Deidre Lark-Hill, RN

P.O. Box 51 Northport, AL. 35476│ (205) 792-5320│dhill5320@yahoo.com

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REGISTERED NURSE
A highly skilled Nursing Professional deeply committed to providing high-quality and unparallel patient care. Over
16 years of extensive experience and specialized expertise working in the community to promote a healthy well-
being. Knowledgeable and adept at establishing rapport with patients and coordinating service delivery while
working collaboratively with all medical professionals.
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NURSING COMPETENCIES
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 Clinical & Communication  Quality Nursing Care

 Accuracy of Charts &
Skills  Lifesaving Interventions
Records
 Interdisciplinary Team  Assessment Skills
 Patient & Family Relations
Collaboration  Analyze data and review
 Case Management
 Medication Management medical records

CAREER PROGRESSION
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New Directions Behavioral Health, Hoover, AL 06/2016 to Present

REGISTERERED NURSE- CLINICAL CLAIMS INVESTIGATOR 10/2018 to present

 Analyzes and reviews provider and facility behavioral health claims data for all levels of inpatient and
outpatient services
 Identify trends and possible concerns related to inappropriate submission of claims
 Utilize clinical nursing experience when reviewing medical records to determine appropriateness of billing
and documentation.
 Summarize findings in a written report to management, insurance plan and provider
 Proficient in the use of Microsoft office, excel, pivot tables and reviewing claim lines.
 Document findings for each claim line in a findings spreadsheet.
 Maintains documentation in organized files, databases, and systems to support audit work performed,
detailed conclusions and support any resulting recommendations.
 Participate in training and webinars to maintain understanding of trends and changes
 Make recommendations of any improvements within the clinical claims department
 Participation in Plans’ Membership Committee’s with Network Ops and Credentialing
 Participate in agency manual revisions, including provider manual, medical necessity criteria, etc.
 Provide consultation functions and presentations for Plans regarding behavioral health fraud questions
including data interpretation and medical records feedback.
 Communicate appropriately with providers, management and Plan regarding findings.
 Make independent judgments

REGISTERED NURSE- CASE MANAGER 06/2016 to 10/2018

 Expertly utilized the components of the case management process i.e., elements of comprehensive
assessment, identification of targeted barriers to improvement, linking to needed professional and
community resources, development and implementation of care plan, documentation of outcomes, iterative
care plan review and adjustment based on outcomes, health stabilization, and patient graduation.
 Strategically make recommendations of programs and/or systems that create improved outcomes and
timeliness of the case management department.
 Seamlessly conducted on-site and telephonic communication with the member and/or member’s
parents/guardian, facility, and outpatient providers, including primary care physician (PCP) to gather
information to identify patient needs and any barriers to accessing post hospital discharge services and
facilitate coordination of services.
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 Proactively developed goals and objectives with the collaboration of the pertinent healthcare members to
promote self-management, avoid readmission and connect the member with timely aftercare services.
 Expertly utilized the policies and procedures for case management activities as well as screening, triage and
referral activities, including timeliness of activities/services and accuracy of documentation.
 Researched and utilized evidence based practices to provide best nursing care.
 Assist with effective discharge planning for optimal member health outcomes.
 Demonstrated clinical expertise in response to many circumstances ranging from crisis intervention to
routine business matters.

Alabama Community Care (formerly MedNet West), Inc, Tuscaloosa, AL. 08/2015 to 06/2016

REGISTERED NURSE- CARE COORDINATOR MANAGER

 Strategically planned, developed, implemented and evaluated disease management programs to deliver a
care plan that is centered around the patient.
 Facilitated behavioral health care to patients after discharging from inpatient to outpatient setting.
 Develop goals and objectives for patients to promote self management of their disease.
 Conduct telephonic and in home assessments with patients to inquire of needs and identify barriers.
 Resourcefully collaborated with team of nurses, social workers, pharmacists and physicians when providing
care to assist patients in obtaining community resources to decrease hospitalizations.
 Skillfully analyzed and summarized data to expertly deliver prepared reports, recommendations and charts;
while utilizing Microsoft Office Suite.
 Facilitate thorough screening of patients to accurately assess and address their emotional, physical,
psychological, and medical needs.
 Displayed vast experience in educating medical personnel on insurance-related issues, including Medicaid
Patient 1st recipients.

