Medical Registered Nurse
Resume:
TINA SIMPSON
**** ******** *****, ********, **, 37067 H: 615-***-**** C: 818-***-****
Email: ********@*****.***
PROFESSIONAL SUMMARY
Licensed Registered Nurse and CCM certified
Telephonic experience in Case Management/Triage and Medical/ Insurance nursing, with a positive, calming, and personable tone. Over 20 years’ experience in workers compensation, clinical assessments, case management, medical record services, health plans, clinical nurse review, and consulting. Confident in telephonic evaluation and working remotely.
CORE QUALIFICATIONS
Registered Nurse licensed with states of TN and state of CA. CCM Certified
Post-Acute CM
Workers Comp CM
Medical/Surgical skills CM
Utilization Management reviewer
Strong Assessment skills
Excellent troubleshooting skills
Able to explain medical terminology Excellent organizational/interpersonal skills Customized patient education
Medical Insurance skills
MS Word and Excel
Home office available
Works well independently
Strong work ethic
PROFESSIONAL EXPERIENCE
Federal Workers’ Compensation Medical Case Manager
Managed Care Advisors from September 2017 to Present
Key Achievements
Perform telephonic case management for injured federal workers
Offers the combined skills, knowledge and experience of case management and the nursing profession within the Office of Workers’ Compensation Programs (OWCP).
Assists the injured employee and facilitate the employee’s return to work through identification of medical services needed and arrange for those services to be provided.
Advocate for the employee’s medical needs through communication with all medial providers and to educate the employee on their role in the recover process.
Workers’ Compensation RN Case Manager
Jackson Nurse Professionals from April 2016 August 2017
RN Field Case Manager
Key Achievements
Provide an outline and plan of action for each workers’ compensation medical visit.
Complete Case Management Plan for each patient after accompanying the patient to their medical visits.
Coordinate medical care for injured employees in order to return to work in a timely manner.
Case Management RN
Self Employed – Peak Wellness of Beverly Hills, California from 2005 to 2016
Oversaw daily operations for high-volume medical office. Performed medical case management, wellness case management, workers’ compensation and utilization for post-acute patients.
Management of medical offices and oversaw employees work environment
Resolved all internal conflicts.
Key Achievements
Clinical telephonic RN for workers compensation case management
Clinically reviewed medical records for all outstanding issues and performed assessments of patient care plans Acted as clinical nurse concierge for patients and staff
Coordinated Case Management to ensure appropriate post-op and rehab medical care
Performed Utilization Management review, supporting medically appropriate care with cost effectiveness.
Managed finances including cash flow, payroll, and accounts payable
Registered Charge Nurse, LePetite Ermitage
From 2000 to 2005
RN for Acute Care, Oncology, Post-Operative, ICU/CCU and Medical/Surgical Charge Nurse float. Guided all aspects of patient care medication and post-op orders from doctors.
Key Achievements
Instructed patients and family members on discharge care and post-op case manaagement
Developed and implemented patient care plans, work with insurance companies, and utilization review
Pharmaceutical Sales Representative, From 1986 to 1999
Bristol Myers Mead Johnson Pharmaceutical – Toronto, ON
Placed orders and delivered products to doctors' offices
Key Achievements
Successfully provided education to medical doctors on latest research and development on pharmaceutical drugs to best treat patients
Trained and facilitated in-service presentations to medical staff on proper usage and safety
EDUCATION
Bachelor of Science: Nursing,
Niagara College Mack School of Nursing - Ontario, Canada Currently licensed with Tennessee and California Nursing Association Licensed in Ontario, Canada with Canadian Nursing Association
Certified Case Manager CCM Certificate Number 4232483
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