Brea Middleton-Keen
Camby,IN
Summary
Attained multiple awards as a registered nurse specializing in trauma, ICU, urgent care, behavioral health, pediatrics, and utilization management and virtual care.
Overview
16
16
years of professional experience
1
1
Certification
Work History
School Nurse/Ambulatory Care
Hendricks Regional Health/Monroe Gregg
11.2024 - Current
- Solo healthcare professional for Middle School and High School
- Maintain vaccination records for all students
- Monitor 9+ Diabetics, other chronic illnesses
- Chronic health maintenance, create and implement IHP’s
- Maintenance and emergency medication administration
- Medical rep for Case conferences
- Case management for chronic health conditions
- Preceptor for new hires
Virtual Lead RN
Optum Virtual Care
10.2021 - 11.2024
- Help implement virtual PC and UC platform from program start up to shutdown
- Staff and Monitor the 24/7 On-Call RN triage line.
- Initiation and management of Medication Prior Authorizations
- Provide clinical support to other departments as needed to support organizational initiative
- Assisting with rooming/triaging up to 70+ patients daily via video platform for 8+ providers daily
- Maintaining communication between provider and patient (inbox, efax, etc.)
- Critical thinking, interpreting information and forming conclusions.
- Present information/updates on virtual huddles as needed
- Maintain provider inbox messages/pt requests/information
- Maintain RN licensure in all 50 States plus Guam
Nurse Medical Management, Prior Authorization Indiana Medicaid Outpatient Review
Anthem
11.2020 - 10.2021
- Ensure proper data entry of authorization in the managed care platform, and initiate the approval process for requested services/treatments utilizing nationally recognized evidenced based clinical criteria and/or internal policies, protocols, and procedures.
- Meet required performance and quality metrics within established timelines
- Screen and review clinical information for the most appropriate service areas within Community; making referrals to high risk perinatal team, complex case management and disease management.
- Heavy telephonic and facsimile contact with providers and their representatives.
- Work closely with the Medical Directors and refer requests that do not meet medical necessity criteria.
School Nurse/Ambulatory Service
Community Health Network
05.2016 - 11.2020
- Helped develop and maintain COVID-19 safety plan
- Solo healthcare professional for 600+ students and staff
- Maintain vaccination records for 550 students
- Chronic health maintenance, create and implement IHP’s
- Maintenance and emergency medication administration
- Medical rep for Case conferences
- Case management for chronic health conditions
- Preceptor for new RN/LPN/MA
Lead Triage RN
MedExpress Urgent Care Center
12.2013 - 04.2016
- Train new employees and perform weekly chart audits for clinical staff
- Triage patients in person and via telephone, referrals, follow up, prior authorizations
- Perform skills including but not limited to: phlebotomy, wound care, EKG interpretation, BLS or ACLS when needed, stitch and staple removal
- Perform and process in-house and send out lab work (urine, stool, cultures, blood)
- Prepare DOT physicals, drugs screens, breath alcohol tests and many other rapid tests
- IM, IV, PO med administration; reconstitute pediatric medications
- Prepare in house prescriptions for patients; call RX to pharmacies
Adult Intensive Care/Critical Care/Trauma RN
Franciscan Alliance (Beacon Unit)
03.2012 - 12.2013
- Provide care for stable, unstable, intubated, chemically paralyzed and sedated patients
- Assist hospitalists with central line and chest tube insertions, intubation and other procedures as needed.
- Safe medication administration and mixing including drip titration and bolus dosing, including presser, cardiac and insulin medications
- Perform skills including but not limited to: phlebotomy, wound care, tube placement/removal (oral, nasal, fecal, urine), EKG interpretation, perform NIH Stroke Scale, BLS or ACLS when needed
- Work closely with ancillary departments such as Crisis, Social work, and IOPO; Assist other departments with skills, patient care or teaching when needed
- Serve patients through important processes such as assessment, planning, interventions and implementation in compliance with unit standards; Ensure patient satisfaction while providing purposeful rounding
Adult Critical Care/Trauma RN (Resource SN to RN)
Indiana University Health: Methodist Hospital (Magnet Hospital/Beacon Unit)
08.2009 - 03.2012
- Assisted in providing care for stable and unstable patients, including intubated and level one trauma cases. Responded to code blue situations effectively. Supported physicians during central line and chest tube insertions, intubation, and other medical procedures as needed. Administered medications safely, including drip titration and bolus dosing for pressers and insulin. Performed various skills such as obtaining and interpreting arterial blood gases, inserting OG/NG/Corpak tubes, and managing rotorest/rotoprone beds. Conducted wound care and provided ventilator and tracheostomy care. Collaborated with physicians, chaplaincy, pharmacy, and respiratory staff to ensure appropriate patient care. Engaged in patient assessment, planning, interventions, and implementation in alignment with unit standards. Transitioned from Resource Student Nurse to RN upon graduation.
Education
Associate of Science - undefined
Ivy Tech Indianapolis
01.2011
Skills
- Created and managed documents using Microsoft Office and Google Docs Assisted with patient management tasks utilizing Cerner and Epic Docutap Supported medication dispensing processes with Med Dispense and Skyward Operated Kronos for timekeeping and scheduling Maintained communication through Tiger Text and SchoolCare Achieved typing speed of 75 wpm to enhance documentation accuracy
Certification
- Compact RN License 28195931C.
- Basic Life Support for Healthcare Providers: BLS
- Covid Tracing Certification from Purdue Global
- American Association of Critical Care Nurses (AACN)
- National Institute of Health Stroke Scale Certification
- Lean Six Sigma White Belt Certification
Committees, Honors, Awards
Committees: IOPO, Ethics, Spirit, Unit Council, Safety, Daisy Award Nomination Committee, Franciscan Alliance Patient Safety Award Winner, 2x AACN Beacon Award for Excellence Team Member, 19 x Daisy Award for Nursing Excellence Nominee, Daisy Award for Nursing Excellence Winner 2019, CIC-AACN Critical Care Bowl Winning Team Member, Critical Care Societies Collaborative (CCSC) and U.S. Dept. of Health and Human Services award for Outstanding Achievement and Leadership Award Team Member for CAUTI prevention (Catheter Associated Urinary Tract Infections), Critical Care Societies Collaborative (CCSC) and U.S. Dept. of Health and Human Services Honorable Mention award for Outstanding Achievement and Leadership Award Team Member for VAP prevention (Ventilator Associated Pneumonia), Featured in 5 Commercials/Ads for Community Hospital PR, 2023, 2024 United Healthcare/Optum Sages Award Nominee, United Healthcare/Optum Kindness Award winner 2023, United Healthcare/Optum Kindness Superhero Award Nominee 2024, Monroe-Gregg Bulldog Bark Award
Timeline
School Nurse/Ambulatory Care
Hendricks Regional Health/Monroe Gregg
11.2024 - Current
Virtual Lead RN
Optum Virtual Care
10.2021 - 11.2024
Nurse Medical Management, Prior Authorization Indiana Medicaid Outpatient Review
Anthem
11.2020 - 10.2021
School Nurse/Ambulatory Service
Community Health Network
05.2016 - 11.2020
Lead Triage RN
MedExpress Urgent Care Center
12.2013 - 04.2016
Adult Intensive Care/Critical Care/Trauma RN
Franciscan Alliance (Beacon Unit)
03.2012 - 12.2013
Adult Critical Care/Trauma RN (Resource SN to RN)
Indiana University Health: Methodist Hospital (Magnet Hospital/Beacon Unit)
08.2009 - 03.2012
Associate of Science - undefined
Ivy Tech Indianapolis