Created framework for new hire UR Training program, development and presentation of materials, resources and Objectives
Educator for staff on policy and procedure changes, system enhancements
Created and implemented training for sales staff and external accounts on UR process
Extensive reporting experience
RN Field Case Manager
Taylor and ASSOCIATES
01.2014 - 01.2017
Workers Compensation
RN Case Manager
Intervention Project for Nurses (IPN)
01.2013 - 01.2014
Psychiatric and Substance abuse case management for impaired RNs in Florida presenting to the Florida Board of Nursing for continued licensure considerations
RN Field Case Manager
INTEGRATED CASE MANAGEMENT (ICM)
01.2012 - 01.2013
Workers Compensation
RN Field Case Manager
Taylor and ASSOCIATES
01.2007 - 01.2012
Workers Compensation
RN Legal Liability Review: provided lengthy, in-depth reviews for liability cases to establish chronology, medical necessity and gaps in care
RN Telephonic Case Manager
INTRACORP
01.2005 - 01.2007
Workers Compensation
RN Appeals
Blacksone Resources
01.2005 - 12.2005
Provider appeals for the Tenet healthcare network
Contract position
InterQual
Quality Improvement Director
Health Partners PPO
01.2004 - 01.2005
Provided physician credentialing, auditing and ongoing education for network compliance leading to successful URAC accreditation
RN Nurse Consultant
MetLife
01.2000 - 01.2004
Short-term and Long-term disability consultant
Strategic disability management
Data mining
Process improvement
Promoted to special project team for Medical Director