Summary
Overview
Work History
Education
Skills
Certification
Awards
Timeline
background-images

Corinne D. Heldt

Mount Prospect,IL

Summary

Accomplished medical management professional with a proven track record in overseeing and developing comprehensive Medical Programs within workers' compensation . Successfully leads a team of Nurses and Leave administrators responsible for managing Short Term Disability, Family Medical Leave Act (FMLA), military, personal, and integrated state leave programs. Collaborates effectively with internal and external business partners. Known for fostering team collaboration, adaptability, and achieving results through strategic planning and resource allocation.

Overview

40
40
years of professional experience
1
1
Certification

Work History

IDM Leaves and Medical Manager

Reyes Holdings
03.2025 - Current
  • Manages a staff of corporate nurses who provide guidance and oversight of business unit employees’ medical progress resulting from a work or non-work-related injury/illness.
  • Make recommendations for alternatives and intervening as necessary consistent with appropriate statutory requirements, company policies, and applicable plan provisions.
  • Manages a staff of Leave administrators who administrator and manage: Short Term Disability, Family Medical Leave Act (FMLA), military, personal, and related paid and unpaid state leave ("Integrated Leave") programs within an assigned location. Works in collaboration with business partners both internal and external to communicate employees leave status and facilitate transitional return to work for disability, state and federal leave cases.
  • Provide Oversite and evaluation of all vendors providing medical services to employees (occupational and Non Occupational)
  • Locates new vendors and programs that will enhance outcomes for employees and the business.
  • Provides training to local Human Resource, management and safety contacts.
  • Participate in BU meeting providing results of medical management programs.
  • Resolves issues that arise with our TPA which cause delays in medical treatment.

Manager, Medical Management Programs - IDM

Reyes Holdings
03.2020 - 01.2025
  • Manages a staff of corporate nurses who provide guidance and oversight of business unit employees medical progress resulting from a work or non-work-related injury/illness.
  • Make recommendations for alternatives and intervening as necessary consistent with appropriate statutory requirements, company policies, and applicable plan provisions.
  • Oversees all vendors providing medical services to employees through our workers compensation program, including nurse triage, bill review, pharmacy benefits, utilization review, case management, diagnostics, Physical therapy.
  • Evaluates vendors that provide medical management services through our workers compensation program.
  • Locates new vendors and programs that will enhance outcomes for employees and the business.
  • Provides training to local Human Resource, management and safety contacts.
  • Develops and provides clinic protocols to clinics providing medical evaluation and treatment of our employees.
  • Oversee TCM and FCM vendors providing direct service to employees.
  • Man, the serious injury hotline and engage the appropriate resources for serious injuries.
  • Participate in BU meeting providing results of medical management programs.
  • Resolves issues that arise with our TPA which cause delays in medical treatment.
  • Assists in special projects as directed.

Corporate Nurse Case Manager - IDM

Reyes Holdings
12.2014 - 03.2020
  • Determines claimant service needs of employees making recommendations for alternatives and intervening as necessary consistent with appropriate statutory requirements, company policies, and applicable plan provisions.
  • Oversees vendors that provide medical management services.
  • Provides training to local Human Resource, management and safety contacts.
  • Update all panels for panel states.
  • Assists in locating and implementing new offsite clinic options.
  • Oversee TCM and FCM vendors providing direct service to employees.
  • Participate in roundtables/claim reviews.
  • Participate in BU meeting providing results of medical management programs.

Telephonic Nurse Case Manager Workmen’s Compensation

ESIS
04.2002 - 11.2014
  • Gather and examine information related to the injury including medical condition and treatment to formulate a plan of action for successful return to work.
  • Coordinate and monitor medical care related to the injury, including plans of care within Preferred Provider Network, verify the scheduling of medical appointments and prompt follow-up to obtain results of such.
  • Identify actual and potential needs (assets and barriers) that will impact return to work.
  • Evaluate effectiveness of actions taken with the coordination of medical care to determine if the injured worker is obtaining desired outcomes and goals established within the individualized treatment plan.
  • Determine work status, expected return to work (transitional or full duty), length of disability and treatment plan and coordinate return to work with employer and the carrier representative.

Disability Nurse Educator

Aetna US Healthcare
07.1997 - 12.2001
  • Provided disability process, protocols, and regulations training for new employees and existing staff which include nurses and disability service representatives.
  • Training staff on computer programs and disability internal protocols
  • Participated in the design and development of the Disability Training Curriculum

Managed Disability Nurse Consultant

Aetna US Healthcare
03.1996 - 07.1997

Stereotactic Radiosurgery Patient Care Coordinator

Columbus Hospital
05.1992 - 02.1996

Neurosurgical Nurse Clinician

Columbus Hospital
06.1989 - 05.1992

Neurosurgical Staff Nurse

Columbus Hospital
05.1987 - 06.1989

Surgical Surveillance Intensive Care Staff Nurse

Illinois Masonic Medical Center
01.1987 - 04.1987

Neurosurgical Nurse Clinician

Illinois Masonic Medical Center
06.1986 - 01.1987

Surgical Surveillance Intensive Care Staff Nurse

Illinois Masonic Medical Center
07.1985 - 05.1986

Education

Diploma -

Illinois Masonic Medical Center School of Nursing
Chicago, IL
05.1985

undefined

Northern Illinois University
Dekalb, IL
01.1982

Skills

  • Microsoft Office proficiency

  • Oversight of clinical operations

  • Continuous improvement strategies

  • Workforce development

  • Collaborative teamwork

  • Excellent communication

  • Critical thinking

  • Strategic planning

  • Process improvement

  • Quality improvement

Certification

  • 02/14 Lean Six Sigma – Green Belt
  • 10/03 Certified Case Manger (CCM) – Active
  • 07/98 Certified facilitator for Achieving Extraordinary Customer relations – Skill and Strategies Kaset International/Achieve Global.

Awards

Cambridge’s Who’s Who. Secretary in Coventry’s Case Management Congress

Timeline

IDM Leaves and Medical Manager

Reyes Holdings
03.2025 - Current

Manager, Medical Management Programs - IDM

Reyes Holdings
03.2020 - 01.2025

Corporate Nurse Case Manager - IDM

Reyes Holdings
12.2014 - 03.2020

Telephonic Nurse Case Manager Workmen’s Compensation

ESIS
04.2002 - 11.2014

Disability Nurse Educator

Aetna US Healthcare
07.1997 - 12.2001

Managed Disability Nurse Consultant

Aetna US Healthcare
03.1996 - 07.1997

Stereotactic Radiosurgery Patient Care Coordinator

Columbus Hospital
05.1992 - 02.1996

Neurosurgical Nurse Clinician

Columbus Hospital
06.1989 - 05.1992

Neurosurgical Staff Nurse

Columbus Hospital
05.1987 - 06.1989

Surgical Surveillance Intensive Care Staff Nurse

Illinois Masonic Medical Center
01.1987 - 04.1987

Neurosurgical Nurse Clinician

Illinois Masonic Medical Center
06.1986 - 01.1987

Surgical Surveillance Intensive Care Staff Nurse

Illinois Masonic Medical Center
07.1985 - 05.1986

undefined

Northern Illinois University

Diploma -

Illinois Masonic Medical Center School of Nursing

Similar Profiles

CREATE PROFILE