Summary
Overview
Work History
Education
Skills
Affiliations
Timeline
Generic
Linda Martin RN CCM

Linda Martin RN CCM

Lake Placid ,FL

Summary

Over 30 years as a Registered Nurse having included past diabetes certification and now Case Management certification, along with experience as a team leader, UR knowledge, strong communication and negotiation skills to provide satisfaction of clinical outcomes. Experienced in working with multistate claims Compassionate Case Manager with broad nursing experience. Excel at negotiation and communication with medical staff while maintaining professionalism and a team player. High quality patient care, dedicated employee with strong ethic adaptability. Experienced at working independently unsupervised and quickly master new skills. Passionate about continuous learning and professional development. History of meeting company needs working under pressure and meeting difficult timelines. Demonstrated clinical expertise, leadership skills and optimizing of patient care. Strong knowledge of workerscomp, documentation, and quality-driven outcomes.

Overview

32
32
years of professional experience

Work History

RN Case Manager

Brown&Brown/Amerisys/The Davies Group
Orlando, FL
06.2019 - 08.2024
  • Documentation overview
  • Evaluation of Treatment Plans
  • UR research and analysis
  • Authorization Determination
  • Electronic Medical Records upkeep
  • Telephonic Communication with Injured Workers, Physicians, Employers, and Adjusters
  • Letter writing
  • Physician prepay process knowledge
  • Daily Time Keeping
  • Monthly Staff Meeting attendance
  • Roundtable Discussions on Complex Claims.
  • Daily Diary Upkeep and documentation of treatment progress
  • Evaluation of clinical outcomes
  • Clinical knowledge, strong negotiation and diplomacy when communicating with Injured Workers, Physicians, Employers, and Adjusters.

RN Nurse Case Manager - Field / Remote

Wagner Rehab Inc.
Bristol, NH
04.2018 - 04.2019
  • Evaluation of treatment plans, UR research to determine appropriateness of treatment and to arm adjusters with authorization determination.
  • Educated patients on diagnosis, treatment, and safe return to work guidelines.
  • Negotiated with medical providers regarding ongoing treatment to promote safe return to work while providing cost savings.
  • Electronic Medical Record upkeep, case management documentation.
  • Time Keeping - Driving time, appointment time keeping, etc.
  • Successful productivity
  • Tactful diplomacy when communicating with patients, employers, medical providers, adjusters, and attorney.
  • Diary upkeep
  • Provided emotional support to patients and their families during difficult times.

Field Nurse Case Manager

Mollie Kallen Case Management, Inc.
Boca Raton, FL
02.2017 - 02.2018
  • Responsible for meeting with physicians, injured workers, employers in order to secure medical records and evaluate work injury.
  • Evaluation of diagnosis, treatment plans, and work status information to provide to adjusters and employers.
  • Negotiation with providers to evaluate clinical outcomes and safe return to work per guidelines while providing cost savings.
  • Clinical documentation
  • Time Keeping
  • Communication diplomacy when dealing with injured workers, adjusters, and medical providers.
  • Clinical knowledge

RN Case Manager

Aon Company, Inc.
Orlando, FL
08.2013 - 01.2014
  • Remote setting - home office
  • Responsible for securing medical records in order to determine diagnosis, treatment plans, and work status information.
  • Diplomacy when speaking, negotiating, or writing to medical providers, employers, adjusters, and injured workers.
  • Coordination of authorized treatment and evaluation of clinical outcomes.
  • Review and determination documentation of FMLA and Disability claims.
  • Strong clinical knowledge required

RN Case Manager - Remote Telephonic

MCRS / Patriot Risk Services Inc.
Fort Lauderdale, FL
02.2010 - 08.2013
  • Telephonic communication with medical providers, injured workers, adjusters, attorneys
  • Multistate claim handling
  • Responsible for securing and upkeeping electronic medical records, evaluating diagnosis, treatment plans, and work status.
  • Knowledge of UR concepts - use of MD Now Guidelines to determine appropriateness of treatment
  • Strong negotiation skills.
  • Coordination of authorized treatment and evaluation of clinical outcomes.
  • Dailey Case Management progress note keeping and time keeping
  • Sucessful and safe return to work while providing cost savings.

