Summary
Overview
Work History
Education
Skills
Timeline
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Ami Workman

Ami Workman

Summary


Qualified registered nurse with a robust background in the medical,legal and healthcare sectors. Successful at managing

complex medical cases demonstrating strong clinical judgment and risk management expertise. Experienced in viewing patient care from all angles.

Overview

37
37
years of professional experience

Work History

Nurse Paralegal

Morgan,Smith,Porter PLLC
03.2012 - Current
  • Enhanced patient outcomes by thoroughly reviewing medical records and providing expert analysis for legal cases.
  • Supported successful settlement negotiations with detailed analysis of patients'' damages, long-term care needs, and future expenses.
  • Collaborated closely with expert witnesses and clients for deposition preparation, resulting in well-informed testimonies that supported case objectives.
  • Facilitated effective communication between legal professionals, healthcare providers, and clients to ensure understanding of complex medical concepts.
  • Enhanced attorney and client understanding of intricate medical terminology through clear explanations tailored to individual backgrounds and knowledge levels.
  • Communicated with health insurance companies to resolve subrogation lien interests and outstanding claim disputes.
  • Increased accuracy in determining liability by performing comprehensive causation analyses based on patients'' conditions and treatments received.

Office Manager

Workman Heating Cooling & Geothermal
10.1994 - Current
  • Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
  • Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
  • Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
  • Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
  • Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
  • Established performance goals for employees and provided feedback on methods for reaching those milestones.
  • Evaluated employee performance and conveyed constructive feedback to improve skills.
  • Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
  • Handled sensitive employee and client information with utmost confidentiality, maintaining trust and integrity.
  • Contributed to workplace safety by ensuring compliance with established emergency protocols and conducting regular equipment inspections.
  • Managed vendor relationships, negotiating contracts for cost savings while maintaining high-quality services.

Utilization Review Nurse

PacifiCare Health Systems
05.1996 - 12.2001
  • Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
  • Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
  • Maintained professional competence by staying current on industry trends, best practices, and regulatory requirements specific to utilization review nursing.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Performed prior authorization review of services requiring notification.
  • Mitigated potential legal issues related to improper admission or discharge decisions by consulting with physicians regarding complex cases that required further clarification.
  • Facilitated workgroup meetings with medical personnel to find effective solutions to issues.
  • Medical underwriting for small to mid-sized companies.
  • Performed staff training on Interqual software.
  • Appeals coordinator.
  • Liason between provider relations, sales and health services.

Registered Nurse, Medical-Surgical Unit

Christ Hospital
10.1994 - 05.1996
  • Collaborated with interdisciplinary teams for optimal patient care, ensuring seamless communication between healthcare providers.
  • Consistently maintained accurate documentation of patient assessments, interventions, and outcomes in accordance with regulatory requirements.
  • Skillfully performed venipuncture, IV insertion, and catheterizations, ensuring proper technique and adherence to infection control standards.
  • Provided health education to patients and families regarding discharge instructions and plans of care.
  • Participated in the angiogram recovery team, facilitating efficient patient procedures post procedure.

Medical Assistant

St. Elizabeth Physicians
06.1988 - 12.1993
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Obtained client medical history, medication information, symptoms, and allergies.
  • Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
  • Performed medical records management, including filing, organizing and scanning documents.
  • Acted as an insurance liason.

Education

Nursing Diploma -

Christ Hospital School of Nursing
Cincinnati, OH

Xavier University
Cincinnati, OH

Skills

  • Client confidentiality
  • Interviewing clients
  • Medical record analysis
  • Risk management
  • Records management
  • Case management
  • Personal injury law
  • Nursing assessment
  • Medical malpractice law
  • Client communication
  • InterQual criteria
  • Utilization review
  • Interpersonal and written communication
  • Clinical assessment
  • Physician consultations
  • Prior authorization
  • HIPAA compliance
  • Quality improvement
  • Managed care
  • Utilization management
  • Medicare
  • Telephonic nursing
  • Strong clinical judgment

Timeline

Nurse Paralegal

Morgan,Smith,Porter PLLC
03.2012 - Current

Utilization Review Nurse

PacifiCare Health Systems
05.1996 - 12.2001

Office Manager

Workman Heating Cooling & Geothermal
10.1994 - Current

Registered Nurse, Medical-Surgical Unit

Christ Hospital
10.1994 - 05.1996

Medical Assistant

St. Elizabeth Physicians
06.1988 - 12.1993

Nursing Diploma -

Christ Hospital School of Nursing

Xavier University

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Ami Workman