Seeking a case management position utilizing my experience as a managed care professional where I can apply my knowledge while contributing to my professional growth. Both part time and fulltime positions are of interest. I will consider traditional employment well as telecommuting/work-from-home opportunities.
Overview
39
39
years of professional experience
Work History
Medical/Vocational Case Manager
Coventry Health Care
08.2010 - Current
Determined specific information regarding employment; training/education needed, physical demands, wages and benefits, and availability
Ascertained the specific physical tolerances and vocational skills needed for specific employment positions requested by referral sources or employers; assisted in modifying job sites or obtaining necessary adaptive equipment as needed
Knowledge of WV Workers Compensation Laws; Evaluation of injured workers; assessing medical and vocational needs of injured workers
Implementation of Rehabilitation Plans; Labor Market Surveys; Job Analysis; Job Development; Career Counseling; Working with attorneys, employers, union representatives, professional and medical practitioners.
Return To Work Specialist
Sedgwick Claims Services
08.2009 - 08.2010
Facilitated return-to-work (RTW) efforts through negotiation with client, treatment providers and claimants; completed all vocational/RTW related jurisdictional or client directed documentation, assisted case management staff in making decisions regarding client's competence for specific positions
Knowledge of medical and legal regulations and accreditation standards in written communication
Determined specific information regarding employment; training/education needed, physical demands, wages and benefits, and availability
Ascertained the specific physical tolerances and vocational skills needed for specific employment positions requested by referral sources or employers; assisted in modifying job sites or obtaining necessary adaptive equipment as needed.
Youth Services Worker/ Case Manager
Braley & Thompson
08.2006 - 08.2009
Assessed family problems, dynamics which contribute delinquent behavior; planned strategies to eliminate risk to youth, family and community
Coordinated planning for the family including referrals, services and follow-up activities related to the case, facilitated use of agency and community systems to assist the child and family
Reviewed client progress, maintained documentation and records, advocated for the youth and family by supporting, creating and promoting the helping process.
Provided leadership, guidance and support to staff members.
Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
Completed regular visitations to check on children, families and home environments.
Created and updated systems of organization for case service plans and court reports.
Monitored program performance and outcomes for successful delivery of services.
Participated in community events to promote services and engage with public.
Developed and implemented training programs for staff.
Small Business Owner/Vocational Case Manager
Rehabilitation Services, Kathy Cross
08.2003 - 07.2006
Determined specific information regarding employment; training/education needed, physical demands, wages and benefits, and availability
Ascertained the specific physical tolerances and vocational skills needed for specific employment positions requested by referral sources or employers; assisted in modifying job sites or obtaining necessary adaptive equipment as needed
Knowledge of WV workers compensation laws; Forensic rehabilitation services; Evaluation of injured workers; Implementation of Rehabilitation Plans; Labor Market Surveys; Job Analysis; Job Development; Documentation of case information; Career Counseling; Working with attorneys, employers, union representatives, professional and medical practitioners
Invoicing to WV Workers Compensation Commission.
Medical/Vocational Case Manager/Supervisor
Corvel
08.2000 - 07.2003
Evaluation of injured workers; Assisted with medical and vocational services to meet the injured worker’s needs
Implementation of Rehabilitation Plans; Labor Market Surveys; Job Analysis; Job Development; Career Counseling; Working with attorneys, employers, union representatives, professional and medical practitioners
Supervised 10 case managers.
Vocational Rehabilitation Case Manager
Concentra Managed Care
07.1997 - 07.2000
Provided vocational services to assist an injured worker to an appropriate modified duty position with the pre-injury employer, or by assisting the injured worker in locating and securing suitable long-term employment
Provide job coaching and vocational counseling weekly, via telephone, as well as conduct telephonic networking in the local community
Knowledge of WV Workers Compensation Laws, Forensic rehabilitation services; Labor Market Surveys; Job Analysis; Job Development; Career Counseling; Working with Attorneys, employers, union representatives, professional and medical practitioners.
Case Manager
Braley & Thompson
08.1991 - 12.1994
Knowledge of state and federal laws of Medicaid/Medicare recipients
Assessing, organizing and providing written documentation of case information
Networking with homemaker agencies; Hospice, and other home health agencies to provide services to elder and disabled individuals.
Case Manager/Counselor
Shawnee Hills Mental Health
06.1986 - 12.1991
Knowledge of state and Federal Laws of MR/DD and CMI residents; investigation and assessment, organizing and providing written documentation of case information, facilitating community integration of MR/DD and CMI residents, testimony in mental hygiene hearings, working with law enforcement agencies to protect residents, training MR/DD/CMI residents in independent living skills, networking with other agencies to provide services for growth and development, serving as advocate for clients in all situations, group and individual counseling.
Juvenile Probation Officer
Kanawha County Juvenile Probation
08.1989 - 12.1989
Assisted probation officer in supervision of juvenile offenders, attended court hearings as a juvenile advocate, in home visitation, completed pre-deposition reports, counseled juvenile and parents, visited state juvenile facilities, investigation, assessment, and documentation of activity journal.
Project Manager, Program Design and Strategy at CVS Health / Aetna / Coventry Health CareProject Manager, Program Design and Strategy at CVS Health / Aetna / Coventry Health Care