Field Nurse Case Manager

Coventry Health Care
Tampa , FL
11.2006 - 02.2010
  • Appointment attendance with injured workers, medical providers, and employers
  • Responsible for securing medical records to determine diagnosis, treatment plans, and work status.
  • Responsible for keeping injured workers, adjusters, and employers updated on diagnosis, treatment plans, and work status updates.
  • Responsible for determining clinical outcomes, providing safe return to work while providing cost savings.

Telephonic Nurse Case Manager

Specialty Risk Services (SRC), Inc
Maitland, FL
11.2005 - 05.2006
  • Telephonic communication with injured workers, physicians, medical team, adjusters, and employers
  • Responsible for securing and upkeeping electronic medical records.
  • Utilization Review (ODG guidelines)
  • Coordination of authorized treatment
  • Evaluation of treatment to progress injured workers to successful work release while providing cost savings
  • Case Management documentation
  • Daily time keeping

Nurse Case Manager - Team Leader

Health Direct (AIG Insurance TPA)
Orlando, FL
03.2003 - 11.2005
  • Team Leader position
  • Responsible for educating and teaching team on proper job functions while maintaining my own case load
  • Securing electronic medical records, evaluating diagnosis, treatment plans, and work status.
  • Coordination of authorized treatment
  • Evaluation of clinical outcomes
  • Successful safe work release while providing cost savings
  • Roundtable discussions with Medical Director regarding complex claims.
  • Attendance of Staff Meetings and educating team on any new policies and procedures.

RN Case Manager

CorVel Corporation
Orlando, FL
01.2002 - 06.2002
  • My first experience with telephonic case management and workerscomp
  • Responsible for telephonic communication with medical providers, injured workers and employers
  • Responsible for keeping adjuster who worked in same office updated on treatment and work status information
  • Daily Case management note keeping and Time Keeping.

Registered Nurse, Rehabilitation

Orlando Regional Medical Center - Lucerne Hosp
Orlando, FL
06.2001 - 01.2002
  • Worked as an RN on the Rehabilitation Unit
  • Worked mostly with paralyzed Spinal Patients as a floor nurse.
  • Observed strict safety measures, including checking medication dosages before administration to patients.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.

Registered Nurse - Agency Nurse

Nurse Service World, Inc
Orlando, Florida
01.2001 - 06.2001
  • Worked as an RN at multiple hospitals as needed.
  • Units included Med-Surg, PCU, Ortho, and Long Term Facilities

  • Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
  • Administered oral, IV and intra-muscular medications and monitored patient reactions.
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
  • Created, implemented and evaluated patient care plans with medical team.
  • Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
  • Administered medications, tracked dosages, and documented patient conditions.

Registered Nurse, School Nurse

Health Central Hospital
Winter Garden, FL
11.1999 - 06.2000
  • Worked as an RN School Nurse
  • Responsible for working with elementary and middle school aged children
  • Administering prescribed medications as per physician's orders
  • Evaluating and observation of sick children while maintaining communication with parents and school administration

Registered Nurse, Diabetes Educator

Orlando Regional Healthcare System
Orlando, FL
03.1993 - 06.1998
  • Diabetes Education to patients in a homecare setting
  • Acted as patient advocate and implemented total patient care through team nursing process.
  • Case Management using Medicare, Medicaid, and Workerscomp guidelines
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
  • Provided emotional support to patients and their families during difficult times.
  • Collaborated with doctors to plan post-treatment home care and prevent return hospitalization.
  • Provided direct nursing care to patients, including administering medications, wound care, and IV therapy.
  • Identified potential safety hazards in the environment or among patients' behaviors.
  • Assessed patient health and developed individualized care plans accordingly.
  • Administered medications and treatments, monitoring patients for reactions and side effects.
  • Maintained thorough, accurate and confidential documentation.
  • Recorded patient condition, vital signs, recovery progress and medication side effects.

