Experience

Orchard Medical Consulting

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Case Management Nurse

  • Jul 2019 - Present



Equian

• United States
• Information Services
• 200 - 300 Employee

• Forensic Review Clinician

  • Feb 2017 - Present

  Hospital bill review for billing errors, unbundling, HAC/NE conditions, implant/medication markups, coding review, and experiment & investigational medications/procedures. Hospital bill review for billing errors, unbundling, HAC/NE conditions, implant/medication markups, coding review, and experiment & investigational medications/procedures.



VIVAGE

• United States
• Hospitals and Health Care
• 300 - 400 Employee

• Clinical Liaison

  • Jan 2016 - Dec 2016

  Marketing tasks to promote client growth through assessments of referred patients for short-term physical rehabilitation and/or long-term inpatient care. Marketing tasks to promote client growth through assessments of referred patients for short-term physical rehabilitation and/or long-term inpatient care.



Kindred Healthcare

• Hospitals and Health Care
• 1 - 100 Employee

• Case Management Nurse

  • Mar 2015 - Jan 2016

  Medical case management, utilization/concurrent review, and discharge planning. Medical case management, utilization/concurrent review, and discharge planning.



CorVel Corporation

• United States
• Insurance
• 700 & Above Employee

• Medical Case Manager/Professional Bill Review Nurse

  • 2012 - 2015

  Catastrophic field and telephonic case management services in the areas of worker’s compensation, auto and group health. Personal injury and auto injury liability review. Bill review of Hospital and Physician charges. Catastrophic field and telephonic case management services in the areas of worker’s compensation, auto and group health. Personal injury and auto injury liability review. Bill review of Hospital and Physician charges.



Coventry Health Care, an Aetna Company

• Nurse Case Manager

  • 2005 - 2015

  Catastrophic field and telephonic case management services in the areas of worker’s compensation, auto and group health. Catastrophic field and telephonic case management services in the areas of worker’s compensation, auto and group health.



Poudre Valley Health System

• United States
• Medical Practices

• Registered Nurse

  • 1995 - 2007

  Staff nurse Obstetrics/Birthing Center, Postpartum and newborn care. Other units worked: ICU, ICCU, NICU, Oncology, Pediatrics, Neurology, Medical, Surgical, Mental Health, Orthopedics, and Cardiac. Staff nurse Obstetrics/Birthing Center, Postpartum and newborn care. Other units worked: ICU, ICCU, NICU, Oncology, Pediatrics, Neurology, Medical, Surgical, Mental Health, Orthopedics, and Cardiac.



Aon

• Albania
• Electric Power Generation
• 1 - 100 Employee

• Cambridge-Claims Specialist, Legal Nurse Consultant

  • 2003 - 2005

  Investigation of professional liability and medical malpractice claims. Responsibilities include medical record review, chronological and summary reports of medical records, evaluation of liability and standards of care, claimant interviews, investigation and settlement of claims for hospital, physician, and nursing facility clients. Investigation of professional liability and medical malpractice claims. Responsibilities include medical record review, chronological and summary reports of medical records, evaluation of liability and standards of care, claimant interviews, investigation and settlement of claims for hospital, physician, and nursing facility clients.