Experience

Patriot National, Inc.

• United States
• Insurance
• 1 - 100 Employee

• Case Manager

  • Apr 2015 - Present



AmeriSys

• United States
• Insurance
• 1 - 100 Employee

• Telephonic Case Manager

  • Dec 2013 - Apr 2015

  Coordinate and implements appropriate treatment plans for injured workers while ensuring quality of care as well as cost effectiveness for the State of Florida. Provide triage and medical coordination services for injured employees in such a manner that it maximizes functional and economic outcomes while meeting or exceeding the company’s contractual performance standards. Perform ongoing assessments of the injured employee’s recovery to ensure high quality of care, reduce recovery time and minimize the effects of the injury on workers’ compensation cases according to parameters identified and required performance standards, expected per the State of Florida. Facilitate communication between the employee, employer, insurer, health care provider, attorneys and ancillary services in order to achieve the company’s highest quality program goals of case management. Show less



Health Direct Inc

• Insurance
• 1 - 100 Employee

• RN Worker's Comp Case Management

  • May 2012 - Dec 2013

  Maintains contact with medical provider and injured parties on 65+ claims involving medical treatment and /or disability to coordinate appropriate medical care. Obtains medical records from providers telephonically during initial contact, and follow up with written correspondence if necessary. Researching data from medical records and completing reports in a timely manner Responsible for helping to ensure injured parties receive appropriate treatment by closely monitoring the progress of the injured worker and report results back to the adjuster. Contacts employer to initiate modified duty or full return to work. Obtains job description and discusses job modifications required to ensure a prompt return to work. Coordinate patients appointments and arranges services to assist with compliance (i.e. Transporta-tion/Translation/Diagnostic/DME) Show less



Alere Home Monitoring

• Testing Service Representative

  • Jul 2011 - Jan 2012

• Client Service Representative-Sales

  • Jan 2011 - Jul 2011

  Telephonic marketing and sales of INR meters to provider offices and facilities. Works independently and as part of the team to builds rapport with clients, assess needs. Educates facilities on the process of choosing suitable patients and obtaining complete documentation. .



Childrens Medical Service

• Orlando, Florida Area

• RN Telephonic Case Manager

  • Jun 2006 - Jan 2011

  Coordinates care for chronically and terminally ill children Handles inbound and outbound calls while maintaining confidentiality Assess patient needs and determine appropriate providers and services Schedules appointments and order supplies Acts as a liaison between families, physicians, therapist and other health care providers Documents each interaction with the child or family. Advocates for families and helps navigate them through the health care system Authorizes and verifies benefits and eligibility Works independently using telephonic and computer networks Assists with enrollments and training new nurses Show less