Medicare Nurse Case Manager - Aetna Healthcare
Portland, ME 04103
firstname.lastname@example.org - 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.
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
Bachelor of Science in Business
University of New England - Portland, ME
Bachelor of Science in Nursing
Westbrook College - Portland, ME
Expires: February 2020
case management (Less than 1 year), claims (5 years), Compensation. (Less than 1 year), disability (5 years), Highly organized (Less than 1 year)
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