Experience

Right Consulting Group

• Medical Practices
• 1 - 100 Employee

• Case Management Nurse

  • Nov 2018 - Present



Avalon Case Management

• St, Joseph, Michigan

• Care Manager

  • Dec 2012 - Jun 2022

  Helping people navigate the Medicare/Medicaid world with the focus on: PREVENTING REPEAT HOSPITALIZATIONS AND ER VISITS. • Maintain updated knowledge of Medicare/Medicaid. • Engage assigned members and guide them to develop lifelong well-being and health. • Identify gaps in care and implement strategies. • Guide and facilitate interaction with resources appropriate for their care and well-being. • Work in collaboration with a multi-disciplinary team, employing a variety of strategies, approaches and techniques to enable each insured member to manage their physical, environmental and psycho-social health issues. • Evaluate assigned members needs and implement appropriate interventions with participants in Care Management in their place of residence (Home, Assisted Living) for gas, food, electricity, water, and repairs needed to home, etc. • Complete physical, psychological, emotional and environmental reviews of your assigned insured members in order to provide appropriate, timely interventions to optimize care. (Educate on diagnoses and provide Medicine Management are examples) • Develop plan of action with your assigned member based on identified needs and recommend and/or coordinate interventions that may include information, education, resources and referrals. • Work collaboratively with all staff to ensure appropriate intervention implementation with advocacy organizations and healthcare facilities • Manage and maintain all assessment data in appropriate software applications. • Comply with all reporting requirements. • Conduct ongoing face to face outreach to members participating in the Care Management Chronic Care Program. • Coordinate community care and services as deemed appropriate • Act as a member’s advocate and liaison by completing or facilitating face to face or telephonic with providers as well as private, non-profit, and governmental agencies. Show less



ManageAbility, Inc. FDI Group 9/2007-5/2008

• Novi, MI

• Medical and Vocational Case Management

  • Aug 2007 - May 2008

  Medical Case Manager - Summary of Qualifications • Workers Compensation • Auto No Fault Disability • Cost Expenditure Analysis • Long Term Disability • Catastrophic Auto • Expert Testimony Vocational Rehabilitation Consultant - Summary of Qualifications: • Vocational Assessment • Transferable Skills Analysis • Educational Testing • Occupational Interest Testing • Vocational Rehabilitation Plans • Job Placement • Employability / Interview Skills Training • Transitional Work Programs • On Site Job Analysis • Residual Wage Earning Capacity • Expert Testimony Show less



Occupational Consulting Services

• Lansing MI

• Medical and Vocational Case Management

  • Aug 1993 - Aug 2007

  Medical Case Manager - Summary of Qualifications • Workers Compensation • Auto No Fault Disability • Cost Expenditure Analysis • Long Term Disability • Catastrophic Auto • Expert Testimony Vocational Rehabilitation Consultant - Summary of Qualifications: • Vocational Assessment • Transferable Skills Analysis • Educational Testing • Occupational Interest Testing • Vocational Rehabilitation Plans • Job Placement • Employability / Interview Skills Training • Transitional Work Programs • On Site Job Analysis • Residual Wage Earning Capacity • Expert Testimony Occupational Consulting Services- Lansing MI 1993-200 (Skills required noted above summary of qualification for Medical and Vocational Case Manager) Lakeland Berrien Center -Berrien Center, MI 2003-2007 Registered Nurse-Geriatric Floor Show less