Microsoft Suite
Sandra Eberly
Registered Nurse, Workers Compensation Medical Case Manager
Shippensburg,Pennsylvania
Summary
Knowledgeable Case Manager experienced in coordinating care for injured worker of all ages. Proactive and resourceful with strong knowledge of community resources. Strong communicator with passion for helping others. Compassionate Case Manager experienced in various environments. Hardworking and dedicated to achieving desired case outcomes. Offers excellent problem-solving, conflict resolution and communication abilities.
Overview
20
20
years of professional experience
2
2
years of post-secondary education
3
3
Certifications
Work History
Telephonic Case Manager Supervisor - MCSIP Program
CorVel Corporation
Baltimore , Maryland
09.2012 - 04.2022
- Identified care needs of individual injured workers and coordinated responses based on physician advice, insurance limitations and procedural costs.
- Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
- Participated in professional growth programs to support special education improvement efforts.
- Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Managed support services and fostered communication among all disciplines optimizing best possible medical treatment with a return to work focus
- Evaluated treatment plans against individual goals and healthcare standards.
- Helped patients receive appropriate, high-quality care with reasonable results and return to work
- Educated patients and loved ones about different treatment options and outside care approaches to reduce burden on hospital resources.
- Reduced care costs without sacrificing quality through service coordination and multidisciplinary collaboration.
- Consulted with clinicians to devise and manage ongoing care plans for at-risk patients.
- Developed and implemented transition services plan to facilitate movement towards return to work and / or maximum medical improvement
- Collaborated with external agencies to meet educational and transitional needs of injured workers and / or case management staff
- Developed positive relationships with injured workers, employer and various disciplines to foster trust and advocate for the needs of the injured worker, employer or carrier.
- Evaluated employees' strengths and assigned tasks based upon experience and training.
- Performed statistical analyses to gather data for operational and forecast team needs.
- Applied customer feedback to develop process improvements and support long-term business needs.
- Accomplished multiple tasks within established timeframes.
- Delivered feedback to decision-makers regarding employee performance and training needs.
- Maximized performance by monitoring daily activities and mentoring team members.
- Recruited and hired top performers to add talent and value to department.
- Onboarded new employees with training and new hire documentation.
- Developed and taught Maryland Workers Compensation Case Management for the Maryland Board of Nursing
- Cross-trained existing employees to maximize team agility and performance.
- Kept detailed records of daily progress to identify and correct areas needing improvement.
Director of Case Management
Carlisle Regional Medical Center
Carlisle , PA
07.2006 - 02.2008
- Structured standardized case management processes to comply with regulatory agency statutes and standards.
- Streamlined, standardized and implemented case management processes and techniques to maximize revenue cycle.
- Devised and implemented cost-control plans to enhance department operations.
- Managed and monitored program activities and evaluated quality for improvement recommendations.
- Served as corporate resource for compliance and audits to facilitate legal process and appeals.
- Collaborated with multidisciplinary teams to facilitate client care and reduce case management barriers.
- Reviewed and developed intake and discharge planning strategies to encourage client engagement and retention.
- Created care plans that addressed clinical and financial challenges, family requirements and facilitated patient quality of life.
- Oversaw staff development through in-depth trainings, workshops, seminars and other learning opportunities.
- Recruited, interviewed and hired staff members offering exceptional talent and brought great skills to team.
- Helped develop monthly schedules and assignments.
- Referred families to shelters, legal resources and educational programs.
Medical Case Manager - Branch Manager
CorVel Corporation
Hagerstown , Maryland
05.1997 - 06.2006
- Reduced care costs without sacrificing quality through service coordination and multidisciplinary collaboration.
- Coordinated care of injured workers by liaising with hospital staff to organize treatments and program resources.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Performed Field Case Management services
Education
Associate of Arts - Nursing
Hagerstown Junior College
Hagerstown MD 09.1985 - 05.1987
Skills
Case management
undefinedSoftware
Windows
Certification
Certified Case Manager by Commission for Certified Case Manager
Timeline
Licensed to practice in MD, PA, VA, WV and District of Columbia
04-2022
Maryland Board of Nursing - Workers Compensation Case Manager
03-2021
Telephonic Case Manager Supervisor - MCSIP Program
CorVel Corporation
09.2012 - 04.2022
Director of Case Management
Carlisle Regional Medical Center
07.2006 - 02.2008
Certified Case Manager by Commission for Certified Case Manager
08-1999
Medical Case Manager - Branch Manager
CorVel Corporation
05.1997 - 06.2006
Associate of Arts - Nursing
Hagerstown Junior College
09.1985 - 05.1987
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