CHRISTINE EMBLEM

Assisted clients with case management tailored to individual needs. Accompanied clients to physician appointments to discuss treatment options, diagnosis, prognosis, and work capacity. Supported referrals to therapies, second opinions, or diagnostic tests. Conducted assessments of clients' pre-injury or alternative positions to facilitate early return to work. Maintained communication with carriers, employers, regulatory agencies, medical providers, and other service providers involved in cases. Developed treatment plans following ACOEM and AMA 5th edition guidelines. Documented comprehensive reports and submitted them promptly. Implemented cost containment strategies while adhering to case management plans.

• Achieved successful case management by tailoring services to meet individual client needs. Facilitated client attendance at physician appointments, leading to informed discussions on treatment options, diagnosis, prognosis, and work capacity. Enabled timely referrals for therapies, second opinions, and diagnostic testing. Conducted thorough evaluations of clients' pre-injury or alternative positions, resulting in expedited return to work. Fostered collaboration with carriers, employers, regulatory agencies, medical providers, and other service providers to enhance case outcomes. Crafted treatment plans aligned with ACOEM and AMA 5th edition guidelines. Delivered clear and comprehensive reports, ensuring timely submission. Implemented effective cost containment strategies while adhering to case management protocols.
• Collaborated with healthcare teams to design and execute patient care plans focused on achieving optimal treatment results.
• Streamlined communication processes among healthcare teams, fostering collaboration and improving continuity of care delivery.
• Collaborated with practitioners to advocate for patients, confirming that care interventions adhered to treatment goals while addressing insurance coverage limitations.

• Responsibilities include, but are not limited to: Prioritizing and coordinating employee healthcare, return to work programs with multiple Op-Co’s in the Western Region of United States, tracking employees for return to work and fitness for duty, scheduling FCE examinations, working directly with employees, supervisors, HR Business Partners, payroll, company clinics, healthcare providers and Vocational Rehab specialists as necessary. Regularly reviewing medical documentation for diagnosis, treatment plans, and appropriate healthcare for employees.

• Responsibilities included promoting excellence amongst my team through outstanding leadership and role modeling throughout the treatment of clients with chronic pain; worked with nurses, physicians and all other healthcare professionals to develop comprehensive treatment plans with the goal of returning patients back to active lifestyles as quickly, safely and cost-effectively as possible. Provided supervision and training related to workers’ compensation process, responsive to communication need and reporting requirements under CA law.