RN, Critical Care

Florida Hospital Orlando
Orlando, FL
03.1992 - 12.1992
  • Successful Completion of the Critical Care Nursing Program as a Graduate Nurse
  • Worked in Heart Surgery Critical Care Unit
  • Assessed patients, documented observations and reviewed patient charts to determine care needs.

  • Collaborated with interdisciplinary healthcare professionals to create, implement and adapt individualized care plans.
  • Instructed patients and families on disease processes, treatments, and self-care techniques.
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
  • Supervised unlicensed personnel performing delegated tasks within scope of practice as assigned.
  • Monitored patient vital signs, assessing and responding to changes in patient conditions promptly.
  • Identified abnormal and critical respiratory patterns through direct pulmonary assessments.
  • Fostered positive relationships with physicians, staff members, and other healthcare professionals to ensure optimal patient care.

Education

Associate of Science - Nursing

Valencia Community College
Orlando, FL
03-1992

Some College (No Degree) - Nursing

Florida Hospital College of Health Science
Winter Park, FL

Skills

  • 20 plus years Medical and Workerscomp Case Management
  • CCM Certified (Certification in Case managment)
  • Documentation proficiency and evaluation
  • Computer proficiency
  • Team Leadership
  • Home office / Remote Setting since 2006'
  • Utilization Review
  • Documentation Auditing and education
  • Quality Assurance per URAC guidelines
  • Negotiation and Diplomacy
  • Letter writing
  • Roundtable Discussions with team
  • Strong Organizational Skills
  • Reliability and Loyalty
  • Strong Clinical knowledge
  • Understanding of medical guidelines
  • Pharmacological Resource knowledge
  • Chronic Disease Management
  • Multidisciplinary approach
  • Trauma recovery
  • Critical thinking
  • Attention to detail
  • Professionalism
  • Training staff
  • Multitasking capacity
  • Insulin medication assistance
  • Time management abilities

Affiliations

  • RN, Florida Licensed since 1992 - Currently in process of applying for Compact License
  • Certification as Nurse Case Manager since 2005'
  • Certification as a Diabetes Educator from 1995 to 2000'

Timeline

RN Case Manager

Brown&Brown/Amerisys/The Davies Group
06.2019 - 08.2024

RN Nurse Case Manager - Field / Remote

Wagner Rehab Inc.
04.2018 - 04.2019

Field Nurse Case Manager

Mollie Kallen Case Management, Inc.
02.2017 - 02.2018

RN Case Manager

Aon Company, Inc.
08.2013 - 01.2014

RN Case Manager - Remote Telephonic

MCRS / Patriot Risk Services Inc.
02.2010 - 08.2013

Field Nurse Case Manager

Coventry Health Care
11.2006 - 02.2010

Telephonic Nurse Case Manager

Specialty Risk Services (SRC), Inc
11.2005 - 05.2006

Nurse Case Manager - Team Leader

Health Direct (AIG Insurance TPA)
03.2003 - 11.2005

RN Case Manager

CorVel Corporation
01.2002 - 06.2002

Registered Nurse, Rehabilitation

Orlando Regional Medical Center - Lucerne Hosp
06.2001 - 01.2002

Registered Nurse - Agency Nurse

Nurse Service World, Inc
01.2001 - 06.2001

Registered Nurse, School Nurse

Health Central Hospital
11.1999 - 06.2000

Registered Nurse, Diabetes Educator

Orlando Regional Healthcare System
03.1993 - 06.1998

RN, Critical Care

Florida Hospital Orlando
03.1992 - 12.1992

Associate of Science - Nursing

Valencia Community College

Some College (No Degree) - Nursing

Florida Hospital College of Health Science

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Linda Martin RN CCM