LATASHA NELMS
Roanoke,VA
Summary
Knowledgeable healthcare professional with solid foundation in specialized tasks and track record of delivering results through targeted initiatives. Proven ability to implement effective strategies that enhance operational efficiency and support team objectives. Demonstrated proficiency in problem-solving and project management.
Overview
21
21
years of professional experience
Work History
SENIOR PRACTICE TRANSFORMATION SPECIALIST
Aledade
06.2021 - 01.2025
- Project manager for clinical workflows, clinical calls, and workgroup participation, driving toward outcomes in the practice that improve patient care and reduce healthcare costs
- Responsible for keeping initiatives organized and tracking goal performance
- Created partnerships with practices to help design, deploy, and train staff on workflows to incorporate the Aledade technology into their daily activities
- Lead contact on HEDIS/STARS quality measure care gap closure processes
- Tracked practices' progress across multiple data sources such as Salesforce, Tableau and Monday.com
- Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
- Increased efficiency by automating routine tasks with software solutions.
- Generated reports detailing findings and recommendations.
- Educated staff on organizational mission and goals to help employees achieve success.
LICENSED PRACTICAL NURSE CHARGE NURSE
Our Lady of the Valley
07.2022 - Current
- Responsible for all nursing activity occurring on shift and will serve as first responder in the event of an emergency
- Observe resident care, document condition changes, significant reactions and incidents
- Directs activities of nursing staff, assigns and supervises all duties, determines staffing needs and handles disciplinary actions as needed
- Supervise medication administration, implement all physician orders, order blood work, and maintain supplies
- Provide wound care/treatments
- Provide direct care to residents including preparing and administering medications
- Prepare and complete electronic documentation
- 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.
- Facilitated efficient communication between patients, families, and healthcare providers to promote continuity of care across settings.
LICENSED PRACTICAL NURSE
Carilion Health Systems
01.2012 - 09.2021
- Assisted with admission process including welcoming patient, establishing telemetry monitoring and collection of medical history
- Assisted with identifying and preparing identified patient's for timely discharge
- Work with MD, RN, Case Manager and Social Worker to identify needs for discharge education as well as any barriers for discharge
- Responsible for obtaining and validating medication reconciliation on admission and discharge
- Responsible for discharge focused teachings delegated by RN
- Assisted with select medication administration
- Assisted with wound care
- Assisted with safe patient ambulation
- Demonstrated role model customer service excellence and related initiatives
- Mentored nurse assistants and is an active preceptor to NA
- Obtained vital signs and performed focused patient assessments
PRACTICE CONSULTANT
Anthem
05.2019 - 06.2021
- Assessed current practice patterns, assets and challenges utilizing Medical Home Index, NCQA Standards, HEDIS audits, site reviews and medical records reviews
- In partnership with the PCP, evaluates results of the initial assessment
- Established a project plan with the practice that establishes goals and objectives for improvement
- Provides ongoing practice support and sustained the partnership
- Established regular meetings to track progress
- Identifies and facilitates at least one practice in each assigned region to become SSB Physician Champions by obtaining NCQA certification as a Patient Centered Medical Home
- Improved the understanding and sensitivity to the unique needs of specific populations
- Managed multiple projects simultaneously, prioritizing tasks effectively to meet deadlines and exceed expectations.
- Delivered engaging presentations for clients detailing findings and recommendations, promoting clear communication and understanding.
HOME HEALTH NURSE
Pioneer Nursing/Mayfield Medical Staffing
01.2014 - 11.2020
- Responsible for one-on-one nursing care of disabled individual
- Administered medications and meals via feeding tube
- Maintained health records
- Maintained patient's airway by suctioning technique, cough assistance and monitoring oxygen saturation rate
MANAGED CARE COORDINATOR CLINICIAN
Anthem Healthkeepers CCC Government Business Division
08.2017 - 05.2019
- Conducted telephonic or face to face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports
- Responsible for identifying member's for high-risk complications
- Obtained clinical data
- Identified member's that would benefit from an alternative level of care or other waiver programs
- Collected all information in order to conduct additional assessments, as necessary, and develop, monitor, evaluate, and revise the member's care plan to meet the member's needs
- Participated in coordinating care for member's with chronic illnesses, co-morbidities, and/or disabilities, in conjunction with member and the health care team, to ensure cost effective and efficient utilization of health benefits
- Utilized decision making skills/nursing judgement based upon the current needs of the member and that require an understanding of disease processes and terminology and the application of clinical guidelines
- Facilitated smooth transitions of care between healthcare settings by working closely with discharge planners, case managers, nursing staff, and physicians.
