Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Nancy Schumacher, RN, CCM

Murfreesboro,TN

Summary

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.

Timeline

Field Nurse Case Manager

Genex
01.2024 - Current

Field Nurse Case Manager

ForzaCare
10.2023 - 12.2023

Telephonic Nurse Case Manager

Humana Government
06.2018 - 10.2018

Telephonic Nurse Case Manager

EKHealth Services
02.2017 - 10.2017

Field Nurse Case Manager

Premise Health/Nissan
08.2016 - 12.2016

Field Nurse Case Manager

New Jersey Manufacturers Insurance
06.2004 - 01.2015

Field Nurse Case Manager

CorVel
09.2002 - 06.2004

RN Staff Nurse

Valley Hospital
07.1997 - 10.2001

RN Staff Nurse

Hackensack UMC
07.1991 - 07.1997

RN Staff Nurse

Pascack Valley Hospital
07.1983 - 11.1990

Associate of Applied Science - Nursing

Bergen Community College
Nancy Schumacher, RN, CCM