Danika Levesque
Lone Tree,CO
Summary
Encouraging manager and analytical problem-solver with talents for leading and motivating, as well as customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact team success. Dedicated to applying training and monitoring to enhance employee engagement and boost performance.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Unit Manager
Travelers
08.2019 - Current
- Partnered with peers, customers, and business partners to ensure proactive claim handling and effective resolution.
- Assisted peers with review for timely and accurate reserves and timely indemnity payments.
- Analyzed claim center Lost Time Days to ensure accuracy of data, review of behaviors, and provided education to staff to ensure proactive claim management.
- Ensure accountability measures, and feedback-driven improvement strategies.
- Ensure appropriate claim handling, collaboration and medical case management to move claims towards resolution.
- Implemented and educated team on new processes and technology.
- Attend conferences and trainings to learn and stay abreast of jurisdictional changes.
Medical Case Management
Travelers
01.2017 - Current
- Workers Compensation Medical Case Manager, Concierge Medical Case Manager
- Review medical treatment plans utilizing Medical treatment guidelines to ensure safe, appropriate and cost-effective care for injured workers
- Consult with Investigative Claims Unit to evaluate medical causality and relatedness of diagnoses to injury
- Anticipate and communicate medical care requests and timelines for return to work to claim professionals and accounts
- Develop strong relationships with injured workers to assist and facilitate care for work injury
- Communicate with physicians and provide alternative treatment plan
- Coordinate care, DME, transportation, translation, discharge planning
- Ensure data accuracy
- Additional functions: Subject matter expert for Nurse Optimization, ODG, Pharmacy and Early Severity Program
- Prepare and present trainings and updates for Pharmacy Training, Nurse Optimization, ODGs, ICU medical causality
- Train new employees and function as a Peer Coach
- CLIP participant 2019.
Senior Nurse Case Management
Humana
10.2016 - 01.2017
- Health Services Organization, Nurse Case Manager
- Post discharge Survey to evaluate member medical needs
- Collaborate with behavioral health, social work to assist in closing gaps in care.
Medical Case Management
Travelers
09.2014 - 10.2016
- Workers Compensation Medical Case Manager
- Please see current employment position and job functions.
Registered Nurse
Sky Ridge Medical Center
01.2013 - 08.2014
- Medical/Oncology Staff Nurse
- Responsible for the complete nursing process of adult med/surg/oncology patients
- Provided education related to patient’s diagnosis
- Provided care and access to Central Lines and PIV lines
- Obtained ONS Chemo certification.
Infusion Nurse
Rocky Mountain Infectious Disease
01.2009 - 01.2013
- Infectious Disease Infusion Nurse
- Provided education to patients to perform home Infusion
- Administer IV Antibiotics, IVIG
- Sterile Dressings of Central Catheters
- Proficient in IV placement, wound care, administering medications
- Obtaining authorizations for tests and procedures
- Communicated with physicians any change in patient status
- Worked Autonomously in a high-volume satellite office.
Registered Nurse
Sky Ridge Medical Center
02.2008 - 10.2009
- Medical/Surgical Staff Nurse
- Monitored closely post operative patients
- Provided thorough and compassionate care
- Provided education to each patient in clear and informative manner
- Proficient in IV’s, wound dressings, administering medications
- Participated in Clinical Practice Committee as the 6th floor Representative.
Education
Bachelor of Science in Nursing -
Regis University
Denver, CO12.2007
Bachelor of General Studies -
East Tennessee State University
Johnson City, TN12.2004
Skills
- Claim Platform
- Microsoft Office Applications (Word, Power Point, Excel)
Certification
RN License Colorado, Active
Timeline
Unit Manager
Travelers
08.2019 - Current
Medical Case Management
Travelers
01.2017 - Current
Senior Nurse Case Management
Humana
10.2016 - 01.2017
Medical Case Management
Travelers
09.2014 - 10.2016
Registered Nurse
Sky Ridge Medical Center
01.2013 - 08.2014
Infusion Nurse
Rocky Mountain Infectious Disease
01.2009 - 01.2013
Registered Nurse
Sky Ridge Medical Center
02.2008 - 10.2009
Bachelor of Science in Nursing -
Regis University
Bachelor of General Studies -
East Tennessee State University