Registered Nurse with 40 years experience in multiple healthcare positions. Most recently in Workers Compensation arena as a Medical Case Manager and also Telephonic Case Management for the past 9 yrs and 6 months. I have a background that encompasses a wide range in health care; emergency medicine, trauma care, private duty nursing, medical/surgical and work in research. I am sure with my professional accomplishments, motivation and sense of responsibility, I can become a productive member of your staff.
Overview
41
41
years of professional experience
Work History
Field Case Manager
Spectrum Healthcare Resourses
St Louis, MO
12.2022 - Current
Working with the Department of Labor, injured workers, relaying pertinent information to the claims examiner, according to HIPPA compliance and the State of Texas laws regulating health information for workers' compensation purposes. Moving claims through the process that is designed to optimize healthcare and return-to-work outcomes for injured workers. The goal is to ensure appropriate medical treatment and facilitate communication between system participants.
Coached patients on navigating complex healthcare systems.
Advised medical staff on best practices related to case management protocols.
Coordinated services with other health professionals to ensure optimal patient outcomes.
Medical Case Management
Integrion Group
Albuquerque, New Mexico
09.2013 - Current
Workers
Compensation Medical Case Management, attending medical appointments with
claimants and relaying information to Insurance Agents pursuant to HIPPA
compliance and the State of New Mexico laws regulating health information for
workers compensation purposes. Maintaining communication with claimant, agent,
providers and ancillary care and diagnostic procedures when approved by
Insurance Agents. Maintaining achieved records for future reference should need
arise per adjuster request. Recorded patients' medical history, vital statistics and test results in medical records.
Telephonic Case Managment
Travelers Insurance
Houston, Texas
09.2012 - 03.2013
Workers Compensation Telephonic Case Management, relaying pertinent information to Insurance Agent pursuant to HIPPA compliance and the State of Texas laws regulating health information for workers compensation purposes. Moving claims though the process that is designed to optimize healthcare and return to work outcomes for injured workers. The goal to ensure appropriate medical treatment and facilitate communication between system participants. Using Official Diagnostic Guidelines (ODG) and Medical Disability Guidelines.
Agency Registered Nurse
Maxiim
Houston, Texas
06.2012 - 09.2012
Agency contracted with Tomball Regional Hospital in Tomball, Texas, Emergency Department Staff Nursing providing direct patient care while providing a safe working environment. Maintaining Certifications for Emergency Medicine practice, ACLS Advanced Cardiac Life Support, PALS Pediatric Advanced Cardiac Life Support, CPR, TNCC Trauma Nurse Core Curriculum, ENPC Emergency Nurse Pediatric Course.
Staff Nurse
Carlsbad Medical Center
Carrlsbad, New Mexico
06.2011 - 02.2012
Staff Nursing providing direct patient care while providing a safe working environment. Maintaining Certifications for Emergency Medicine practice, ACLS Advanced Cardiac Life Support, PALS Pediatric Advanced Cardiac Life Support, CPR, TNCC Trauma Nurse Core Curriculum, ENPC Emergency Nurse Pediatric Course.
Field Nurse Medical Case Management
Health Systems International
West Des Moines, Iowa
12.2008 - 06.2011
Workers Compensation Medical Case Management, attending medical appointments with claimants and relaying information to Insurance Agents pursuant to HIPPA compliance and the State of New Mexico laws regulating health information for workers compensation purposes. Maintaining communication with claimant, agent, providers and ancillary care and diagnostic procedures when approved by Insurance Agents. Maintaining achieved records for future reference should need arise per adjuster request. Recorded patients' medical history, vital statistics and test results in medical records.
Field Nurse Medical Case Management
Bass And Babb
Osceola, Iowa
10.2007 - 12.2008
Workers Compensation Medical Case Management, attending medical appointments with claimants and relaying information to Insurance Agents pursuant to HIPPA compliance and the State of New Mexico laws regulating health information for workers compensation purposes. Maintaining communication with claimant, agent, providers and ancillary care and diagnostic procedures when approved by Insurance Agents. Maintaining achieved records for future reference should need arise per adjuster request. Recorded patients' medical history, vital statistics and test results in medical records.
