Post Job Free

Resume

Sign in

Medical Manager

Location:
United States
Posted:
July 23, 2016

Contact this candidate

Resume:

Education

Graduate Bryan/LGH College of Nursing, Lincoln, NE

Professional Registered Nurse

Graduate of University of Phoenix, Denver, CO

Bachelor of Science in Business Administration, Marketing Minor

Professional Experience

Clinical Experience-

Wide range of nursing experience to include emergency room, intensive/coronary care, operating room trauma and open heart. Patient education, team leading and triage experience

Non-clinical Experience-

Certified Case Manager - Experienced in the case management of auto, liability and work comp claims to include catastrophic case management of burns, spinal cord injury and traumatic brain injury. Public speaker on issues of case management and return to work. Education of employers, adjusters and orientation/ mentoring of case managers. Ability to plan large educational offerings. Resource for risk management department and insurer/employer relations. Past president and education chair of Colorado Rehabilitation Insurance Nurses Group. Versed in evidence-based treatment guidelines. Trained to perform ergonomic evaluations and certification is pending. Trained in ergonomic assessment.

Legal Nurse Consultant Certified - Highly Proficient in medical records review and organization, chronologies, medical research and all aspects of trial preparation. Ability to secure expert opinion/witness and witness preparation, preparation of documents and facilitating of communication between all parties. Ability to review for appropriate application of standards of care.

Certified Nurse Life Care Planner - Experienced in medical cost projections, life care planning and Medicare set-aside preparation. Reviewing documents prepared by others to provide rebuttal/ viable options for future care.

Medical Advisory Panel to the Colorado Director of Worker's Compensation - Chair and Co-chair of the Cervical and Lumbar Spine and Shoulder /TOS Medical Treatment Guideline (MTG) Taskforce 2006 and 2008. Task force member Cervical and Lumbar Spine MTG 2013.

Medical/Legal Experience

Meridian Medical Staffing/UNM Hospitals

Hospital Case Manager and Utilization Nurse May 2016 - Present

Used Curaspan and Interqual software packages to review patient medical files

Utilizing a wealth of experience to ensure that patients were receiving an appropriate amount of care for the duration of their admittance.

Pinnacol Assurance

Strategic Nurse Consultant December 2013 - November 2015

Broadspire

Medical Case Manager, Ergonomic Evaluations October 2011 - December 2013

Urbach Medical Consulting

Case Manager, Legal Review, Cost Projections, Life Care Planner October 2010 - January 2013

Bunch and Associates

Telephonic Case Manager, Coordinator of Care/Return to Work May 2006 - July 2011

Protocols, LLC

Legal Nurse Consultant March 2005 - April 2006

Prepared MSAs and Cost Projections for Purposes of Settlement

Royal and Sun Alliance

Senior Medical Management Specialist March 1997 - June 2004

Field Case Management, Review BI Claims, Regional Resource, Customer Service and Education, Adjuster Education, Interface with Claims, Risk Management and Early Intervention Nurses

Montgomery, Little, Young, Campbell & McGrew

RN Legal Assistant May 1985 - February 1989

Assisted with all aspects of Litigation, Medical Chronologies, Research, Expert Opinion Coordination, Deposition and Witness Preparation, Communication with Clients, Insurers, Experts, Preparation of Documents, Trial Preparation, Organized a Medical Library and Central Repository for Medical Research.

Clinical Experience

Greenwood Village Health and Rehab

Weekend Staff Nurse PRN January 2005 - August 2006

Presbyterian/St Luke’s Medical Center

Weekend Staff Nurse, Operating Room November 1985 - November 1995

Rose Medical Center

Staff Nurse ICU/CCU January 1977 - December 1978

Staff Nurse OR, Open Heart Surgery, PRN Team Leader January 1980 - September 1984

Additional Work Experience Can Be Provided Upon Request

Licensures

Active Professional Registered Nurse, Colorado

Certified Case Manager, 1996 - Present

Legal Nurse Consultant, 2006 - Present

Certified Nurse Life Care Planner, 2006 - Present

Associations

Colorado Rehabilitation Insurance Nurses Group, 1989 - Present

Two terms as President

Vice President

Education Chair 2005-2007

Seminar Chairperson 1993, 1994, 1995, 2001

American Association of Life Care Planners, 2006 - Present

2008-2009 Conference Planning Committee

2014 Mentorship Committee

American Association of Legal Nurse Consultants, 2006 - Present



Contact this candidate