Kristina Baxter
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Waterford, WI 53185
Dedicated registered nurse (RN) with experience in case management surgery,
and sales. Vast knowledge of medical management and understanding of
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healthcare practices.
Reliable, ethical healthcare provider with ability to facilitate groups and
educational seminars, and to collaborate on multidisciplinary teams.
Work Experience
Indiana Insurance - Senior Medical Case Manager
5/2009-Present
Served as an office-based telephonic role, I maintained communication with
physicians, medical providers, patients, and claims professionals and utilize my
multi-tasking skills to effectively manage an assigned caseload of workers'
compensation claims. After compiling all the necessary information, I made
sound decisions to evaluate and assess injury and disability severity, treatment
plans, functional abilities and physical job requirements. I then used my problem
solving skills to establish case-specific target return-to-work dates. Achieved a
98% QA on a case load over 50.
Genex Services - Onsite Nurse Case Manager
2/2007-5/2009
Offered premium cost-containment and fully integrated care management
services in the occupational, auto and group healthcare markets. Responsible
for assessment, planning, coordination, implementation and evaluation of
injured/disabled individuals involved in the medical case management process.
Worked as an intermediary between carriers, attorneys, medical care providers,
employers and employees, and closely monitored the progress of the injured
worker and reported results back to the employer and insurance carrier.
Heartland Homecare – Home Health Nurse (Per Diem)
2/2006-8/2006
Performed home based nursing care on an as needed basis. With a focus on
wound management, medication management, and IV infusion.
HCR Manorcare – Nurse Liaison
2/2005-2/2007
Responsible for managing leads in primary referral hospitals and ensuring a
smooth discharge process for patients transitioning from a hospital setting to our
centers. I developed strong relationships with the key referral hospital personnel
and identified new opportunities for partnering and growth. Additionally, I
provided presentations to hospital referral sources for continuing education
credits.
Comp Management – Telephonic Case Manager
12/2002-9/2004 Served as an office-based telephonic role, I maintained
communication with physicians, medical providers, patients, and claims
professionals and utilize my multi-tasking skills to effectively manage an
assigned caseload of workers' compensation claims.
Spectrum Health – Registered Surgical Charge Nurse
8/2000-2/2005
Spectrum Health's Surgery Department deals with complex surgical procedures
as well as routine surgeries. A broad range of surgeries that include: Cardiac,
Neurosurgery, Otolaryngology, Head & Neck, Ophthalmology, Orthopedics,
Oncology, Plastic Surgery, Oral Surgery, Vascular, General, Dermatology,
Urology, Gynecology, and Thoracic.. Helped ensure that all equipment is
assembled and ready for the surgery. Also monitors the patient during surgery,
and ensures that the surgeon and scrub nurse or tech has all the equipment
needed to perform the surgery efficiently and safely.
Education
5/1999 Mott Community College
Associates Degree in Nursing
2 Semesters towards Bachelor’s Degree
Current Registered Nurse Licenses in Michigan, Wisconsin, Minnesota, and
Illinois
Completion of 2 Harvard Managed Mentor Courses in Management
Affiliations
Certified Medical Case Manager (CCM)
Skills
Case Management Emergency and Patient Advocacy
Surgical Nursing
Records Review Patient/Family Quality & Continuity of
Education Care
Sales and Marketing
Record Retrieval All acute areas of care
Orthopedic,
Neurology, Medical
and General Surgery
Additional Information
98% QA for work efficiencies at Indiana Insurance carrying a heavy case load.
Saved 3.2 million dollars in 2010 for Indian Insurance through effective case
management. Top sales Liaison for HCR Manorcare in 2006.