Nicole Mcmillion

Responsible for completing and submitting medical necessity, precertification, and concurrent reviews to multiple insurance providers in an acute/inpatient psychiatric crisis stabilization setting. Tracks pending referrals, gathers patient records, follows up with providers and payers, and inputs utilization data into internal systems.

Managed clinical and operational responsibilities for child and adolescent services in a 24/7 secure crisis center for psychiatric and substance use issues. Coordinated peer reviews to support successful outcomes and ensured continual readiness for surveying and regulatory bodies.

Held clinical responsibility for a free-standing Adult Psychiatric Hospital, overseeing psychiatric and acute detox service lines. Developed onboarding, orientation, and competencies for staff.

Managed clinical and operational responsibilities for the Psychiatric Service Line, including adult and telepsychiatry services. Ensured efficient and effective delivery of patient care.

Directed clinical and operational aspects of the Psychiatric Service Line, encompassing geriatric and adult inpatient units. Successfully opened and managed a new Psychiatric Clinical Decision Unit within the Emergency Department.

Provided clinical and operational oversight for the Psychiatric Service Line, ensuring clinical, quality, and regulatory compliance. Achieved successful TJC surveys with no findings.

Provided surgical, medical, infusion, and psychiatric home visits as a Registered Nurse and Case Manager. Supervised clinical staff and managed a team of home health patients.

Conducted home health visits for medical, surgical, and infusion patients, utilizing electronic medical records. Developed and implemented a Psychiatric Home Health Program.

Provided management and leadership to the ED team, overseeing triage, assessment, planning, and ongoing care for psychiatric patients. Coordinated admissions and ensured EMTALA compliance.

Served as a leadership, management, and clinical resource for a Psychiatric facility, including adult, child, and adolescent inpatient and free-standing psych ED. Provided triage, assessment, planning, documentation, and ongoing care for psychiatric patients.

Managed clinical and fiscal responsibilities for a free-standing Psychiatric Emergency Department, including PI/QI and LEAN projects. Successfully opened a new Psychiatric Emergency Department and a new Psychiatric Observation Department.

Developed and implemented a psychiatric home health program for Carolinas Homecare. Provided education to agency staff on psychiatric services and care.

Provided medical, surgical, pediatric, and infusion home RN visits, ensuring timely and accurate documentation. Assisted with the development and implementation of a psychiatric home health program.

Developed programs and courses, providing classroom and clinical site instruction. Clinical sites included homeless shelters, free medical clinics, long-term care, and various hospital units.

Worked with One Touch to educate and implement the use of their diabetic monitors in area hospitals. Facilitated training and adoption of new medical technologies.

Responsible for overall clinical services for the home health agency, including contract negotiations and education. Oversaw quality assurance and utilization review.

Responsible for overall clinical services for the home health agency, including contract negotiations and education. Managed quality assurance and utilization review processes.

Supervised clinical staff and a team of home health patients, ensuring quality assurance of charts and documentation. Served as a resource for field staff and collaborated with various stakeholders.

Provided medical, surgical, pediatric, and infusion home RN visits, ensuring timely and accurate documentation. Responsible for overall clinical services for the home health agency.

Grade: 4.0 GPA

Completed a Master of Science in Healthcare Administration, achieving a perfect 4.0 GPA. This program focused on advanced principles and practices in healthcare management.

Grade: Dean’s List Scholar

Earned a Bachelor of Science in Nursing, demonstrating strong academic performance by being named to the Dean's List. The curriculum provided a comprehensive foundation in nursing principles and clinical practice.