licensed Practical Nurse Oncology
St. Joseph Mercy Hospital
06.2008 - 01.2010
Bachelor of Science - Nursing
Chamberlain University
Associate of Science - Nursing
Ouachita Technical College
LPN Certification - Nursing
National Park Community College
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