Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
26
26
years of professional experience
1
1
Certification
Work History
RN Case Manager
United Healthcare
09.2011 - Current
Case management/care coordination of Medicaid and Medicare plan benefit services to complex and high risk populations.
Health education and referral to community support systems.
Field Case Manager
Coventry Workers Comp Services
09.2010 - 09.2011
Medical field/telephonic case management of workers comp and disability claims for multiple insurance carriers.
Triage, first aid, and palliative care; employee health education, counseling and referral.
Occupational Health Nurse
Concentra, Inc
12.2004 - 12.2006
Honeywell International Defense & Aerospace Electronics
Managed onsite employee health clinic serving 475 employees in a manufacturing setting; case managed workman's compensation claims; absence management.
Monitored and evaluated employee health surveillance program (Hearing Conservation program, confined space, etc); performed HAZMAT physicals; assisted with HS&E site audits with safety team.
Assisted in monitoring and evaluating health, safety, and environmental regulatory compliance.
Sponsored employee wellness programs; networked with community health resources.
RN Assistant Administrator
Sweet Home Adult Medical Day Care Center
02.2003 - 10.2003
Assisted new business in obtaining State licensure and Medicaid enrollment.
Responsible for the operational, managerial, fiscal and reporting components of the facility.
Formulated policies and procedures; performed routine medical chart audits.
Recruited, hired, instructed, and supervised staff of 28; evaluated quality of all center programs.
Established new contracts and other business relationships.
Assisted in formulating quality assurance program and environmental & regulatory compliance.
Clinical Supervisor
Midpoint Health Care Services
04.2002 - 12.2002
Case managed and supervised skilled and non-skilled home care cases.
Performed routine quality assurance outcome studies and chart audits.
Assisted with marketing and community outreach programs.
Director of Nursing
2nd Home Adult Medical Day Care Center
04.2000 - 11.2001
Coordinated and evaluated the quality of all medical program services.
Provided staff and patient inservices, mandatory and non-mandatory subjects.
Recruited, trained and supervised nursing and ancillary staff.
Assisted in formulating and writing policies, procedures, and creating new nursing documents in accordance with state regulations; performed routine QA/ risk management outcome studies.
Provided employee health screenings, employee health education, and counseling.
Initiated and established community referrals as needed.