Registered Nurse Manager

Janice VanOrnum

Email: *********@********.***

Address: 19802A Heritage Dr

City: Tomball

State: TX

Zip: 77377

Country: USA

Phone: 281-***-****

Skill Level: Management

Salary Range: $70,000

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Janice S. Vanornum

19802A Heritage Dr.

Tomball, Texas 77377

M: (281) 844- 7324

PERSONAL SUMMARY

Highly skilled Registered Nurse (RN) and Certified Case Manager (CCM) with more than 20 years of relevant experience providing superior care, while ensuring smooth nursing operations and regulatory compliance. Recognized as an exceptional team leader and problem solver, and have expertise in Workers' Compensation, Utilization Review and Risk Management. Have notable success in healthcare policy and procedure development, proven in the delivery of excellence in patient care.

CAREER HISTORY

Coventry - Houston, Registered Nurse, RN Case Manager Aug 2009 - Current

Worked closely with claims staff to provide field case management services for Workers' Compensation, Long-shore, and Catastrophic claims. Reviewed and facilitated appropriate, timely, and cost effective medical care and disability management on smaller, high-risk accounts. Evaluated results of same to either revise strategies or prepare the claims examiner for legal issues on the claim. Developed new strategies, formulated detailed action plans to elevate medically complex claims for peer review, IME, or legal hearing. Duties included:

Managing a case load of 25-35 files.

Providing customer services to insurance companies with ROI of $5.00.

aa Performing comprehensive quality management audits; medication management, composite flow sheets, advanced directives, pain management medication orders, progress notes, care plans, and assessments to ensure compliance.

GENEX Services, Inc. - Houston, TX Registered Nurse, Branch Supervisor, RN Case Manager 1997-Aug., 2009

Trained and developed top healthcare professionals by providing insightful and motivational leadership with constructive feedback through periodic performance reviews. Managed a staff of 13-15 nurses, streamlined operations, and designed and implemented procedures to reduce expenses and enhance patient care. Unified teams by improving communications and cultivating a sense of cohesiveness, while sustaining a high level of in-services by focusing on building stronger care teams. Interviewed and identified qualified candidates, then hired and trained them: above all by leading by example. Strategically aligned resources with needs and budget goals; realigned staff duties by pairing strengths with facility challenges to improve efficiency. Consistently achieved above average QA/audit scores. Duties included:

aa Overseeing daily operations and ensure quality level of care. Investigate and respond to inquiries, complaints and grievances - take immediate corrective action.

Collaborating across the organization to ensure maintenance of appropriate clinical action.

Serving as a medical staff resource and liaison.

Options, Inc. - Houston, TX & Lubbock, TX

Registered Nurse, Field Case Manager 1996- 1997

Corvel Inc. - Houston, TX

Registered Nurse, Sr. Medical Case Manager 1994- 1996

PROFESSIONAL CREDITIALS

A.D. - Nursing, 1976 Angelo State University

C.C.M. Certification 2004 - Current

C.D.M.S. Certification 2006 - 2011

C.R.R.N. Certification 1995 - 2000

AREAS OF EXPERTISE

Catastrophic Injuries,Quality Assessments,Process Improvements,Regulatory Improvements,Quality Management,Compliance Reporting, Performance Evaluations,Negotiations & Development,Equality & Diversity,Health & Safety,Occupational Health

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