KIEL KIRKLAND
Rock Hill,SC
Summary
Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Senior Field Case Manager
Carolina Case Management
08.2022 - Current
- Streamlined communication between healthcare providers, patients, and families for optimal care coordination.
- Mentored new Field Case Managers within the organization, sharing expertise and providing guidance as they acclimated to their roles.
- Evaluated program effectiveness by tracking key performance indicators and implementing data-driven improvements as needed.
- Utilized motivational interviewing techniques to empower patients in making informed decisions about their care plan.
- Promoted continuity of care by establishing strong relationships with both primary care providers and specialists involved in a patient''s treatment team.
Field Medical Case Manager
COVENTRY HEALTHCARE/AETNA
01.2006 - 08.2022
- Provide ongoing case management services to mitigate insurance company costs
- Responsible for patient interviews (home, worksite, physician offices), data analysis (medical records, employment, etc.), daily reporting (in accordance with insurance guidelines), and more; educate injured workers on preventative & recovery steps
- Communicate, in-person and via phone, with patients, medical providers, attorneys, employers, and ins
- Carriers
- Adhere to all relevant state laws/regulations; testify when required
- Manage/Supervise patient groups of 20 to 40
- Position requires 50% to 90% travel
- Improve service quality by identifying cost savings opportunities based on Evidence-Based Guidelines (EBG), monitor expenditures, negotiation skills
- Consistently meet/exceed performance benchmarks (strong annual reviews) in fast-paced deadline-oriented environments
- Organize and supervise Workers Compensation Program and process legal documents
- Supervise, interview, train, mentor and evaluate new staff on company protocols and relationship building skills
- Instrumental in maintaining/retaining existing client accounts; collaborate with Account Managers to facilitate targeted goals
- Prepare staff reports and maintain records
- Coordinate patient referrals, consultations, medical services, and reports
- Recognized for demonstrating a high degree of competence and accuracy
Telephonic Medical Case Manager
ZENITH INS. & ST. PAUL TRAVELERS INS.
01.2003 - 01.2006
Medical Surgical/Orthopedic Nurse
PIEDMONT MEDICAL CENTER
01.2000 - 01.2003
Education
Bachelor of Science in Nursing (BSN) -
UNIVERSITY OF SOUTH CAROLINA
Columbia, SC01.2009
Associate of Health Science in Nursing -
YORK TECHNICAL COLLEGE
Rock Hill, SC01.2000
Skills
- Healthcare navigation
- Case assessment
- Teamwork and collaboration
- Problem-solving abilities
- Attention to detail
- Customer Service
- Reliability
- Time management
- Client advocacy
- Multitasking Abilities
- Excellent communication
- Organizational skills
Accomplishments
- Managed a caseload of 40+ clients, ensuring timely treatment and compliance with regulations.
- Mentored and trained 10+ new nurses, leading to a 100% staff retention rate in the two years.
Certification
Certified Case Manager (CCM)
Affiliations
North Carolina Association of Rehabilitation Professionals
Timeline
Senior Field Case Manager
Carolina Case Management
08.2022 - Current
Field Medical Case Manager
COVENTRY HEALTHCARE/AETNA
01.2006 - 08.2022
Telephonic Medical Case Manager
ZENITH INS. & ST. PAUL TRAVELERS INS.
01.2003 - 01.2006
Medical Surgical/Orthopedic Nurse
PIEDMONT MEDICAL CENTER
01.2000 - 01.2003
Associate of Health Science in Nursing -
YORK TECHNICAL COLLEGE
Certified Case Manager (CCM)
Bachelor of Science in Nursing (BSN) -
UNIVERSITY OF SOUTH CAROLINA
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