MICHELE C. BRADY
Waxhaw
Summary
With my years of healthcare experience, I have acquired strong clinical knowledge, keen analytical skills, and a deep understanding of healthcare regulations and compliance. Having a good understanding of coding systems (like ICD-10 and CPT), and federal and state regulations related to documentation and reimbursement, makes me a strong candidate for this position as a Clinical Auditor, APC. During my time as a CCM nurse practitioner, I occasionally audited other colleagues' charts and discovered that I have strong investigative skills, the ability to analyze complex data, and identify trends in documentation. In the past, I've been a mentor to a non-clinical UHC staff member in a different state. I learned that our interaction strengthened my verbal and communication skills, and allowed me to be a stronger member of my team. As a Clinical Auditor, I will provide effective education to staff on documentation, coding, and billing practices. As an NP, I adhere to legal and regulatory standards, and encourage fellow providers to adhere to healthcare regulations and compliance. Reviewing medical records and identifying discrepancies, errors, and potential compliance issues is a challenge for an auditor. My strong problem-solving skills and data analysis will contribute to the financial integrity of UHC, and the quality of healthcare services for all members.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Adult Health Nurse Practitioner
Optum United Healthcare HouseCalls
04.2024 - Current
- Conduct in-home assessments including an evaluation of medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exams.
- Educate members on topics such as disease process, medication, and compliance.
- Formulate a list of current and past conditions using clinical knowledge and judgement.
- Communicate findings in the assessment that will be used to inform members PCP of potential gaps in care.
- Identify urgent and emergent situations and intervene appropriately.
Adult Health Nurse Practitioner
Optum United Healthcare Complex Care Management
04.2018 - 04.2024
- Performed thorough evaluations of patients' medical backgrounds, physical exams, and functional capabilities.
- Evaluated patients' medical records, physical examinations, and functional status to determine root causes of health issues.
- Formulated customized care solutions blending medication control, treatment directives, and lifestyle alterations to satisfy patient needs.
- Delivered detailed explanations of medical conditions and treatment plans to patients and families.
Adult Health Nurse Practitioner
Charlotte Hospice & Palliative Care
11.2016 - 03.2018
- Focused on delivering specialized palliative and hospice care for end-of-life situations.
- Managed medications and coordinated with healthcare professionals.
Adult Health Nurse Practitioner
Palmetto Medical Group
07.2013 - 02.2015
- Prescribed and managed pharmacological and non-pharmacological treatments to treat underlying causes and relieve symptoms.
- Ordered and interpreted diagnostic tests to develop and implement treatment plans.
- Worked with families, caregivers and patients to determine best options for treatment, diagnosis, and prevention.
- Participated in multidisciplinary team meetings to discuss patient cases and treatment plans.
- Thrived in high-pressure environment of primary care practice.
Registered Nurse
Atrium Healthy at Home
10.2012 - 07.2013
- Conducted assessments to identify patient needs and collaborated with physicians to create personalized care plans.
- Instructed patients and families on health condition management.
- Collaborated with healthcare professionals including physicians, therapists, and social workers to ensure comprehensive care.
Registered Nurse
Brookhaven Memorial Hospital
05.2009 - 10.2012
- Conducted thorough assessments and treatments in patients' homes, ensuring complete documentation and education.
- Administered medications and educated patients and families on home healthcare.
Registered Nurse
Peconic Bay Hospital
02.2005 - 05.2009
- Designed and executed personalized care strategies for patients with a range of conditions, including chronic diseases, wounds, and recovery from surgery.
- Ensured patient safety by overseeing reactions to administered IV medications.
Medical Surgical Registered Nurse
John T. Mather Hospital
06.2002 - 01.2004
Telemetry Registered Nurse
Long Island Jewish Medical Center
11.2000 - 06.2002
- Decreased patient complications through diligent monitoring of vital signs, lab results, and other telemetry data.
- Enhanced patient care by accurately interpreting cardiac monitor readings and promptly reporting critical findings to healthcare team.
- Prevented life-threatening complications by quickly recognizing early warning signs of deterioration in critically ill patients under close observation.
- Administered prescribed medications safely and effectively while closely monitoring potential side effects or adverse reactions.
Education
Master of Science - Nurse Practitioner
SUNY at Stony Brook
Stony Brook, NYBachelor of Science - Nursing
Molloy College
Rockville Center, NYBachelor of Arts - Cultural Anthropology And Women's Studies
Queens College
Queens, NYSkills
- Diagnosing
- Treating
- Assisting patients
- Managing acute illnesses
- Managing chronic illnesses
- Creating patient care plans
Certification
- Adult Health Nurse Practitioner (ANCC), 2012014786
- Adult Health Nurse Practitioner (AANP), A0313068
- Adult Health Nurse Practitioner, North Carolina, 5006661
- Adult Health Nurse Practitioner, South Carolina, 18390
- Registered Nurse, North Carolina, 257889
Accomplishments
Won the Apex Award in 2022.
Affiliations
AANP since 2012.
ANCC since 2012.
NCBON since 2012.
Timeline
Adult Health Nurse Practitioner
Optum United Healthcare HouseCalls
04.2024 - Current
Adult Health Nurse Practitioner
Optum United Healthcare Complex Care Management
04.2018 - 04.2024
Adult Health Nurse Practitioner
Charlotte Hospice & Palliative Care
11.2016 - 03.2018
Adult Health Nurse Practitioner
Palmetto Medical Group
07.2013 - 02.2015
Registered Nurse
Atrium Healthy at Home
10.2012 - 07.2013
Registered Nurse
Brookhaven Memorial Hospital
05.2009 - 10.2012
Registered Nurse
Peconic Bay Hospital
02.2005 - 05.2009
Medical Surgical Registered Nurse
John T. Mather Hospital
06.2002 - 01.2004
Telemetry Registered Nurse
Long Island Jewish Medical Center
11.2000 - 06.2002
Master of Science - Nurse Practitioner
SUNY at Stony Brook
Bachelor of Science - Nursing
Molloy College
Bachelor of Arts - Cultural Anthropology And Women's Studies
Queens College
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