- Managed complex caseloads effectively while maintaining high-quality standards for patient care delivery.
- Strengthened relationships between patients, families, and medical teams by serving as a knowledgeable liaison and advocate.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Communicated with patients, ensuring that medical information was kept private.
- Reduced hospital readmissions by providing timely follow-up support and education to patients and their families.
ADOLESCENT HEALTH NURSE/ FLOAT NURSE
Carilion Adolescent and Student Health Services
01.2012 - 06.2014
- Educated adolescents on sexually transmitted diseases, abstinence and safe sexual practices
- Provided guidance to adolescents on birth control methods
- Advised students on immunization needs
- Assisted providers in obtaining vital signs and medical histories for well child exams and sports physicals
- Administered immunizations, treatments for sexually transmitted diseases and Depo-Provera for contraception
- Maintained a safe and confidential environment for patient's in a medical setting
- Traveled to various outpatient clinics i.e
- Infectious Disease, Rheumatology, Internal Medicine and Neuroscience to assist with nursing duties
UTILIZATION REVIEW/ HEDIS NURSE
Virginia Premier Health Plans
11.2016 - 08.2017
- Assessed the appropriateness and medical necessity of the treatment requests for utilization review on a prospective, concurrent, and retrospective basis
- Assisted with analysis of outcome data to identify and make recommendations
- Assessed documentation of medical records for completeness and relationship to treatment plan
- Initiated communication as necessary with case workers, medical directors, and medical facilities as required for assessment, treatment and patient care services
- Maintained and update client referral requests using InterQual and Vital software applications
- Gathered medical data to maintain quality assurance and to ensure compliance with all applicable accreditation standards and regulatory requirements
POST-TRAUMATIC STRESS UNIT STAFF NURSE
Department of Veteran Affairs
09.2014 - 05.2018
- Provided nursing services for veterans admitted to PTSD ward
- Assessed veterans for change in mental/medical status
- Maintained daily progress notes on veterans' behaviors, habits, medications and activities
- Communicated with team physicians and clinicians about veterans' progress
- Conducted daily control tests on medical equipment to maintain efficiency
EARLY HEAD START HEALTH/ DISABILITIES COORDINATOR
Total Action against Poverty
01.2012 - 10.2012
- Ensured that each child and family had access to a medical and dental home
- Coordinated services for children with suspected or diagnosed disabilities
- Indirectly supervised Family Development Specialists at designated partnerships
- Monitored health records to ensure compliance with performance standards and state licensing requirements
- Worked with health, disabilities and behavioral professionals in the community
- Planned and delivered training on health and nutrition topics in the classroom and at parent meetings as requested
- Monitored emergency and health plans at each center for safety and compliance
- Made home visits to families with specific health needs as requested
- Contacted local education agencies to initiate and coordinate appropriate screenings for evaluations and services
CLINICAL INSTRUCTOR FOR CERTIFIED NURSING ASSISTANT
Generation Solutions
05.2010 - 12.2010
- Aided in preparing students for taking state board examination for nursing assistant licensure
- Supervised students in a clinical setting at nursing facility
SUBSTANCE ABUSE NURSE
Roanoke Treatment Center
01.2010 - 12.2012
- Dispensed methadone and Suboxone to patient's in an outpatient program setting
- Performed blood draws and urine drug testing
- Assisted clinic physician with physical examinations
- Kept detailed daily log of medication administration
- Collected payment for services
- Maintained accounting records for patient payment accounts
- Reconciled monthly medication inventory
PSYCHIATRIC NURSE CASE MANAGER/ MEDICATION ASSISTANCE LIAISON
Blue Ridge Behavioral Healthcare
05.2012 - 11.2013
- Assisted patient's in obtaining affordable medications
- Recorded vital signs in patient's electronic medical records
- Administered injections for treatment of psychosis
- Communicated with private insurance companies, Medicare and Medicaid to gain approval for prior authorizations
- Consulted with Psychiatrists and medical staff about patient's care
- Participated as an active member of agency's Cultural Competency and Linguistics Committee
NURSE ASSISTANT/ LPN
Richfield Retirement Community
10.2008 - 12.2009
- Assisted patient's with activities of daily living
- Charted daily progress of client's using electronic charting
- Medication administration
- Performed complete body assessments
- Provided wound care
- Corresponded with doctors about patient care/treatments
EMPLOYMENT SERVICES SPECIALIST
City of Roanoke Department of Human Services
07.2004 - 08.2008
- Determined client's eligibility for Food Stamps (SNAP), Medicaid and Temporary Assistance for Needy Families through data collection and investigative techniques
- Maintained a client caseload of 150-200 cases
- Kept detailed records of client interactions
- Met strict federal deadlines for case approvals and disapprovals
- Collaborated with Initiative to Work Program to help client's seek out gainful employment
- Established strong relationships with community organizations to expand referral networks and enhance service offerings for clients.
