To seek and maintain full-time telephonic or field nurse case management position that offers professional challenges, utilizing interpersonal skills, excellent time management and problem-solving skills. Organized and dependable with a positive attitude.
Overview
41
41
years of professional experience
1
1
Certification
Work History
Field Nurse Case Manager
Genex
01.2024 - Current
Developed and implemented comprehensive case management plans to address client needs and goals.
Monitored clients' progress and tracked client services to provide crisis interventions.
Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
Field Nurse Case Manager
ForzaCare
10.2023 - 12.2023
Evaluated patient histories, complaints, and current symptoms.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Documented within established time frame for all parties.
Sought RTW or Modified Duty within the treatment guidelines.
Telephonic Nurse Case Manager
Humana Government
06.2018 - 10.2018
Assessed current treatment plan to identify barriers, clarify or determine realistic goals and objectives and seek potential alternatives.
Collected and inputted case data in managed care system and timely and accurately generated required correspondence and review notification for management.
Provided coaching and education for the Department of Defense Healthcare, Tricare, for both active and retired military personnel and their dependents.
Captured vital health information from beneficiaries, providing a snapshot of the health picture, empowering and encouraging them to develop goals to work towards a healthier lifestyle.
Telephonic Nurse Case Manager
EKHealth Services
02.2017 - 10.2017
Telephonically provided case management for Worker's Compensation and Occupational Accident claimants.
Provided updates via email to adjuster, including post visit reports and communicated with employers, claimants, attorneys and providers, as needed.
Handled files in multiple states as per WC Guidelines.
Communicated within the guidelines with claimant, treating providers, attorney and adjusters.
Adhered to ODG Guidelines for procedural requests, RTW, and treatment plans.
Encouraged RTW Modified duty when applicable.
Collected and inputted case data in managed care system and timely and accurately generated required correspondence and review notification for management.
Field Nurse Case Manager
Premise Health/Nissan
08.2016 - 12.2016
Provided onsite field visits with injured workers at Nissan Plant, coordinated provider visits within the network, collaborated with adjuster for approval and updates.
Intervened in the best interest of all parties when appropriate, in order to provide service in a timely fashion, aware of capturing cost savings, remaining diligent and aware of time constraints and 3 point contacts.
Sought out and secured community services/outreach when appropriate.
Field Nurse Case Manager
New Jersey Manufacturers Insurance
06.2004 - 01.2015
Catastrophic Nurse Case Manger for 9 years.
Attended field visits with claimants in providers office, acute setting or rehabilitation units, provided timely updates with all parties.
Team leader for an Accountability project within the company, which included implementing metrics and measure for adjusters, case managers, supervisors and attorneys.
Attended multiple team conferences, monthly, scheduled round table discussion, promoting a team effort in formulating a treatment plan moving forward.
Responsible to education attorneys regarding case management documentation, in order for attorneys to have a better understanding of the medical flow of the files.
Field Nurse Case Manager
CorVel
09.2002 - 06.2004
Field case managed Workers Compensation and PIP/Auto files for multiple carriers.
Trained new employees on software systems and provided onsite instruction on field case management protocol.
Attended seminars and conferences required to maintain level of proficiency and licensing.
RN Staff Nurse
Valley Hospital
07.1997 - 10.2001
Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
Cardiac Post Open Heart/Cardiac Intervention Unit.
Taught pre/post open heart surgery classes to both patients and significant others, with the use of multimedia equipment, handouts and discussions.
RN Staff Nurse
Hackensack UMC
07.1991 - 07.1997
Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel.
Cardiac/Post Open Heart/Medical Surgical overflow clientele. Provided nursing intervention for up to 6 patients, post open heart recovery room/post cardiac interventional patients.
Encouraged participation in all educational classes regarding specific procedure, provided the onsite classes for patients and families.
RN Staff Nurse
Pascack Valley Hospital
07.1983 - 11.1990
Cardiac Step Down/Telemetry/Medical-Surgical floor. Nursing care provided, using team approach.
Charge nurse duties when charge nurse was off.
Obtained Advanced Cardiac Life Support Certification, Telemetry Certification. Attended multiple conferences and seminars in order to enhance and advance on current knowledge.
Education
Associate of Applied Science - Nursing
Bergen Community College
Paramus, NJ
05.1983
Skills
Clinical Judgment
Proficient in Microsoft Windows, Word, Power Point, Outlook, One Drive
Highly efficient in communicating
Documentation
Round table leader and team player
Ability to multi task
Able to work efficiently and effectively in an independent setting
Coordinating Services
Empathy and Compassion
Case Evaluation
Certification
Certified Case Manager (CCM) Current through 11/30/2025
Tennessee Nursing License, (Compact license) current through 6/30/2025.