Randall Spurlock
Xenia
Summary
Professional case manager with comprehensive experience in telephonic patient support and healthcare coordination. Expertise in assessing patient needs, developing care plans, and providing ongoing guidance. Strong focus on team collaboration and achieving optimal outcomes. Reliable, adaptable, and skilled in communication, problem-solving, and patient advocacy.
Overview
1
1
Certification
45
45
years of professional experience
Work History
Telephonic Case Manager
United Healthcare/Optum
West Chester, Ohio
06.2022 - 12.2025
Telehealth Educator
AmerisourceBergen/LASH Group
Frisco, Texas
11.2019 - 05.2022
- Responsible for connecting Multiple Sclerosis patients with accessibility to program medication. Connected patients with financial assistance. Provided ongoing monitoring of patients journey while on the medication. Reported Adverse Events per protocol.
Case Management Team lead
United Healthcare/Optum
Sharonville, Ohio
07.2017 - 10.2019
Telephonic Case Manager
United Healthcare/Optum
Sharonville, Ohio
03.2016 - 07.2017
Clinical Nurse Manager
AmerisourceBergen/LASH Group
Frisco, Texas
06.2014 - 02.2016
Telehealth Educator
AmerisourceBergen/LASH Group
Frisco, Texas
10.2013 - 06.2014
- Telephonic Nurse Educator with MS One to One program, responsible for connecting Multiple Sclerosis patients with accessibility to program medication. Connected patients with financial assistance. Provided ongoing monitoring of patients journey. Reported Adverse Events per protocol.
Case Management Clinical Supervisor
United Healthcare/Optum
West Chester, Ohio
02.2012 - 10.2013
- Supervisor of a team of 26 RN case managers, of whom 10 were my direct reports. Responsible for assessing and coaching performance to meet individual/ team metrics and account requirements. Completed yearly performance evaluations and handled HR issues for my direct reports. Actively participated in management meetings and external account audits. Successfully on-boarded 13 new hire RN's onto team.
Case Manager Team lead
United Healthcare/Optum
West Chester, Ohio
08.2011 - 02.2012
- I assisted manager with day to day operation of case management team consisting of 26 RN's. I acted as coach for the case managers by performing case and call audits monthly. Reviewed reports and assisted in developing action plan to meet team goals.
Telephonic Case Manager
United Healthcare/Optum
West Chester, Ohio
02.2010 - 07.2011
- Assessed member’s health status and identified gaps in care, understanding of disease. Developed goals and plan to assist member in instituting healthy behavior changes. I also provided health coaching and education. This was a telecommuter position.
Employee Health Nurse
Clinton Memorial Hospital
Wilmington, Oh
01.2008 - 01.2010
- Performs all new hire health screenings, vaccinations, annual TB testing and flu vaccinations for employees, reviews incident reports and maintains the facility's OSHA log, maintains all employee health files and computer databases.
Staff RN Ambulatory Care
Clinton Memorial Hospital
Wilmington, Oh
01.2008 - 01.2008
- Provided outpatient infusion and injection needs for renal, anemia patients.
Charge Nurse Urgent Care
Clinton Memorial Hospital
Wilmington, Oh
01.2005 - 01.2007
- Supervised and staffed 7 bed urgent care, evening hours. Triaged patients as needed to emergency room.
Staff RN OCC. Health/Urgent Care
Clinton Memorial Hospital
Wilmington, Oh
01.2004 - 01.2005
- I worked part time in both positions. Daytime-Occ. Health: Cared for injured workers, performed DOT physicals, drug screenings, onsite hearing testing and vaccinations, onsite CPR training. Evening- Urgent Care: cared for community members requiring non-emergent care, triaged as needed to local ER.
Staff Nurse ER/Urgent Care
Clinton Memorial Hospital
Wilmington, Oh
01.2000 - 01.2004
- Staff nurse evenings in local county hospital ER and Urgent Care facility.
Case Management Referral Analyst, Telecommuter
Intracorp
Philadelphia, Pa
01.1995 - 01.1999
- I worked from home via computer/phone. Reviewed patient files flagged by utilization review specialists for appropriateness of case management. Opened case management files and assigned them to onsite case managers locally.
Telephonic Case Manager
Intracorp/CIGNA
Atlanta, GA
01.1991 - 01.1995
- Developed telephonic relationships with patients, arranged & negotiated cost of HHC, DME, medications, skilled nursing facility stays etc.. Documented cost savings based on negotiations.
Utilization Review Specialist
Intracorp/CIGNA
Atlanta, Ga
01.1991 - 01.1991
- I provided telephonic utilization review. Certified continued hospital stays based on medical necessity, referred potential case management cases as needed.
Operating Room Clinical Coordinator
Emory University Hospital
Atlanta, Ga
01.1983 - 01.1991
- Coordinated OR schedule and staffing assignments for 17 bed Operating room
Charge/Staff RN Geriatric Unit
Jewish Hospital of Cincinnati
Cincinnati, Oh
01.1981 - 01.1983
- I worked 10pm-8am on a 27 bed medical geriatric unit. Staff/Charge RN.
Education
RN Diploma - RN
Jewish Hospital of Cincinnati School of Nursing
Cincinnati, Oh01.2001
Skills
- Case Management/UR Proficiency: Expert
- Nursing Proficiency: Expert
- Data Entry Proficiency: Advanced
- Telecommuting Proficiency: Expert
- Cross-cultural sensitivity
- Problem-solving
- Critical thinking
- Team collaboration
- Patient assessments
- Client advocacy
- Care coordination
- Risk assessment
- Patient management
- MS office
- Case management
Certification
- CCM (Certified Case Manager)
- Ohio Compact RN Licensure
Timeline
Telephonic Case Manager
United Healthcare/Optum
06.2022 - 12.2025
Telehealth Educator
AmerisourceBergen/LASH Group
11.2019 - 05.2022
Case Management Team lead
United Healthcare/Optum
07.2017 - 10.2019
Telephonic Case Manager
United Healthcare/Optum
03.2016 - 07.2017
Clinical Nurse Manager
AmerisourceBergen/LASH Group
06.2014 - 02.2016
Telehealth Educator
AmerisourceBergen/LASH Group
10.2013 - 06.2014
Case Management Clinical Supervisor
United Healthcare/Optum
02.2012 - 10.2013
Case Manager Team lead
United Healthcare/Optum
08.2011 - 02.2012
Telephonic Case Manager
United Healthcare/Optum
02.2010 - 07.2011
Employee Health Nurse
Clinton Memorial Hospital
01.2008 - 01.2010
Staff RN Ambulatory Care
Clinton Memorial Hospital
01.2008 - 01.2008
Charge Nurse Urgent Care
Clinton Memorial Hospital
01.2005 - 01.2007
Staff RN OCC. Health/Urgent Care
Clinton Memorial Hospital
01.2004 - 01.2005
Staff Nurse ER/Urgent Care
Clinton Memorial Hospital
01.2000 - 01.2004
Case Management Referral Analyst, Telecommuter
Intracorp
01.1995 - 01.1999
Telephonic Case Manager
Intracorp/CIGNA
01.1991 - 01.1995
Utilization Review Specialist
Intracorp/CIGNA
01.1991 - 01.1991
Operating Room Clinical Coordinator
Emory University Hospital
01.1983 - 01.1991
Charge/Staff RN Geriatric Unit
Jewish Hospital of Cincinnati
01.1981 - 01.1983
RN Diploma - RN
Jewish Hospital of Cincinnati School of Nursing