Andrea McDonald, BSN, NC-BC

Holistic RN | Board-Certified Nurse Coach | Functional Nurse

Spokane, Washington, United States

About

Registered Nurse and Board-Certified Nurse Coach with a passion for whole-person healing and preventive care. Combined clinical expertise with lifestyle coaching strategies addressing nutrition, stress, movement, and mindset to improve biometric markers, patient activation, and long-term wellness. I view the body as an integrated system and my work centers on helping people understand the why behind the disease process of their chronic condition, and help create meaning along with supporting and guiding toward a personalized path back to ease with their health and life. I strive to enhance wellness and bring genuine human connection combined with clinical precision with every interaction. Meeting people where they are, I help build the skills, knowledge, and motivation to transform their health.

Experience

  • RN Case Manager — Utilization Review, Diabetes Management & Primary Care at Kaiser Permanente Washington
    Jan 2021 - Present · 5 yrs 6 mos

    • Conduct initial and concurrent utilization review of clinical documentation to determine medical necessity for acute inpatient admissions and continued stay authorizations using MCG criteria • Serve as primary liaison between hospital case management teams communicating patient progress to facilitate timely and appropriate discharge planning • Assisted in pilot program with successful launch of Next Step Care Navigator role, providing care coordination, patient education, and guiding patients with health goals and lifestyle strategies promoting health optimization • Delivered telephonic and in person diabetes care management in collaboration with PCPs to optimize medication regimens, provide diabetes education and partner with patients developing personalized SMART goals resulting in successful A1C reductions

  • RN Case Manager — Personalized Care Team at The Everett Clinic
    Sep 2019 - Jun 2020 · 10 mos

    • Coordinated interdisciplinary care for high-risk geriatric patients transitioning to palliative services, ensuring continuity of care and supporting utilization reduction goals. • Delivered skilled clinical interventions including wound management, catheterization, and IV hydration to stabilize high-risk patients in outpatient settings. • Contributed to pilot development of risk-stratified case management workflows to standardize interventions and reduce preventable hospital admissions.

  • RN — Ambulatory & Perioperative Services at Northwest Weight & Wellness Center
    Jun 2018 - Aug 2019 · 1 yr 3 mos

    • Designed and implemented smoking cessation program for bariatric patients in partnership with interdisciplinary clinical team to support post operative sustainable lifestyle change. • Provided comprehensive perioperative nursing care including pre-surgical assessment, patient education, OR circulator duties, and PACU recovery management.

  • RN Case Manager — Primary Care at University of Washington Medical Center
    Jan 2016 - Jun 2018 · 2 yrs 6 mos

    • Managed a monthly panel of approximately 50 patients, developing and implementing individualized care plans within a Patient-Centered Medical Home (PCMH) model. • Applied SMART goal setting and nurse coaching strategies in collaboration with PCPs; contributed to A1C reductions of approximately 1–2%. • Provided tailored education on medication management, lifestyle modifications, and chronic disease self-management to improve patient health outcomes.

  • Clinic Supervisor - Primary Care at Skagit Regional Health
    Mar 2015 - Jan 2016 · 11 mos

    • Integrated daily huddles supporting open dialogue, reviewing schedules, addressing supporting clinical staff with ideas with Supervised ambulatory clinical staff, overseeing competency, workflow efficiency, infection control compliance, and quality improvement standards. • Successfully led staff through organizational transition to UW Neighborhood Clinic, maintaining operational continuity and clinical care standards.