Brittany Hill

Experience

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  Mosaic

  Aug 2011 - Jun 2016

  Registered Nurse Case Manager

  • Provided care to patients with intellectual disabilities in the form of operating a daily clinic for acute needs, medication management, triage, and aiding patients in acute psychiatric crisis• Delegated medication administration and maintained competency of unlicensed professionals• Completed quarterly and annual comprehensive assessments and charted reviews • Assessed clients’ physical and mental wellness, needs, preferences and abilities and used these to develop tailored care plans• Facilitated multiple care aspects (case coordination, information sharing, etc) by conducting weekly interdisciplinary meetings Show less

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  SOUTHWEST LTC - CORSICANA LLC

  Jun 2016 - Jul 2020

  Director Of Nursing

  • Managed nursing departments for geriatric and skilled rehab in a 146 bed facility• Trained, scheduled, and supervised nursing staff ensuring compliance with applicable standards of care for both state and federal regulations• Delivered professional and courteous communication with patients and family• Assisted attending physicians with patient evaluation, monitoring, and implementation of medical care plans• Monitored patient condition, chart progress, administered medications, and performance of routine procedures• Educated patients and family members in healthy lifestyles and disease management• Offered guidance and support to nurses, nurse assistants, and hospitality aides• Supervised Case Managers and MDS Coordinators• Led Legacy West to Five Star Rating awarded by CMS • Applied for and received a state funded grant for Music and Memory Program Show less

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  PALS Home Health

  Jul 2020 - Jul 2021

  Director Of Nursing

  • Supervised the day-to-day office and clinical operations including daily and weekly tasks ensuring completion even during staff absences• Ensured pediatric client’s plan of care was individualized and appropriate, executed as written and reassessed by the appropriate health care processional when there was a significant health status change in the client’s condition, or by the physician’s request and after hospital discharge• Recruited, hired, oriented, and retained field and office staff in order to cover referrals and patient visit needs• Directed Case Managers and performed case management duties in absence of Case Managers Show less

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  Skilled Care of Mexia

  Nov 2021 - Apr 2022

  Director Of Nursing Services

  • Managed direction, supervision, and evaluation of all patient care for an 80-bed facility• Organized and implemented management systems, facility policies and procedures• Led programs such as infection control, risk assessment, anti-psychotic reduction and weight trends to ensure healthy patient population• Assumed responsibility for nursing service compliance to federal, state, and local regulations• Acted as Facility Infection Preventionist and surveyed and monitor all infections• Oversaw departmental budgets ensuring cost effective operations while staying at or below Show less

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  Provider Partners Health Plans (PPHP)

  May 2022 - Mar 2023

  Registered Nurse Care Coordinator

  • Promoted quality, cost-effective outcomes, including care coordination for complex and multiple chronic conditions of the long-term care residents• Collaborated with the Transitional Care Team to reduce re-admissions and to avoid unneeded hospitalizations • Conducted and documented a comprehensive assessment of barriers to care (medical, social, psychosocial, and literacy) promoting a holistic approach to developing the individualized plans of care• Coordinated and integrated care plan development, including collaboration with nursing staff, leadership, as well as the entire interdisciplinary team• Managed insurance rejections for various patient needs such as pharmacy formularies and physician appointment denials• Reviewed and provided documentation to support HEDIS Measures Show less

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  CareMetx, LLC

  Apr 2023 - now

  Adherence Nurse Supervisor

  • Ensured team goals and metrics were met and exceeded• Exercised good judgment in making decisions on any performance management steps • Discussed/analyzed trend data to management with recommendations for continuous improvement• Participated in quality monitoring process where calls and electronic record are reviewed to ensure patients received the highest quality support• Maximized the education and development of new and existing staff• Collaborated with Franchise Partners to drive shared success• Acted as a liaison between the Vendor, technical team, and various stakeholders to ensure seamless operation and continuous improvement of the system• Provided assistance with reimbursement inquiry requests, including insurance benefit verification, prior authorization, denials and appeals, and other reimbursement issues from patients, MDOs, payers and Sales Representatives Show less