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Registered Nurse Manager

Location:
Waterford, WI, 53185
Posted:
June 30, 2011

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Resume:

Kristina Baxter

*** ****** ***** **. *********

Waterford, WI 53185

Dedicated registered nurse (RN) with experience in case management surgery,

616-***-****

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.



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