Charge Nurse (RN) Level One Trauma Center
University New Mexico Health Sciences Center
Albuquerque, New Mexico
01.2001 - 10.2007
Charge
Nurse of a Level One Trauma Unit that is a multi faceted department including a
13 bed Pediatric Department, 10 bed Urgent Care, 12 bed Observation Unit, 30
bed Adult Emergency Unit, 5 Trauma/OR bays, 2 Resuscitation Bays. My
responsibilities included but not limited to were to guide and coordinate all
incoming patient placement ambulatory, ambulance, air transport with Nursing
staff, Advised Medical/Trauma teams and
consulting
MD's with the flow though department and admission to in patient status. Ensured patient care was streamlined, safe, timely and appropriate. Worked
directly with and monitored the Radiology department, managers of multiple In
patient units to achieve streamlined transfer of patient care.Maintaining Certifications for Emergency Medicine practice, ACLS Advanced Cardiac Life Support, PALS Pediatric Advanced Cardiac Life Support, CPR, TNCC Trauma Nurse Core Curriculum, ENPC Emergency Nurse Pediatric Course.
Charge Nurse (RN) Level Three Trauma Center
St. Joseph Medical Center
Albuquerque, New Mexico
02.2000 - 10.2002
Charge Nurse of Level Three Trauma Center, small 10 bed Emergency Department, included but not limited to were to guide and coordinate all in-coming patient placement ambulatory, ambulance with Nursing Staff. Advised Medical and consulting MD's with the flow though the department and admission or transfer. Ensured patient care was streamlined, safe, timely and appropriate. Worked directly with and monitored the Radiology department, managers of multiple In patient units to achieve streamlined transfer of patient care. Maintaining Certifications for Emergency Medicine practice, ACLS Advanced Cardiac Life Support, PALS Pediatric Advanced Cardiac Life Support, CPR, TNCC Trauma Nurse Core Curriculum, ENPC Emergency Nurse Pediatric Course.
Clinical Research Nurse Coordinator FT
University of New Mexico
Albuquerque, New Mexico
03.1996 - 10.2002
My
duties were to coordinate Clinical Trials for Donald Edmond Fry, M.D. Professor
and Chairman of the Department of Surgery at University New Mexico School of
Medicine. Responsibilities were to implement research trials, conduct and
analysis inclusion and exclusion criteria for patient enrollment into varied
randomized, blinded, or double blinded comparative trials, for treatment with
new antibiotics or combinations.
Flight Nurse PT
Lifeguard Air Transport at UNMH
Albuquerque, New Mexico
06.1995 - 12.2000
Duties
as a Flight Nurse on Fixed Wing Transport and Helicopter, was to ensure safe
streamlined transport of critically injured patients to designated treatment
facilities. Coordinated treatment with sending and receiving Physicians, also
maintained a collaborative working relationship with the flight paramedic and
pilot.Maintaining Certifications for Emergency Medicine practice, ACLS Advanced Cardiac Life Support, PALS Pediatric Advanced Cardiac Life Support, CPR, TNCC Trauma Nurse Core Curriculum, ENPC Emergency Nurse Pediatric Course.
Staff RN/Relief Charge Nurse PT
University of New Mexico Hospital
Albuquerque, New Mexico
04.1996 - 01.2000
Staff Nursing providing direct patient
care while providing a safe working environment. When needed would stand in as Charge Nurse. Maintaining Certifications for
Emergency Medicine practice, ACLS Advanced Cardiac Life Support, PALS Pediatric
Advanced Life Support, CPR, TNCC Trauma Nurse Core Curriculum, ENPC Emergency
Nurse Pediatric Course.
Emergency Department Staff RN/Relief Charge Nurse
University of New Mexico Hospital
Albuquerque, New Mexico
07.1988 - 04.1996
Staff Nursing providing direct patient care while providing a safe working environment. When needed would stand in as Charge Nurse. Maintaining Certifications for Emergency Medicine practice, ACLS Advanced Cardiac Life Support, PALS Pediatric Advanced Life Support, CPR, TNCC Trauma Nurse Core Curriculum, ENPC Emergency Nurse Pediatric Course.
