Katherine Cook Banks
Franklin
Summary
Experienced healthcare leader with over 15 years in nursing and patient access management, specializing in obstetrics and gynecology, chronic disease management, and addiction treatment. Proven ability to lead and mentor teams to deliver exceptional patient support and streamline access to quality care. Strong background in staff development, leadership, and utilization review.
Overview
12
12
years of professional experience
Work History
Director of Nursing
Coweta Outpatient Detox
Newnan, GA
04.2026 - 06.2026
- Developed and executed training programs for clinic staff, enhancing clinical skills and streamlining workflow processes.
- Conducted utilization reviews to assess medical necessity, appropriateness of care, and compliance with payer guidelines and regulatory requirements.
- Reviewed clinical documentation, treatment plans, and patient records to support authorization and continued treatment determinations.
- Communicated authorization decisions, recommendations, and documentation requirements to providers, patients, and insurance representatives.
- Assisted with appeals, denials management, single case agreements, and retrospective reviews by gathering supporting clinical information and preparing documentation.
- Provided high-quality patient care and individualized support to individuals in recovery, developing strong therapeutic relationships that enhanced treatment adherence, program engagement, and long-term retention.
Charge Nurse
Peachford Hospital
09.2024 - 04.2026
- Led a team of 10 nursing staff in delivering high-quality patient care in a fast-paced medical unit. Managed daily operations of the nursing unit, ensuring adherence to budgetary guidelines while maintaining high standards of care.
- Monitored and evaluated patient progress, adjusting care plans as necessary to ensure optimal recovery outcomes.
- Facilitated communication between patients, families, and healthcare providers, fostering a supportive environment that increased patient engagement.
- Advocated for patient needs and preferences, enhancing the quality of care and ensuring that all patients received individualized attention.
Certified Nurse Midwife
Nile Women’s Healthcare
01.2023 - 10.2023
- Delivered comprehensive prenatal, intrapartum, and postpartum care to 300 expectant mothers, ensuring a personalized and holistic approach to each birth experience. Monitored and assessed maternal and fetal health through regular check-ups, identifying and addressing potential complications promptly.
- Collaborated with physicians, case managers, and interdisciplinary teams to facilitate timely care decisions and optimize patient outcomes.
- Maintained accurate records and ensured compliance with organizational policies, accreditation standards, and federal/state regulations.
Travel Registered Nurse (Labor and Delivery)
Aya Healthcare
Macon, GA
12.2021 - 06.2022
- Administered comprehensive nursing care to labor and delivery patients, ensuring adherence to best practices and protocols.
Nurse Practitioner
Alpha OBGYN
05.2019 - 12.2021
- Delivered comprehensive patient care to a diverse patient population, managing over 60 patients weekly and ensuring adherence to treatment plans.
- Served as practice manager, overseeing utilization review activities including prior authorizations, medical necessity determinations, appeals management, and payer communications to ensure timely reimbursement, regulatory compliance, and continuity of patient care.
Nurse Practitioner
Hall County Health Department
04.2018 - 05.2019
- Delivered comprehensive women’s care including preventative screenings, management of chronic conditions, prenatal and postpartum care, and contraceptive management.
Nurse Manager- Labor and Delivery OR/PACU
St. Joseph’s/Candler Health system
Savannah, GA
03.2014 - 07.2017
- Directed daily operations of the Labor & Delivery Operating Room and PACU, ensuring safe, high-quality care for obstetric and surgical patients while maintaining compliance with regulatory and accreditation standards.
- Developed and implemented clinical policies, protocols, and quality improvement initiatives to enhance patient safety and improve maternal and neonatal outcomes.
- Coordinated staffing, scheduling, and resource allocation for Labor & Delivery OR and PACU services, ensuring appropriate coverage while maintaining operational efficiency.
- Monitored quality metrics, incident reports, and patient satisfaction data to identify improvement opportunities and drive corrective action plans.
- Successfully prepared department for accreditation and regulatory surveys, achieving compliance with hospital, state, and federal standards.
Education
MSN - Nurse Midwifery
Frontier Nursing University
11-2022
MSN - Adult Nurse Practitioner
South University
Savannah, GA11-2017
Bachelor’s - Science of Nursing
Mercer University
Macon, GA05-2011
Skills
- EMR systems
- ICD-10 coding and CPT coding
- Utilization review
- Medical necessity determinations
- Prior authorization management
- Clinical documentation review
- Milliman Care Guidelines
- Care coordination
- Discharge planning
- Quality improvement
- Insurance review processes
- Evidence-based practice
- Risk Assessment
- Clinical decision marketing
- Healthcare reimbursement
- Electronic Health Records
- Data analysis and reporting
- Policy and procedure development
Timeline
Director of Nursing
Coweta Outpatient Detox
04.2026 - 06.2026
Charge Nurse
Peachford Hospital
09.2024 - 04.2026
Certified Nurse Midwife
Nile Women’s Healthcare
01.2023 - 10.2023
Travel Registered Nurse (Labor and Delivery)
Aya Healthcare
12.2021 - 06.2022
Nurse Practitioner
Alpha OBGYN
05.2019 - 12.2021
Nurse Practitioner
Hall County Health Department
04.2018 - 05.2019
Nurse Manager- Labor and Delivery OR/PACU
St. Joseph’s/Candler Health system
03.2014 - 07.2017
Bachelor’s - Science of Nursing
Mercer University
MSN - Adult Nurse Practitioner
South University
MSN - Nurse Midwifery
Frontier Nursing University