Roxanne Killelea
8154 168th Place, 1E, Tinley Park,IL
Summary
Licensed Registered Nurse/Certified Case Manager seeking new opportunity due to relocating within this leading organization with a strong focus on patient advocacy and care for long term professional growth and career potential.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Nurse Case Manager
Travelers Insurance
Naperville , IL
12.2010 - Current
- Proactive case management with engagement with all parties, securing and reviewing medical/claim information to facilitate appropriate care and treatment to facilitate timely RTW efforts.
- Strong technical knowledge of worker's compensation, with focus of documentation and data integrity as well as ongoing communication and collaboration with claim partners and peers.
- Review, manage and secure timely Utilization Reviews based upon medical documentation.
- Manage multiple CSS and national accounts with attending telephonic and in person file reviews.
- Assist with Emergency Response Team property contacts during catastrophic events.
- TCX Consultation Medical Case Management from 2019-2022
- Onboarding training/mentoring to new Medical Case Managers across IL, IN, WI, and MI.
- Subject Matter Expert for Virtual Visits, Ask-a-Nurse, MCM/CCM Peer roundtables, and ESP Pain Program.
Registered Nurse / Clinical Manager
Internal Medicine & Consultants
Tinley Park, IL
06.1999 - 09.2010
- Managing and directing clinical staff in preparation of patient care
- Establishing warm, positive relations with patients to provide optimal health care
- Preparing patients for office visit and performing necessary diagnostic testing to aid with MD evaluation, check lipids, HgbA1c, Pt/INR, FBS, Pregnancy testing, NCV’s, EKGs, Spirometry, Holter Monitors, Bladder scans, Aorta scans, continuous blood glucose monitors, ear lavage
- Completed studies for all medical plans including Independent Practice Association (IPAs) and HMOs
- Managed and provided information to staff for collections and processing of Physician Quality Reporting Initiative (PQRIs)
- Supported operational transition and trained staff in electronic medical recording through e-clinical
- Operational office management and supervision of staff including maintaining supplies and equipment for diagnostics, procedures, treatments and all scheduling activities of patients
- Supervision of daily work flow including checking in patients, taking copays, reviewing insurance, filing and pulling of charts, reviewing and authorizing daily prescriptions to ensure patient continual compliance.
Registered Nurse
Medcentrix
Posen, IL
01.1996 - 06.1999
- Patient evaluation including monitoring and tracking vital signs
- Performing procedures such as phlebotomy and administering medications
- Direct care and education of patients, charting and documentation of patient care for acute and chronic care experiences
- Coordinated all medical activities and procedures working with medical doctors, support staff, vendors, drug reps and insurance providers.
Education
Associates Degree in Nursing -
Moraine Valley Community College
Palos Hills, IL12-1995
Skills
- Loyalty to the organization and profession
- Excellent communication skills, written and verbal
- Strong interpersonal skills, ability to listen
- Kindness and empathy to patients
- Creative problem solving/crisis management
- Confidence in making quick and important decisions
- Active, cheerful, positive and team oriented
- Eager to pursue learning, training and development
Certification
- Registered Nurse licensure - IL (1996); WI (2016); IN (2020); AZ (2020); and MI (2022)
- Certified Case Manager (2019)
References
References available upon request.
Timeline
Nurse Case Manager
Travelers Insurance
12.2010 - Current
Registered Nurse / Clinical Manager
Internal Medicine & Consultants
06.1999 - 09.2010
Registered Nurse
Medcentrix
01.1996 - 06.1999
Associates Degree in Nursing -
Moraine Valley Community College
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