Donna Torre
Pensacola,FL
Summary
To obtain employment utilizing my extensive experience in cost efficient case management, client advocacy, and quality improvement processes.
Overview
16
16
years of professional experience
Work History
Medical Disability Master Case Manager
Division of Disability, Florida Department of Health
03.2009 - Current
- Sixteen years of experience in the autonomous daily management of Social Security Disability cases and application of Medicare/Medicaid programs, working collaboratively with internal and external interdisciplinary physicians to achieve superior quality and cost efficient client outcomes
- Evaluating and assessing the comprehensive medical conditions of clients applying for Social Security Disability and Medicare/Medicaid benefits through expert communication with clients, analyzing medical records and care coordination and health needs with onsite physicians
- Responsible for client advocacy throughout all phases of the Disability decision making process while working within set quality standard guidelines, coordinating and scheduling specialized examinations, and informing clients of available clinical resources and health care options
- Manage over 100 client accounts on a daily basis with a weekly budget of over $30,000.00
- Skilled with MS Excel, MS Word, MS Access and MS PowerPoint
- Receipt, review, and analyze approximately 5,000 pages of medical charts and records each week
- Mentor new and junior case managers in the Disability program requirements and processes
- Communicate daily with approximately 100 clients and over three dozen interdisciplinary physicians to develop Social Security disability claims, to obtain medical records, and to facilitate medical decisions to determine clients' eligibility for disability and Medicare/Medicaid programs
- Able to communicate effectively and compassionately with clients regarding medical conditions, treatment, and health care options using non-judgmental and non-confrontational methods
- Advise dozens of physicians on a weekly basis regarding the interpretation and application of Social Security and Medicaid/Medicare program requirements and policies
- Co-created formal process improvement modules with team members for weekly and monthly presentations to facility staff
- Chaired committee to develop and execute change management concepts in work settings
Education
Associate Degree - AA and AS Allied Health
Pensacola State College
Pensacola, FLSonography - Certificate
Florida Institute of Ultrasound
Pensacola, FLClaims Adjusting -
Pensacola State College
Pensacola, FLSkills
- Case Management
- Client Advocacy
- Medical Record Analysis
- Care Coordination
- Administrative Management
- Budget Management
- MS Excel
- MS Word
- MS Access
- MS PowerPoint
- Communication
- Interdisciplinary Collaboration
- Mentoring
- Process Improvement
- Change Management
- Teamwork
Skills Abilities
Sixteen years of experience in the autonomous daily management of Social Security Disability cases and application of Medicare/Medicaid programs., Evaluating and assessing the comprehensive medical conditions of clients applying for Social Security Disability and Medicare/Medicaid benefits., Responsible for client advocacy throughout all phases of the Disability decision making process., Manage over 100 client accounts on a daily basis with a weekly budget of over $30,000.00., Skilled with MS Excel, MS Word, MS Access and MS PowerPoint., Receipt, review, and analyze approximately 5,000 pages of medical charts and records each week., Mentor new and junior case managers in the Disability program requirements and processes., Communicate daily with approximately 100 clients and over three dozen interdisciplinary physicians., Able to communicate effectively and compassionately with clients regarding medical conditions., Advise dozens of physicians on a weekly basis regarding the interpretation and application of Social Security and Medicaid/Medicare program requirements., Co-created formal process improvement modules with team members for weekly and monthly presentations to facility staff., Chaired committee to develop and execute change management concepts in work settings.
Relevant Studies
- Quality Improvement
- Administrative Law
- Risk Management
- Cost Management and Budgeting
- Project Leadership
- Conflict Management and Resolution
Timeline
Medical Disability Master Case Manager
Division of Disability, Florida Department of Health
03.2009 - Current
Associate Degree - AA and AS Allied Health
Pensacola State College
Sonography - Certificate
Florida Institute of Ultrasound
Claims Adjusting -
Pensacola State College
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