Psychiatry South (Formerly Alabama Psychiatric Services), Tuscaloosa, AL 09/2012 to 07/2015

REGISTERED NURSE
 Demonstrated proficient skills in charting and general nursing skills, including implementing needs-specific
medical plans.
 Successfully collaborated with various school professionals to provide accommodation letters to advocate for
children/adolescents with ADHD and other childhood mental illness.
 Expertly assisted patients who call or walk in the clinic in crisis.
 Efficiently responded to patient inquiries regarding their medication and is responsible for calling in
prescriptions to the pharmacy as directed by the physician and maintain accurate documentation.
 Facilitated educational or didactic groups related to diagnostic or medication issues and completed all
required documentation.

Weaver, Certified Residential Facility, Northport, AL (Part-time) 09/2010 to 07/2015

REGISTERED NURSE
 Skillfully determined appropriate care for patients with intellectual disabilities and authorize medication
administration records.
 Proactively provided education and on-site management expertise to supervise LPN’s and MAC workers to
ensure that all established policies and procedures are carried out in an efficient manner.
 Effectively communicated with physicians and other health care professionals to develop and revise plan of
care for consumers.
 Actively participated in treatment team meetings to ensure patients are up to date on their vaccinations.
 Carefully utilize case management documentation to make informed decisions about wound care,
assessments and maintain accurate documentation of vital signs.
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Tuscaloosa VA Medical Center (Acute Psych), Tuscaloosa, AL 09/2011 to 09/2012

REGISTERED NURSE
 Skillfully utilize Computerized Patient Record System (CPRS) to document admissions, assessments,
transfers, discharges, and care plans.
 Attends treatment team with Physicians and Social Workers to discuss veteran progress and strategically
develop unit specific programs.
 Effectively communicated and worked closely with physicians to accurately transcribed and implemented
physician orders.
 Utilized a high level of technical and nursing skills to successfully act as Charge Nurse/ Team Leader to
supervise LPN’s, and Nursing Assistants.
 Worked with the team as an infection control facilitator.

Alabama Department of Public Health- Home Health Nurse 11/2010 to 03/2011

REGISTERED NURSE
 Provided skilled nursing care to patients in their home.
 Educated patients and their families on proper home care strategies.
 Reviewed and revised plan of care in collaboration with interdisciplinary team.
 Performed skilled nursing assessments and document findings with computer documentation.
 Monitored the care provided by other disciplines (HH Aide, OT, PT).

Alabama Psychiatric Services (Outpatient) 01/2009 to 11/2010

REGISTERED NURSE

 Facilitated educational or didactic groups related to diagnostic or medication issues and completed all
required documentation.
 Demonstrated proficient skills in charting and general nursing skills, including implementing needs-specific
medical plans.
 Successfully collaborated with various school professionals to provide accommodation letters to advocate for
children/adolescents with ADHD and other childhood mental illness.
 Expertly assisted patients who call or walk in the clinic in crisis.
 Efficiently responded to patient inquiries regarding their medication and is responsible for calling in
prescriptions to the pharmacy as directed by the physician and maintain accurate documentation.

Tuscaloosa VA Medical Center (Heroes Haven), Tuscaloosa, AL 09/2008 to 12/2008

REGISTERED NURSE
 Skillfully utilize Computerized Patient Record System (CPRS) to document admissions, assessments,
transfers, discharges, and care plans.
 Attends treatment team with Physicians and Social Workers to discuss veteran progress and strategically
develop unit specific programs.
 Effectively communicated and worked closely with physicians to accurately transcribed and implemented
physician orders.
 Utilized a high level of technical and nursing skills to successfully act as Charge Nurse/ Team Leader to
supervise LPN’s, and Nursing Assistants.
 Medication Management and implemented physician orders.
 Deidre Lark-Hill │ Résumé Page 3

EDUCATION & CERTIFICATIONS

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MASTER OF SCIENCE NURSING▪ POPULATION HEALTH NURSE PROGRAM

JACKSONVILLE STATE UNIVERSITY, JACKSONVILLE, AL Graduation Date 12/13/2019
BACHELOR OF SCIENCE NURSING
JACKSONVILLE STATE UNIVERSITY, JACKSONVILLE, AL 2015
ASSOCIATES DEGREE NURSING
SHELTON STATE COMMUNITY COLLEGE 2007
PRACTICAL NURSING PROGRAM
SHELTON STATE COMMUNITY COLLEGE 2002

 CPR/BLS Certification
 Mental Health First Aid
 MAS Certification