Teresa Pounds
Greenback
Summary
Knowledgeable Nurse Care Manager with solid background in coordinating patient care and implementing health management plans. Proven track record in improving patient outcomes and collaborating with multidisciplinary teams. Demonstrated expertise in patient advocacy and effective communication.
Overview
22
22
years of professional experience
Work History
Nurse Care Manager
Landmark Health
04.2022 - 02.2025
- Made outbound calls and received inbound calls to assess members’ current health status
- Identified gaps or barriers in treatment plans
- Provided pt education to assist with self-management of health conditions
- Made referrals to internal and external resources as outlined by member’s benefit plan
- Supported members with condition education, medication reviews, and connections to resources such as community and professional resources
- Provided a complete continuum of quality care through close communication with members via on-phone
- Collaborated with Medical Director, Social Worker, and other internal program resources to optimally support the member
Care Manager
Monogram Health
01.2021 - 01.2022
- Met patients in their homes and worked in close relationship with nephrologists, social workers, and care coordinators to improve patient lives
- Our efforts help our patients have higher quality care, slower progression of kidney disease, and a reduction in traumatic and costly episodes such as avoidable hospitalizations, readmissions, unexpected kidney failure and unplanned or clinically inappropriate dialysis starts
- Worked with patients to encourage healthy behaviors and ensure patients are well informed and empowered to make proactive decisions about their own care
Evening Shift House Supervisor
Shannondale of Maryville
01.2020 - 01.2021
- Facilitated positive patient outcomes by monitoring, recording, and reporting symptoms and changes in medical condition
- Participate as a member of the interdisciplinary healthcare team to assess, plan, implement, evaluate, and adjust patient care plans
- Protect patient health by monitoring for reactions and side effects to medications and other treatments
- Communicate to coordinate patient care by recording and documenting medical information and vital signs in compliance with organizational and regulatory requirements
- Champion transparent communication by building therapeutic relationships to understand and meet patient needs
- Optimize post-surgical recovery by monitoring post-op orthopedic patients, promptly identifying and addressing medical concerns or deteriorating conditions with attending physicians
- Assigned staff based on patient census to minimize costs while ensuring efficient and high-quality meeting of patient care needs
- Specialized in providing end-of-life care and support to terminally ill residents and their families
Field Case Manager
Genex Services, LLC
01.2018 - 01.2020
- Managed patient cases end-to-end, maximizing access to care while containing costs through individualized treatment planning
- Educated patients and their families on medical conditions and treatments using easy-to-understand language to support comprehension and informed treatment decisions
- Coordinated patients’ return-to-work, liaising with doctors, employers, and employees to determine appropriate work assignments
- Organized documentation required by medical facilities, employers, and regulatory requirements, verifying accurate and thoroughly completed documentation
- Mitigated potential fraud through review of liability records, ensuring mechanism of injury match reported injuries and treatments
- Initiated methods resulting in $5K or more savings per claim
Clinical Quality Coordinator
Intellicare
01.2016 - 01.2018
- Unified front-line nurses and clinical guideline authors to deliver high-quality patient care
- Uphold strong clinical standards by efficiently researching quality complaints from physicians, insurance companies, and patients
- Audited performance and ratings to identify and address gaps in staff proficiencies
- Cultivated comprehensive training programs, coaching, and mentoring programs to boost staff success in collaboration with the VP of Quality
- Partnered with the VP of Quality to oversee successful project leading to URAC and NCQA accreditation
- Revitalized tasks by reviewing the effectiveness of current policies and procedures, identifying and addressing opportunities to reduce triage time while improving quality and safety
- Liaised with guideline authors to draft governing policies and procedures aligned with organizational priorities and objectives
Telephonic Triage Nurse
Intellicare
01.2003 - 01.2015
- Supported patient’s access to high quality care, orchestrating telephonic care to meet healthcare needs for adult, pediatric, and OB/GYN patients
- Improved outcomes and compliance with treatment regiments by providing education on disease processes, products and programs, and management of side effects
- Maintained compliance with drug trial guidelines by educating patients and answering their questions
- Acted as Subject Matter Expert and drove compliance with regulatory and organizational guidelines by serving as team lead, preceptor, and mentor for the triage team
Nurse Manager
Intellicare
01.2008 - 01.2009
- Supervised high-performance team of 10-15 telephonic triage nurses, inspiring productivity through cultivation of supportive and positive work environments
- Assisted updating of clinical guidelines, collaborating with guideline authors to apply industry best practices and new technology to optimize patient services
- Ensured staff had the skills for success, overseeing training and coaching for new hires
Education
Bachelor of Science - Nursing
Western Governors University
Salt Lake City, UTDiploma of Nursing
Methodist Hospital School of Nursing
Memphis TN12-1985
Skills
- Clinical judgment
- Health promotion
- Quality improvement
- Care coordination
- Geriatric care
- Telehealth
- Time Management
- Computer Knowledge
- Communication Skills
- Clinical assessment
Timeline
Nurse Care Manager
Landmark Health
04.2022 - 02.2025
Care Manager
Monogram Health
01.2021 - 01.2022
Evening Shift House Supervisor
Shannondale of Maryville
01.2020 - 01.2021
Field Case Manager
Genex Services, LLC
01.2018 - 01.2020
Clinical Quality Coordinator
Intellicare
01.2016 - 01.2018
Nurse Manager
Intellicare
01.2008 - 01.2009
Telephonic Triage Nurse
Intellicare
01.2003 - 01.2015
Bachelor of Science - Nursing
Western Governors University
Diploma of Nursing
Methodist Hospital School of Nursing
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