TRICIA HATHCOCK
Matthews,NC
Summary
Experienced Field Nurse Case Manager known for high productivity and efficient task completion. Background includes medical case management, legal case review and inpatient hospital setting. Skilled in patient assessment, care planning, and case management with proficiency in navigating healthcare systems and advocating for patient needs. Excel at communication, teamwork, and adaptability, ensuring optimal patient outcomes through effective collaboration with healthcare professionals and families. Experienced in working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Field Nurse Case Manager- CCM
CorVel
Charlotte, NC
04.2024 - Current
- Collaborate with physicians, social workers, and other healthcare professionals to develop individualized care plans for injured workers.
- Develop progressive care plans to facilitate medical recovery and return to work.
- Coordinate discharge planning to ensure continuity of care post-hospitalization.
- Monitor injured employees' progress towards established outcomes through continued assessment.
- Interpret and evaluate diagnostic tests to identify and assess patient's condition.
- Liaison between involved parties of workers' compensation cases by communicating with patients, attorneys, employers, claims examiners and rehabilitation specialists.
- Coordinate referrals for specialty care or additional services when necessary.
- Advocate for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Ensured compliance with all relevant regulations and guidelines related to case management services.
- Assess and analyze injured workers' medical and vocational status and needs.
- Prioritized and organized tasks to efficiently accomplish service goals.
Legal Nurse Consultant/Causation Review Nurse
Selective Insurance
Charlotte, NC
06.2019 - 04.2024
- Reviewed work injury claims.
- Provided chronological review of the medical records.
- Identified pertinent information in the medical records, reviewed the mechanism of injury, summarizing diagnosis(es), identifying treatment plan and medical appropriateness of treatment utilizing the standards of care and official disability guidelines.
- Interpreted and evaluated diagnostic tests to identify and assess the claimant's condition.
- Delivered relevant information regarding diagnosis and treatment to adjusters in comprehensible terminology.
- Analyzed medical data to determine if there was a deviation from accepted standards of care.
- Prepared detailed reports outlining potential risks associated with various medical treatments or procedures.
- Conducted medical research.
- Reviewed claims including multiple orthopedic injuries, traumatic brain injuries and catastrophic injuries.
- Reviewed claims involving burns, heart/lung disease, skin reactions, hearing/visual changes, inhalation injuries, allergen exposure, vaccine reactions, post-surgical complications and drug therapy reactions.
Field Nurse Case Manager Workers’ Compensation
Genex Services
Charlotte, NC
07.2018 - 06.2019
- Coordinated medical care as appropriate for numerous types of injuries for work related injuries.
- Coordinated necessary referrals with optimal providers based on needs, including DME, home modifications, travel, and language needs.
- Handled catastrophic claims and multiple injury claims.
- Provided education to claimant’s regarding disease management and injury prevention.
- Obtained and reviewed detailed job analysis and collaborated with injured workers, employers and physicians to assist in safe return to work.
- Liaised between involved parties of workers' compensation cases by communicating with patients, attorneys, employers, claims examiners and rehabilitation specialists.
- Monitored injured employees' progress towards established outcomes through continued assessment.
- Assessed and analyzed injured workers' medical and vocational status and needs.
- Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
- Identified potential risk factors that could negatively impact a client's overall health outcomes.
- Maintained detailed records of case notes including diagnosis information, treatments provided, medications prescribed.
Telephonic Medical Nurse Case Manager Workers’ Compensation
EMPLOYERS
Charlotte, NC
03.2013 - 07.2018
- Telephonic nurse case manager for workers' compensation insurance carrier
- Performed medical case management in multiple states as well as utilization review
- Worked in collaboration with adjusters, providers, claimants, employers, attorneys and all healthcare professionals in order to develop appropriate plan of care and assist with return to work
- Assisted in providing recommended treatment costs, treatment plan and estimated length of disability for serious loss and catastrophic claims
- Developed strong collaborative and communication skills both verbal and written
- Assisted with determining best medical specialty for treatment of injuries
- Practiced medical cost management strategies and appropriate use of vendors
- Provided leadership and training to new hires and aided in orientation manual
- Served as resource for other co-workers
Registered Nurse- Labor and Delivery
Piedmont Medical Center
Rock Hill, SC
07.1999 - 03.2013
- Labor and Delivery RN- care of ante, intra and post-partum patients as well newborn care
- Managed high risk patients as well managing co-morbidities
- Duties included, triage, labor and delivery, recovery circulating, PACU and couplet care
- Developed strong assessment, organizational and collaborative skills as well as ability to quickly address and manage emergencies
- Employed with Piedmont Medical Center from 1999-2009 and again from 2011-2013
- Concurrent employment in PRN position at Presbyterian Hospital Matthews working as float pool registered nurse covering both labor and delivery and medical/surgical patients
Field Medical Nurse Case Manager Workers’ Compensation
Hoover Rehabilitation
Mechanicsburg, PA
05.2009 - 05.2011
- Field Nurse Case Manager for workers’ compensation
- Provided medical case management for injured workers
- On site collaboration with claimants, providers, attorneys and employers to provide appropriate treatment plan and assist with RTW
- Assisted in coordination of care in cost effective manner
- Assisted adjusters with anticipated costs and treatments as well anticipated length of disability
- Collaborated regarding authorization for treatment as well as recommendations for case management services
- Performed on site job analysis of variety of settings including manufacturing and warehouse
Registered Nurse- Medical Surgical
CaroMont Regional Medical Center
Gastonia, NC
12.1997 - 07.1999
- RN for medical surgical floor with emphasis on renal dialysis
- Developed and strengthened multitude of skills such as assessment, collaboration, delegation, organization, and team work as well communication skills
Education
Diploma in Nursing -
Mercy School of Nursing
Charlotte, NC12.1997
Nursing Study
Clemson University
Clemson, SC05-1994
Diploma -
Shenendehowa High School
Clifton Park, NY06-1992
Classman -
Charlotte Latin School
Charlotte, NC06-1991
Skills
- Healthcare Case Management
- Legal Case Review
- Inpatient hospital care
- Teamwork and collaboration
- Accurate documentation
- Ability to work from home
- Excellent time management and organization skills
- Strong Oral Communication Skills
- Clear Written Expression
- Analytical thinking
- Independent work
- Computer proficiency including MS Office
Certification
Registered Nurse- Current unrestricted licensure in NC (eNLC)- #156316 Issued January 1998
Certified Case Manager (CCM)
2010 to present- Certificate Number:00141957
Current ACLS
ACLS certification
BLS
Current BLS cerification
NRP
Current neontal resuccitation certification
Timeline
Field Nurse Case Manager- CCM
CorVel
04.2024 - Current
Legal Nurse Consultant/Causation Review Nurse
Selective Insurance
06.2019 - 04.2024
Field Nurse Case Manager Workers’ Compensation
Genex Services
07.2018 - 06.2019
Telephonic Medical Nurse Case Manager Workers’ Compensation
EMPLOYERS
03.2013 - 07.2018
Field Medical Nurse Case Manager Workers’ Compensation
Hoover Rehabilitation
05.2009 - 05.2011
Registered Nurse- Labor and Delivery
Piedmont Medical Center
07.1999 - 03.2013
Registered Nurse- Medical Surgical
CaroMont Regional Medical Center
12.1997 - 07.1999
Diploma in Nursing -
Mercy School of Nursing
Nursing Study
Clemson University
Diploma -
Shenendehowa High School
Classman -
Charlotte Latin School
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