Registered NurseWork Comp Case ManagerCase Manager
Work Type
Full TimePart Time
Location Preference
RemoteOn-SiteHybrid
Location:
Decatur, IL, US
Open to relocation:
No
Minimum Desired Compensation
$100000/yr
Important To Me
Work-life balanceWork from home optionPaid time offHealthcare benefits401k matchStock Options / Equity / Profit SharingPaid sick leave4-day work week
14
years of professional experience
Healthcare professional with strong background in patient care and medical support. Known for collaborative work with medical teams to deliver high-quality care and adapt to evolving patient needs. Expertise in patient assessment, care, promotion & restoration of health. Offering compassionate care, reliable advocacy, and smooth delivery of care for the patient and all parties involved.
Work History
RN Work Comp Case Manager
5 Years 5 Months
HSHS Medical Group Occupational Health & Wellness | 05.2021 - Current
Delivered occupational health assessments, injury triage, and return-to-work support for employee populations.
Coordinated pre-employment screenings, respirator fit testing, and surveillance exams accurately.
Educated employees on wellness programs, injury prevention, and worksite health compliance requirements.
Documented clinical encounters, treatment plans, and follow-up care in electronic health recording
Conducted peer-to-peer discussions with payers to clarify care plans and criteria.
Conducted thorough reviews of medical records, identifying necessary documentation to support prior authorization requests.
Coordinated patient referrals across specialty services, ensuring timely scheduling and continuity of care.
Documented referral activity in electronic medical records, maintaining compliant and organized case tracking.
Inpatient Case Manager
3 Years 9 Months
HSHS St. Mary's Hospital | 08.2017 - 05.2021
Reviewed medical necessity and continued stay criteria to guide utilization management decisions.
Coordinated inpatient discharge plans with interdisciplinary teams to support safe, timely transitions.
Communicated with physicians, nurses, and social workers to align care plans and patient needs.
Arranged post-acute referrals, durable medical equipment, and community resources for discharge readiness.
Documented care coordination activities accurately in medical records and case management systems.
Identified barriers to discharge and resolved placement, coverage, or transportation issues proactively.
Educated patients and families on discharge instructions, follow-up care, and available support services.
ARC Rehabilitation Charge Nurse
4 Years 6 Months
HSHS St. Mary's Hospital | 02.2013 - 08.2017
Linked patients and families to community resources, behavioral health services, and post-acute care options.
Coordinated patient care assignments, balancing acuity, staffing, and unit priorities for safe daily operations.
Supervised nursing staff, providing guidance, coaching, and support for consistent clinical performance.
Communicated with physicians, case managers, and interdisciplinary teams to resolve care concerns promptly.
Monitored patient status changes, escalating issues and initiating interventions to maintain safety.
Enforced hospital policies, infection control standards, and regulatory compliance across assigned unit.
Reviewed admissions, transfers, and discharges, ensuring accurate handoff and documentation flow.
Education
Bachelor of Science - Nursing
Mennonite College of Nursing | Bloomington, IL
Restorative Certification
Lincoln Land Community College | Springfield, IL
Skills
Work Comp & Inpatient Case Management; Acute Care Nursing; Rehabilitation & Restorative Nursing; Home Health Nursing; Inpatient & Outpatient Medical Surgical Nursing; Geriatric Nursing; Pediatric Nursing; Community Health Nursing; Public Health Nursing; Endoscopy & Outpatient Surgical Nursing.