Stella Wilson
Youngsville
Summary
Versatile Case Manager with experience in acute care and community settings. Hardworking and dedicated to quality patient outcomes. Excellent time manager, communicator and problem solver.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Care Manager
Duke Health - Population Health Management Office
Durham
08.2020 - Current
- Conduct assessment of individual physiological, psychological, financial, cultural and family situation and coordinated social services to address individual and family needs.
- Develop and implement individualized care plans, working with clients and families to assess and meet individual needs.
- Collaborate with internal ICT as well as the client's providers (PCP and specialist) and community partners to foster patient-centered care and improve patient outcomes.
- Perform disease management by providing education on disease, diet, medications, and available resources, as well as facilitating referrals to appropriate ancillary services and community providers, to ensure seamless and efficient transitions of care.
Case Manager
Duke University Health System
Durham
10.2017 - 08.2020
- Coordinate and facilitate timely implementation of discharge plans for assigned patients and arrange follow-up care as appropriate
- Maintain effective communication with health care team members related to discharge planning and utilization management
- Document findings, discharge arrangements and actions taken according to departmental guidelines; prepare reports and maintain records as required
- Act as an educational resource and provide consultation to hospital medical personnel regarding discharge planning process and applicable federal, state, and local regulations
Clinical Care Coordinator
Duke Homecare And Hospice
Durham
03.2008 - 10.2017
- Acquired and assessed clinical information from medical records and patient interviews to determine appropriateness of ordered therapies
- Utilized knowledge of current Medicare/Medicaid, and commercial insurance guidelines in determining eligibility for services
- Collaborated with referral sources and members of the health care team in the coordination of home care services in order to facilitate timely discharges
- Provided education to referral sources on requirements, as well as policies and procedures as it relates to services ordered
- Trained and educated patients on safe administration of various IV therapies prior to discharge from inpatient setting
- Provided training for new staff
Clinical Infusion Coordinator
Duke Homecare And Hospice
Durham
01.2004 - 03.2008
- Coordinated patient care services for home infusion population
- Acquired, reviewed and submitted pertinent patient clinical information to pharmacists and nursing staff to ensure compliance with physician orders
- Collaborated with nursing supervisors, pharmacists, patient service coordinators, and finance staff to ensure quality clinical services for patients in cost effective manner
- Provided nursing triage for patients receiving infusion therapy
Nurse Clinician
Duke Homecare And Hospice
Durham
12.2001 - 01.2004
- Provided nursing care to adult and pediatric patients with various disease processes and acuity levels
- Trained new staff
- Provided on-call triage for home infusion patients
Nurse Clinician - Home Health
Interim Healthcare Inc.
Durham
06.2000 - 10.2001
- Provided nursing care to adult and pediatric patients with various disease processes and acuity levels
- Documented assessment findings and care in efficient manner
- Collaborated with interdisciplinary team in weekly meetings to discuss patient goals and progress and update care plans
- Provided on-call triage after hours
Home Care Supervisor
Interim Healthcare Inc.
Durham
01.1999 - 06.2000
- Assisted Director of Healthcare Services in establishing and monitoring compliance standards to ensure patient and staff expectations were met
- Developed, evaluated, and supervised clinicians in providing quality patient care that meets JCAHO regulations, as well as federal, state and local laws
- Assisted with training of staff on new software to facilitate the transmission of data to HCFA
- Managed cases, including obtaining authorization from insurance on commercial insurance cases
- Performed clinical review of patient treatment plans and medical record
BCBS Liaison/Supervisor
Interim Healthcare Inc.
Durham
06.1998 - 01.1999
- Facilitated the contractual relationship between Interim Healthcare and BCBS of NC
- Provided supervision of case management of BCBS patients services by Interim Leone Group
- Tracked clinical documentation to ensure timely billing and payment for services
- Provided training to clinical and administrative staff on policies and procedures
Nurse Clinician - Home Health
Interim Healthcare Inc.
Durham
03.1996 - 06.1998
- Provided nursing care to adult and pediatric patients with various disease processes and acuity levels
- Developed, coordinated, and implemented patient plan of treatment
- Member of the IV team, nurse-physician liaison team, and preceptor for new staff
- Participated in periodic chart review for utilization management
Nurse Clinician -Home Health
Staffbuilders, Inc.
Durham
02.1994 - 03.1996
- Provided nursing care to adult patients with various disease processes and acuity levels
- Developed, coordinated, and implemented patient treatment plans
- Provided on-call triage after hours for home health patients
- Participated in periodic chart review for utilization management
Staff Nurse - Float Pool
Durham Regional Hospital
Durham
01.1993 - 02.1994
- Provided nursing care to patients in the following areas: Critical Care, Cardiology, Medical/Surgical, Orthopedics, Maternal/Newborn, Oncology and Pediatrics
Education
Bachelor of Science - Nursing
University of Mount Olive
Mount Olive, NC05.2017
Diploma - Nursing
Watts School of Nursing
Durham, NC12.1992
Skills
- Documentation proficiency
- EMR / EHR
- Chronic disease management
- Interdisciplinary collaboration
- Needs assessment
- Case management
- Patient privacy
- Regulatory compliance
- Patient assessments
- Treatment planning
- Discharge/Transitions Planning
- Excellent Verbal/Written Communication Skills
- Patient/Caregiver/Family Education
Certification
Commission for Case Management Certification, Certified Case Manager (CCM)
Timeline
Care Manager
Duke Health - Population Health Management Office
08.2020 - Current
Case Manager
Duke University Health System
10.2017 - 08.2020
Clinical Care Coordinator
Duke Homecare And Hospice
03.2008 - 10.2017
Clinical Infusion Coordinator
Duke Homecare And Hospice
01.2004 - 03.2008
Nurse Clinician
Duke Homecare And Hospice
12.2001 - 01.2004
Nurse Clinician - Home Health
Interim Healthcare Inc.
06.2000 - 10.2001
Home Care Supervisor
Interim Healthcare Inc.
01.1999 - 06.2000
BCBS Liaison/Supervisor
Interim Healthcare Inc.
06.1998 - 01.1999
Nurse Clinician - Home Health
Interim Healthcare Inc.
03.1996 - 06.1998
Nurse Clinician -Home Health
Staffbuilders, Inc.
02.1994 - 03.1996
Staff Nurse - Float Pool
Durham Regional Hospital
01.1993 - 02.1994
Bachelor of Science - Nursing
University of Mount Olive
Diploma - Nursing
Watts School of Nursing
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