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Manager Case

Location:
Westbrook, ME, 04092
Posted:
September 30, 2018

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Resume:

Karen Greenleaf

Medicare Nurse Case Manager - Aetna Healthcare

Portland, ME 04103

ac68gg@r.postjobfree.com - 207-***-****

Senior level disability nurse case manager with over fifteen years of experience in STD, LTD, REINSURANCE and Worker's Compensation. Strong communication skills and understanding of the disability management process.

WORK EXPERIENCE

Medicare Nurse Case Manager

Aetna Healthcare - Portland, ME - April 2017 to Present Duties include remote/telephonic assessment and creation of medical care plan for seniors who have been hospitalized. Also included are outreach to patients, physicians, discharge planners and ancillary healthcare service agencies.

Small Business Owner and Developer

Gourmutt Beastro & Barkery - Portland, ME - May 2014 to April 2017 Created and developed a successful small family-owned business which specializes in birthday and other celebrations for cats and dogs

Telephonic RN Case Manager

Sedgwick CMS - South Portland, ME - December 2012 to May 2014 Telephonic WC case manager working within multiple East coast states to assist injured workers through recovery and to return to work. Daily outreach to patients, physicians, attorneys, employers and rehab specialists.

Assisted with arrangements for IME and peer review. Worked within laws of multiple states as well as utilization review software.

Nurse consultant in STD/LTD/REINSURANCE

UNUM - Portland, ME - June 2007 to December 2012

Nurse consultant working with disability claims managers to educate and assist in claims management. Responsible for arranging IME and peer review examinations. Performed telephonic outreach to patients, physicians, attorneys and other stake holders. Worked with claim managers individually as well as to lead group

educational sessions.

EDUCATION

Bachelor of Science in Business

University of New England - Portland, ME

1998

Bachelor of Science in Nursing

Westbrook College - Portland, ME

NURSING LICENSES

RN

Expires: February 2020

State: ME

SKILLS

case management (Less than 1 year), claims (5 years), Compensation. (Less than 1 year), disability (5 years), Highly organized (Less than 1 year)

ADDITIONAL INFORMATION

Skills

Unique understanding of disability management High level of verbal and written communication and worker's compensation due to having both a skills nursing and business degree Senior level of disability management in STD & Highly organized LTD

team oriented Many years of telephonic case management in able to achieve high quality results and meet Workers Compensation expectations despite multiple and shifting Team player but able to meet individual priorities contributor expectations



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