Darwin Hanna,

PO BOX ****

Bolingbrook, IL *****

-Hm-630-***-****

acr8na@r.postjobfree.com

Education

College of Dupage School of Nursing= 2012-Completed

Robert Morris College-2012-2012

Southern Illinois University, Bachelor of Science, Biology 06/02/82-12/ 84

Health and Safety Officer .US Military-11/89-09/2013

As of 09/15/2012 I’m recently returning from Iraq after a 3 years tour/23 years of Military service

University of Phoenix- Masters Program- currently Professional Experience

01/07-01/2010(Recalled to active Duty) Healthcare, Aetna Healthcare, Chicago, IL

Perform initial and ongoing clinical assessment via telephone calls to patients, physicians and attorneys. Assessments include psychosocial needs, cultural implications and support systems.

Create case management plans based on the assessment with measurable goals and objectives utilizing evidenced-based criteria; monitor ongoing progress toward goals and objectives; implement plan through case management interventions and communication with all parties.

Measure interventions and clinical outcomes, financial, quality of life, and patient satisfaction; maintain accurate records, identify cost savings, and demographic data.

Develop and recommend changes to ensure effective and efficient communication among medical providers.

Provide medical authorization for treatment in a timely manner. 04/06 – 01/07 Worker’s Comp/OSHA Health and Safety Officer, Travelers Insurance, Chicago, IL

Prioritized and managed Illinois, Michigan, and Indiana assigned caseload of medical and disability workers’ compensation claims according to Travelers guidelines.

Assessed incident reports, severity of injury, extent of disability, treatment plans, functional abilities and physical job requirements to plan a strategy to manage future medical exposure.

Directed treatment to panel and network providers, negotiated treatment plan in compliance with Labor Code statutes and company standards.

Responded to correspondence and telephone inquiries regarding status of case and documented interventions, rationale and recommendations.

Facilitated return to work release and coordinated return to work efforts with all parties.

The Safety & Occupational Health Manager is responsible for the implementation of the Western Region Safety Management Program.

Develops goals and objectives, prepares safety polices for the Western Regional Office within the Bureau and Departmental policies, procedures, and guideline and periodically conducts Safety management evaluations.

As Safety & Occupational Health Manager, advises the Regional Director, Regional Supervisory General Engineer, Regional Supervisory Environmental Scientist, WRO Superintendents and the BIE Education Line Officers on the management and operational matters regarding the Region's Occupation Safety and Health Program. The program also includes the loss compensation program, the Office of Workmen Compensation Program injury compensation program, emergency preparedness program and implementation of the Continuity of Operations Plan, motorized equipment safety program, motor vehicle operator program and other safety programs affecting conditions and well-being of Western Region personnel.

Organizes and executes program budget, develops safety training curriculum, and equipment guidelines to insure the inclusion of necessary safety features at all BIA and BIE facilities. Coordinates safety activities and evaluates the adequacy and effectiveness of operating safety practices and safety training. Maintains current knowledge of federal standards hazardous materials, hazardous operations and oversees all required corrective measures.

Conducts field investigations of contract construction and recommends contract modifications which meet safety compliance standards to minimize risks to human health, human life and damage to property through monitoring. Is authorized to invoke stop orders during cases of immediate jeopardy to life or property.

Develops a Region-wide program to complete annual health and safety inspections of facilities to identify fire hazards, adequacy of fire or fire suppression equipment and system, fire prevention and protection of building occupants. Provides and coordinates written findings and recommendations of corrective actions into SMIS for deficiencies. Monitors and tracks Annual Corrective Action Plans provided by programs with workplace safety deficiencies.

03/06 – 12/06 Worker’s Comp/OSHA Health Safety Officer, Lewis Co. TPA, Deerfield, IL

Managed assigned Texas and Illinois workers’ compensation cases in accordance with Lewis Co. policies and procedures, federal, state, and local regulations.

Provided telephonic case management of Workers’ Compensation claims by facilitating and coordinating medical care with consideration to the criteria based model.

Conducted initial assessments, coordinated continuous care and monitored progress

Authorized medical treatment and associated diagnostic testing on assigned cases.

Obtained job description and discussed job modifications with the injured employee and employer to ensure a prompt return to work.

Assisted in the development of internal procedures and medical case management training 09/04 – 04/06 Utilization Medical Review, Unicare, Chicago, IL

Performed Utilization Management (UM) and Case Management (CM) review in accordance with state regulations to ensure quick turnaround times (TAT) and meet parameters set by National Committee for Quality Assurance ( NCQA) guidelines.

Obtained and reviewed medical reports, treatment plans, physician’s orders, progress reports, and unusual occurrence on patients.

Monitored and maintained communication with benefit administrators, medical providers, attorneys and employers using “Best Practices.”

Analyzed utilization, referral and claims information, gathered statistical data, aggregated and reported UM activity, denials, appeals, TAT, and UM trends. 08/02 – 09/04 Medical Negotiation Nurse, Concentra, Naperville, IL

Contacted out-of-network medical providers contracted with HMO,DMO,DME, PPO, Medicaid, Medicare, and EPO health plans prior to admission to ensure of cost-effective services.

Worked collaboratively with medical providers, discussed appropriate level and intensity of care and negotiated a fair and reasonable charge for outpatient or inpatient services.

Facilitated the recovery process through coordination of discharge planning in collaboration with physicians, case managers, nurses, nutritionists, therapists, and social workers.

Documented contacts and outcomes related to case activity and submitted billing reports. 06/99 – 07/02 Medical Oncology, US Oncology, Schaumburg, IL

Worked collaboratively with 50 physicians and discussed patients’ conditions and medical needs.

Performed physical assessments, administered medications, IV fluids, and monitored recovery.

Coordinated treatments, consultations, and tracked test results and updated physicians.

Documented assessments, treatments, medications administered, and follow up care.

Reviewed claims for accurate ICD-9, CPT, HCPCS coding in accordance with regulations. 11/85 – 02/99 USMC-Triage RN/Flight Med Evac RN, USMC, San Diego, CA

(Reservist 2001 to Present)- Retired-2013

Provided patient care to Marines in various environments and clinical settings.

Interfaced and coordinated with the Department of Defense and other governmental agencies.

Administered medications, hang drips, stabilized wounded Marines using MS04, triage, and, MAST; started suctions, opened airways; performed respiratory treatments, cardiac monitoring, minor surgical/orthopedic procedures, and utilized non-invasive monitoring equipment (EKG/defibulator).

Extracted wounded Marines from dangerous war zones and provided emergency medical care.

Served as a leader of 48 Marines and conducted pre-deployment readiness briefs.

Collaborated with multi-disciplinary teams and managed Marines physical, environmental and psychosocial health issues.

Licenses/Certifications:

Current Military RN Exp. 2017

Pending licensed Endorsement in Arizona,Texas,Florida ACLS and BCLS Certifications – expires 4/18

CPHT- Certification – expires 2016

CCM-Military Exp. 2018

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