Kasie Privitera , RN, CCM
Glen Allen ,VA
Summary
Knowledgeable Case Manager experienced in coordinating care for Workers Compensation individuals. Proactive and resourceful with strong knowledge of community resources. Strong communicator with passion for helping others.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Medical Case Manager
Travelers Insurance
07.2007 - Current
- Developed virtual visit strategy in MCM working group, presented trainings on topic with case usage examples, and implemented a competition to increase usage.
- Mentor new hires via desk rides to MCM role and Concierge Nurse role.
- Serve as an MCM expert for new adjusters in our Training Time calls to increase speed to proficiency.
- Serve as IME SME and ANS Solutions SME, partnering with product, leadership, and claim peers to implement process changes and ensure streamlined, ongoing tool adoption.
- Partnered with Medical Team Lead to facilitate VA jurisdiction trainings and served as a mentor to experienced nurses in VA proactive case management processes, as well as onboarding 20+ nurses to additional jurisdiction.
- Performed UR for a URAC certified jurisdiction, participated in multiple URAC recertification. Handled UR for multiple AFOs including BMU and Custom Comp.
- Consulted with clinicians to devise and manage ongoing care plans for Worker's Compensation patients.
- Worked with different disciplines to provide cohesive care to patients.
Registered Nurse
Bon Secours St. Mary's Hospital
09.2003 - 08.2008
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity to patient care.
- Demonstrated respect, friendliness and willingness to help other staff Nurses wherever needed.
- Worked flexible hours; night, weekend, and holiday shifts.
- Used critical thinking to break down problems, evaluate solutions and make decisions in regards to patient care.
- Proved successful working within tight deadlines and fast-paced atmosphere.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses. To include Chemotherapy and blood products.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
Education
Diploma Registered Nurse - Nursing
Bon Secours Memorial School of Nursing
Richmond, VA 08.2003
Skills
- Collaborate with employers, injured employees and treating providers to facilitate a safe and timely return to work
- Coordination of medical treatment
- Perform Utilization Review
- Critical Thinking
- Conflict Resolution
- Adaptability
Certification
- Certified Case Manager, CCM
Timeline
Medical Case Manager
Travelers Insurance
07.2007 - Current
Registered Nurse
Bon Secours St. Mary's Hospital
09.2003 - 08.2008
Diploma Registered Nurse - Nursing
Bon Secours Memorial School of Nursing
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