Education
MASTERS - HEALTHCARE ADMINISTRATION
Jefferson College of Health Sciences
Roanoke, VABACHELOR OF SCIENCE - HEALTHCARE ADMINISTRATION, PUBLIC HEALTH
Jefferson College of Health Sciences
Roanoke, VAMinor - Public Health
Jefferson College of Health Science
Roanoke, VAPRACTICAL NURSE DIPLOMA -
ECPI Technical College
Roanoke, VASkills
- Customer relations
- Expert problem solving
- Analytical thinking
- Documentation management
- Technical communication
- Expert in Microsoft Suite, Google Suite, Tableau, Mondaycom, Salesforce, Athena, Epic, EClinical, Aprima
- Root-cause analysis
- Team collaboration
- Emergency response
- Data analysis
Certifications Courses
- Train the Trainer Instructor
- Licensed Practical Nurse
Timeline
LICENSED PRACTICAL NURSE CHARGE NURSE
Our Lady of the Valley
07.2022 - Current
SENIOR PRACTICE TRANSFORMATION SPECIALIST
Aledade
06.2021 - 01.2025
PRACTICE CONSULTANT
Anthem
05.2019 - 06.2021
MANAGED CARE COORDINATOR CLINICIAN
Anthem Healthkeepers CCC Government Business Division
08.2017 - 05.2019
UTILIZATION REVIEW/ HEDIS NURSE
Virginia Premier Health Plans
11.2016 - 08.2017
POST-TRAUMATIC STRESS UNIT STAFF NURSE
Department of Veteran Affairs
09.2014 - 05.2018
HOME HEALTH NURSE
Pioneer Nursing/Mayfield Medical Staffing
01.2014 - 11.2020
PSYCHIATRIC NURSE CASE MANAGER/ MEDICATION ASSISTANCE LIAISON
Blue Ridge Behavioral Healthcare
05.2012 - 11.2013
LICENSED PRACTICAL NURSE
Carilion Health Systems
01.2012 - 09.2021
ADOLESCENT HEALTH NURSE/ FLOAT NURSE
Carilion Adolescent and Student Health Services
01.2012 - 06.2014
EARLY HEAD START HEALTH/ DISABILITIES COORDINATOR
Total Action against Poverty
01.2012 - 10.2012
CLINICAL INSTRUCTOR FOR CERTIFIED NURSING ASSISTANT
Generation Solutions
05.2010 - 12.2010
SUBSTANCE ABUSE NURSE
Roanoke Treatment Center
01.2010 - 12.2012
NURSE ASSISTANT/ LPN
Richfield Retirement Community
10.2008 - 12.2009
EMPLOYMENT SERVICES SPECIALIST
City of Roanoke Department of Human Services
07.2004 - 08.2008
MASTERS - HEALTHCARE ADMINISTRATION
Jefferson College of Health Sciences
BACHELOR OF SCIENCE - HEALTHCARE ADMINISTRATION, PUBLIC HEALTH
Jefferson College of Health Sciences
Minor - Public Health
Jefferson College of Health Science
PRACTICAL NURSE DIPLOMA -
ECPI Technical College
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