Summary
Overview
Work History
Education
Skills
Languages
Timeline
Gillian Hames

Gillian Hames

Elk Grove,CA

Summary

Healthcare professional driven to deliver high-quality patient care and effective case management. Expertise in care coordination and patient advocacy, fostering strong communication and collaboration within multidisciplinary teams. Known for adaptability and results-oriented approach in dynamic healthcare environments.

Overview

21
21
years of professional experience

Work History

Field RN Case Manager

The Hames Company
04.2006 - Current
  • Provided emotional support to patients & families coping with life altering work-related injuries/illnesses, fostering resilience during difficult times.
  • Managed complex cases involving multiple injuries & illnesses requiring close monitoring and coordination of various healthcare services.
  • Collaborated closely with physicians, claims examiners & employers to develop individualized treatment plans, supporting optimal patient outcomes.
  • Educated patients and families in the basics of worker's compensation rules & their applications.

Network Developer

Horizon Managed Care
02.2004 - 02.2005

Developed medical provider networks, including contracting providers, fee negotiation & written instruction of network use to injured workers in compliance with California Worker's Compensation laws for clients of CMI Claims Management, Inc.

Education

J.D. - Law

Lincoln Law School, Sacramento, CA
05-2002

Associate of Science - Nursing

Cuesta College, San Luis Obispo, CA
05-1992

Skills

  • Integrated care coordination
  • Collaborative care management
  • Home care coordination
  • Clinical assessment expertise
  • Local resource management
  • Problem-solving skills
  • Interdisciplinary collaboration
  • Chronic disease management
  • Infection control
  • Multidisciplinary approach
  • Discharge planning
  • HIPAA compliance

Languages

Spanish
Professional Working
French
Professional Working

Timeline

Field RN Case Manager - The Hames Company
04.2006 - Current
Network Developer - Horizon Managed Care
02.2004 - 02.2005
Lincoln Law School - J.D., Law
Cuesta College - Associate of Science, Nursing