SUSANNE MCARTHUR
Sioux City
Summary
Dedicated RN, MSN, CCM with extensive experience in clinical practice, case management, leadership, and workers’ compensation. Demonstrated high ownership and initiative while fostering productive working relationships and exceeding company expectations. Thrived in fast-paced, deadline-driven environments to manage goals and develop teams.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Manager of Nurse Case Management Workers' Compensation
Great West Casualty Company
South Sioux City
01.2017 - Current
- Managed case management and internal nurse program to ensure effective coordination of care.
- Delivered clinical education, managed vendor relationships, implemented program improvement initiatives, reviewed medical records, conducted utilization review, and oversaw medical care for catastrophic claims.
- Assisted adjusters in managing medical aspects of injured workers' claims to promote return to pre-injury status and facilitate return to work.
- Achieved promotion to management team in 2018
Manager of Accreditation and Regulatory Services
Mercy Medical Center
Sioux City
01.2015 - 12.2017
- Educate hospital staff and physicians on rules and regulations.
- Monitor compliance to rules and regulations and corrective action plans.
- Coordinate and implement continuous readiness to meet Joint Commission Standards.
Medical Case Manager
Case Management Services
Sioux City
01.2010 - 12.2015
- Monitor medical costs and patient outcomes.
- Liaison between injured worker, employer, insurance company and physicians.
- Medical record review, telephonic and field case management.
- Writing and reviewing policy and procedure manual.
- Assisted with URAC certification and compliance.
Registered Nurse
Siouxland Surgery Center
Dakota Dunes
01.2002 - 12.2012
- Pre and post-operative care orthopedics, neurology, gynecology, and general surgery.
- Discharge planning and chart review.
- Clinical preceptor nursing students and new hires.
Registered Nurse
Dunes Family Medicine
Dakota Dunes
01.1997 - 12.2002
- Assisted physicians with surgical and non-surgical procedures.
- Patient education and phone triage.
- Managed immunization program, and patient drug assistance program.
Registered Nurse
Mercy Medical Center
Sioux City
01.1995 - 12.1998
- Provided essential care to patients experiencing strokes, multiple traumas, and head and spinal cord injuries to support their recovery.
- Managed post-operative care for patients who underwent total joint replacements to ensure comfort and optimal recovery.
- Developed and executed patient education and discharge planning strategies to enhance understanding of post-care requirements.
Education
Master of Science - Nursing Leadership and Management
Western Governor's University
Bachelor of Science - Nursing
Briar Cliff University
Sioux City, IAAssociates Degree - Nursing
Western Iowa Tech Community College
Sioux City, IASkills
- Case management
- Clinical judgment
- Problem solving
- Critical thinking
- High level of autonomy
- Leadership
- Coaching/Education
- Communication
- Strong ethical convictions
- Excellent working relationships
Certification
- Mentor, 2021, Great West Casualty Company
- Master Speaker, 2019, Great West Casualty Company
- On the Job Trainer (OJT), 2018, Great West Casualty Company
- Certified Case Manager (CCM), 2017, The Commission for Case Management
Timeline
Manager of Nurse Case Management Workers' Compensation
Great West Casualty Company
01.2017 - Current
Manager of Accreditation and Regulatory Services
Mercy Medical Center
01.2015 - 12.2017
Medical Case Manager
Case Management Services
01.2010 - 12.2015
Registered Nurse
Siouxland Surgery Center
01.2002 - 12.2012
Registered Nurse
Dunes Family Medicine
01.1997 - 12.2002
Registered Nurse
Mercy Medical Center
01.1995 - 12.1998
Master of Science - Nursing Leadership and Management
Western Governor's University
Bachelor of Science - Nursing
Briar Cliff University
Associates Degree - Nursing
Western Iowa Tech Community College