Misty Cantwell
Livingston,TX
Summary
Accomplished Case Manager with a proven track record at Paradigm Management Services, adept in patient assessments and treatment planning. Skilled in interdisciplinary collaboration, regulatory compliance, interpersonal communication, and client advocacy, bringing a blend of critical thinking and empathy to all client interactions ensuring optimal case outcomes. Demonstrated expertise in managing complex caseloads and connecting clients to appropriate resources. Proven ability to build and maintain productive relationships with clients, physicians, attorneys, insurance carriers, physicians, and service providers. Skilled in analyzing client needs, developing effective treatment plans, and providing compassionate person-centered care.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Case Manager / Network Manager
Paradigm Management Services
04.2022 - Current
- Achieved positive client outcomes by developing and implementing comprehensive case management plans.
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
- Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Assisted clients in setting achievable goals while providing ongoing encouragement and support throughout the process of reaching those objectives.
- Fostered open lines of communication with clients'' families and support networks, involving them in the case management process as appropriate.
- Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies..
- Used adaptive communication style and practiced empathy to build trust and rapport with injured workers.
- Provided ongoing evaluation of client progress towards goals established in treatment plans.
- Met directly with clients to assess needs and develop individualized continuing care plan in collaboration with physician.
- Developed comprehensive assessment plans to evaluate client needs and develop appropriate interventions with the Paradigm Management Team.
- Intermediary between the Paradigm Management Team, carriers, attorneys, medical providers, employers, and injured workers while facilitating medical management to attain maximum medical improvement and safe appropriate return to work.
- Appropriate utilization of internal and external resources to achieve optimal case outcome
Senior Field Case Manager
Genex An Elyte Company
05.2018 - Current
- Responsible for assessment, planning, coordination, facilitation, and evaluation of injured workers throughout case management process.
- Intermediary between carriers, attorneys, medical providers, employers, and injured workers while facilitating medical management to attain maximum medical improvement and safe appropriate return to work.
- Appropriate utilization of internal and external resources to achieve optimal case outcome.
Director of Case Management
Nexus Specialty Hospital
07.2017 - 05.2018
- Operational management of the Case Management Department; budgets, staffing, and compliance.
- Streamlined, standardized and implemented case management processes and techniques to maximize revenue cycle.
- Structured standardized case management processes to comply with regulatory agency statutes and standards.
- Fostered professional networks and relationships with service and resource providers to promote continuity and quality of care for clients.
LVN Field/Resource Nurse
VeraCare Hospice
01.2017 - 07.2017
- All duties required by a LVN within scope of practice.
- Community involvement, volunteering at local facilities, providing BP checks for multiple senior village apartments, involved in weekly activities with multiple counties.
- Communicates with all hospice staff and physicians regarding changes in patient’s conditions and carries out adjustments to patient’s plan of care.
- Educated patients and caregivers on disease processes, medications, plans of care and individualized treatment plans.
Director of Case Management
ICON Hospital
01.2014 - 10.2016
- Operational management of the Case Management Department; budgets, staffing, and compliance.
- Hospital utilization performance improvement and operation management of the Case Management department to promote effective utilization of hospital resources.
- Structured standardized case management processes to comply with regulatory agency statutes and standards.
- Fostered professional networks and relationships with service and resource providers to promote continuity and quality of care for clients.
Education
Bachelor of Science - Nursing
The University Of Texas At Arlington
Arlington, TX12.2021
Associate of Applied Science - Nursing / RN
Lone Star Kingwood College
08.2017
LVN - Nursing
Angelina College
Lufkin, TX12.2007
Skills
- Multidisciplinary Teamwork and Collaboration
- Documentation and Reporting
- Excellent Written and Verbal Communication
- Patient Assessments
- Planning and Coordination
- Cost Containment
- Organization and Time Management
- Flexible and Adaptable
- Regulatory Compliance
- Problem-Solving and Critical Thinking
- Resource Management
- Cross-Cultural Competence and Awareness
- Multitasking Abilities
- Empathy and Compassion
- Self Motivation and Positive Attitude
- Interpersonal Skills and Relationship Building
Certification
- Certified Case Manager (CCM)
- Catastrophic Certified, Coventry
- Crisis Intervention Certified. Coventry
Timeline
Case Manager / Network Manager
Paradigm Management Services
04.2022 - Current
Senior Field Case Manager
Genex An Elyte Company
05.2018 - Current
Director of Case Management
Nexus Specialty Hospital
07.2017 - 05.2018
LVN Field/Resource Nurse
VeraCare Hospice
01.2017 - 07.2017
Director of Case Management
ICON Hospital
01.2014 - 10.2016
Bachelor of Science - Nursing
The University Of Texas At Arlington
Associate of Applied Science - Nursing / RN
Lone Star Kingwood College
LVN - Nursing
Angelina College
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