Overview
Work History
Timeline
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Frances Ann Leone

Frances Ann Leone

Summerville,SC

Overview

35
35
years of professional experience

Work History

Medical Case Manager, Workers' Compensation

AmTrust
Summerville, SC
04.2023 - Current
  • Proactively managed a caseload of 70+ workers' compensation claims, reducing return-to-work timelines by an average of 15% through strategic coordination with patients, providers, and employers while working remotely.
  • Conducted comprehensive utilization reviews, resulting in a 20% decrease in unnecessary medical services and an estimated cost savings of over $75,000 annually.
  • Collaborated with a multidisciplinary team to develop patient-centered treatment plans, leading to a 95% satisfaction rate among injured employees and other stakeholders.
  • Leveraged clinical expertise to identify and secure specialized resources, including physician advisors and peer reviews, to resolve complex cases efficiently.

Lowcountry Oncology & Hematology RSFH
Charleston, SC
11.2021 - 04.2023
  • Reviewed and successfully appealed complex insurance denials for oncology patients, recovering over $500,000 in reimbursements within the first year by applying expert knowledge of ICD-CPT codes.
  • Facilitated care coordination for a caseload of high-acuity oncology and hematology patients, improving patient outcomes by ensuring seamless transitions of care and appropriate utilization of resources in hybrid role.

Carolinas Healthcare System
Charlotte, NC
08.2007 - 12.2010
  • Directed perioperative operations for Neurosurgery and Orthopedic services, building and mentoring a high performing clinical team recognized for excellence in patient outcomes and efficiency.
  • Led utilization and quality management reviews to improve cost-effectiveness and reduce unnecessary length of stay.
  • Ensured regulatory compliance with Joint Commission, CMS, and state standards, maintaining full accreditation.
  • Implemented process improvement that enhanced collaboration, patient safety, and workflow efficiency.

Independent Contractor
Palm Beach County, FL
03.1991 - 08.2007
  • Provided first and second assist in a broad range of surgical specialties across acute care hospitals and ambulatory centers.
  • Conducted clinical assessments in office and emergency department settings, coordinating treatment plans to ensure high-quality, cost-effective care.
  • Credentialed at multiple facilities, consistently trusted for advanced clinical competency and patient advocacy.
  • Supported physicians and care teams in optimizing surgical outcomes through evidence-based practices.

Good Samaritan Medical Center
West Palm Beach, FL
06.1990 - 12.1999
  • Managed perioperative and peri-anesthesia operations, overseeing staff and driving continuous quality improvement.
  • Developed a telephonic intake program for pre-anesthesia, improving communication between providers and reducing perioperative risks with positive measurable outcomes.
  • Served as subject matter expert in Medicare DRG reimbursement, ICD-CPT coding, and ambulatory center billing, ensuring revenue cycle accuracy.
  • Partnered with physicians and interdisciplinary staff to streamline pre-and postop care coordination.

Timeline

Medical Case Manager, Workers' Compensation

AmTrust
04.2023 - Current

Lowcountry Oncology & Hematology RSFH
11.2021 - 04.2023

Carolinas Healthcare System
08.2007 - 12.2010

Independent Contractor
03.1991 - 08.2007

Good Samaritan Medical Center
06.1990 - 12.1999

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Frances Ann Leone