Agency RN
Nurse Finders
Albuquerque, New Mexico
10.1987 - 05.1988
Duties
as a Agency Nurse was to function on Medical/Surgical units as direct patient
care RN. Working with varied staff and new environments remaining flexible and
willing to take on full duties. Developed fast working relationships with
regular staff and ancillary units to further care for my patients in a safe
environment.
Emergency Department Staff Nurse/Night Charge Nurse
St. Davids Community Hospital
Austin, Texas
02.1986 - 07.1987
Staff
Nursing providing direct patient care while providing a safe working
environment. Maintaining Certifications for Emergency Medicine practice, ACLS
Advanced Cardiac Life Support, CPR.
Agency Nurse
Kimberly Nursing Agency PT
New Braunfels, Texas
01.1986 - 04.1987
Duties as a Agency Nurse was to function on Medical/Surgical units as direct patient care RN. Working with varied staff and new environments remaining flexible and willing to take on full duties. Developed fast working relationships with regular staff and ancillary units to further care for my patients in a safe environment.
Staff Nurse Medical/Surgical Unit
Mckenna Memorial Hospital
New Braunfels, Texas
01.1986 - 03.1987
Duties as a Staff Nurse on Medical/Surgical units as direct patient care RN. Working with varied staff and new environments remaining flexible and willing to take on full duties. Developed fast working relationships with regular staff and ancillary units to further care for my patients in a safe environment.
Emergency Department Staff Nurse
Sacred Heart Hospital
Pensacola, Florida
04.1985 - 11.1985
Staff Nursing providing direct patient care while providing a safe working environment. Maintaining Certifications for Emergency Medicine practice, ACLS Advanced Cardiac Life Support, CPR
Emergency Department Staff Nurse
Baptist Hospital
Pensacola, Florida
07.1985 - 10.1985
Staff Nursing providing direct patient care while providing a safe working environment. Maintaining Certifications for Emergency Medicine practice, ACLS Advanced Cardiac Life Support, CPR
Emergency Department Staff Nurse
Eastern New Mexico Medical Center
Roswell, New Mexico
05.1984 - 04.1985
Staff Nursing providing direct patient care while providing a safe working environment. Maintaining Certifications for Emergency Medicine practice, CPR
Education
Associate of Science - Nursing
Eastern New Mexico University-Roswell
1984
Skills
Quick Learner
Strong Verbal communication Skills
Extremely Organized
Ambitious & self motivated
Conflict resolution skills
Process implementation
Culturally sensitive
Enthusiastic
Affiliations
Roswell Women Club Nursing Scholarship Recipient 1982 - 1984Institutional Scholarship Award 1982- 1983Who's Who Among Students in America Junior Colleges 1982 - 1983Student Nurses Association 1982 - 1983Psychology Department Club Treasurer 1983Psychology Department Club President 1984
Timeline
Field Case Manager
Spectrum Healthcare Resourses
12.2022 - Current
Medical Case Management
Integrion Group
09.2013 - Current
Telephonic Case Managment
Travelers Insurance
09.2012 - 03.2013
Agency Registered Nurse
Maxiim
06.2012 - 09.2012
Staff Nurse
Carlsbad Medical Center
06.2011 - 02.2012
Field Nurse Medical Case Management
Health Systems International
12.2008 - 06.2011
Field Nurse Medical Case Management
Bass And Babb
10.2007 - 12.2008
Charge Nurse (RN) Level One Trauma Center
University New Mexico Health Sciences Center
01.2001 - 10.2007
Charge Nurse (RN) Level Three Trauma Center
St. Joseph Medical Center
02.2000 - 10.2002
Staff RN/Relief Charge Nurse PT
University of New Mexico Hospital
04.1996 - 01.2000
Clinical Research Nurse Coordinator FT
University of New Mexico
03.1996 - 10.2002
Flight Nurse PT
Lifeguard Air Transport at UNMH
06.1995 - 12.2000
Emergency Department Staff RN/Relief Charge Nurse
University of New Mexico Hospital
07.1988 - 04.1996
Agency RN
Nurse Finders
10.1987 - 05.1988
Emergency Department Staff Nurse/Night Charge Nurse