Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

LISA VEILLEUX

Windham,NH

Summary

Experienced and compassionate Clinical Case Manager with a track record of 25 years delivering high-quality healthcare services to a diverse population. Collaborative with health plan, leadership, and department coordinators to achieve positive outcomes and ensure patient satisfaction. Skilled in developing individualized care plans and advocating for patient welfare. Thrives in high-pressure environments, managing a demanding case load without compromising the quality of care. Professional nurse with a thorough background in field case management, known for delivering impactful patient care and effectively coordinating healthcare plans. Reliable team collaborator with a strong focus on achieving outstanding results. Expertise in patient assessment and resource management.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Registered Nurse Field Case Manager

Genex Services LLC
06.2023 - Current

Assess and evaluate injured workers' medical conditions and treatment plans.

· Collaborate with healthcare providers, employers, and insurance carriers to coordinate care

· Develop and implement return-to-work plans tailored to each worker's needs

· Monitor treatment progress and adjust care plans as necessary

· Provide education and support to injured workers and their families

· Ensure compliance with workers' compensation regulations and guidelines

· Conduct on-site visits to workplaces and medical facilities as needed

· Prepare and maintain accurate case documentation and reports

· Identify and address potential barriers to recovery and return to work

Telephonic Nurse Case Manager

Berkley Medical Managment Solutions
11.2021 - Current
  • Effectively communicates with injured employees, medical professionals, field claims staff, attorneys, and others to obtain information, and to negotiate medical treatment and return to work plans using critical thinking skills, clinical expertise and other resources as needed to achieve an optimal case outcome
  • Utilizes the Nursing Process (assessment, diagnosis, planning, intervention and evaluation) to facilitate medical management to attain maximum medical improvement and return-to-work (RTW) per state jurisdictional requirements
  • Appropriately applies clinical expertise to claims and delivers services in an efficient and effective manner

Clinical Case Manager

Boston Medical Center, Well Sense Health Plan
08.2020 - 11.2021
  • Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to insured clients
  • Provided education on complex health conditions and lifestyle changes for patients to maintain healthy habits and wellbeing
  • Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs

Embedded Care Coordinator

Pelham Medical Center
11.2016 - 11.2020
  • Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery
  • Engaged patients in meaningful conversation, socialization, and activity while providing personal care assistance
  • Assisted with patient goal setting and monitored progress

Clinic Nurse

Harvard University
06.2016 - 02.2017
  • Evaluated patient histories, complaints, and current symptoms
  • Educated patients, families and caregivers about conditions and treatments
  • Maintained compliance with immunizations law and provided immunizations records to all students

Staff Registered Nurse

Merrimack College
08.2013 - 06.2016
  • Implemented nursing care according to policies, procedures, and protocols, and in accordance with identified best-practice standards of care
  • Assisted with/perform medical procedures and treatments
  • Recognized and respond to medical emergencies and unplanned situations

Occupational Health Nurse

Premise Health
08.2008 - 06.2016
  • Coordinated health & wellness programs to include physical fitness, disease prevention, education and identification of employees' health needs individually and as a group
  • Uses medical and short-term disability claim information to target educational needs
  • Conducts and reviews accident investigation and near miss reports to include recommendation completion and follow-up care needed
  • Provided immunization information that is required by individual countries and/or recommended by the organization

Triage Nurse

Alicare Medical Management
12.2009 - 09.2011
  • Performed triage on incoming patients and determined severity of injuries and illnesses
  • Equipped patients with tools and knowledge needed for speedy and sustained recovery
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies

Education

Associate of Science - Nursing

Northern Essex Community College
Haverhill, MA
12.1997

Skills

  • Facilitating Case Conferences
  • Customer and Family Engagement
  • Proficient in Motivational Interviewing Techniques
  • Strategic Decision Making
  • Multitasking Efficiency
  • Clear Communication

Certification

  • Motivational Interviewing Training Basics, 09/01/18
  • Certified in First Aid Mental Health Emergency, 11/01/18
  • Massachusetts, RN 231854
  • New Hampshire, RN 046231-21

Timeline

Registered Nurse Field Case Manager

Genex Services LLC
06.2023 - Current

Telephonic Nurse Case Manager

Berkley Medical Managment Solutions
11.2021 - Current

Clinical Case Manager

Boston Medical Center, Well Sense Health Plan
08.2020 - 11.2021

Embedded Care Coordinator

Pelham Medical Center
11.2016 - 11.2020

Clinic Nurse

Harvard University
06.2016 - 02.2017

Staff Registered Nurse

Merrimack College
08.2013 - 06.2016

Triage Nurse

Alicare Medical Management
12.2009 - 09.2011

Occupational Health Nurse

Premise Health
08.2008 - 06.2016
  • Motivational Interviewing Training Basics, 09/01/18
  • Certified in First Aid Mental Health Emergency, 11/01/18
  • Massachusetts, RN 231854
  • New Hampshire, RN 046231-21

Associate of Science - Nursing

Northern Essex Community College
LISA VEILLEUX