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Registered Nurse

Location:
United States
Posted:
December 12, 2013

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Resume:

Rebecka J. Messamore R.N., C.C.M.

*** ***** ***** ******

Longwood, FL 32779

407-***-**** cell and home

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

SUMMARY

A versatile professional with more than thirty-five plus years of

experience in the field of nursing, fourteen years of experience in the

Worker's Compensation arena and three years in Quality Improvement.

Adaptable to changing and diverse environments. Excellent written and

verbal skills with a solid work ethic. Dedicated to professionalism and

compassionate care.

Case Management

Worker's Compensation

Training and Development Medical

and Surgical

Utilization Review

Mental Health

Quality Improvement

Developmental Disabilities

Disability

Home Health Care

Substance Abuse

Neurology

Orthopedics

ICU/CCU

PROFESSIONAL EXPERIENCE

Optacomp, Orlando, FL 2009 to October 2013

Telephonic Case Manager, Worker's Compensation. Managed up to 195 claims

for injured workers employed by the State of Florida. Utilized the Criteria

Based Model, obtaining objective relevant medical findings to support need

for treatment. Making all contacts (Injured worker, employer, providers and

adjuster ) within the first 24 hours Utilized strong assessment skills to

obtain all pertinent information from all contacts to facilitate

appropriate high quality medical care with cost saving by utilization of

all services ensuring prompt return to work as soon as medically feasible.

Identified and prioritized barriers to recovery including the injured

worker's recovery needs, with Initial Assessment and incorporated into the

Initial Care Plan. Worked with the treating physician in the establishment

of Major Contributing Cause and Causal Relationship. Worked closely with

treating physicians to promote appropriate and

compensation as well as their rights and responsibilities Served as a

liaison between the injured worker, employer, adjuster and physician.

Maintained compliance with state regulations and employer/client parameters

towards early resolution of claim.

Genex Services Inc., Orlando, FL 2005 - 2009

Telephonic Case Manager, Worker's Compensation - Managed 40 to 120

cases/claims in the state of Florida. Worked as a liaison between the

Injured Worker, their physicians, the adjuster and employer keeping the

lines of communication open and the claim moving towards closure. Worked

closely with the physician to promote appropriate medical evaluation and

treatment. Set up FCE's, IME's and EMA's. Educated the Injured Worker to

promote understanding of their injuries as well as goals for recovery, thus

enhancing the injured worker's compliance with the medical treatment plan.

Assessed the Injured Worker's capabilities in relation to his or her work

restrictions, injury and job requirements while facilitating a safe return

to work. Worked closely with the adjuster to keep them informed and to

assure compliance with state regulations.

Crawford and Company, Orlando, FL 2003 - 2005

Telephonic Case Manager, Worker's Compensation - Managed 40-120

cases/claims in the state of Florida, promoting a safe and timely return to

work for the injured worker. Worked closely with the injured worker,

adjuster, physician and employer to facilitate appropriate medical care and

treatment and thus move the claim to a timely conclusion without

sacrificing quality of care

Corvel, Orlando, FL

2001 - 2003

Telephonic Case Manager, Worker's Compensation - Managed 140 cases/claims

facilitating a timely and safe return to work while serving as liaison

between the Injured Worker, adjuster, physician and employer. Educated

injured worker as appropriate.

HealthDirect Inc., Orlando, FL 1999 -

2001

Telephonic Case Manager, Worker's Compensation - Facilitated return to work

for Injured Workers in the states of Florida, Virginia, South Caroline,

North Carolina, Mississippi and Georgia. Worked closely with the adjuster,

Injured Worker, physicians and employer to facilitate appropriate

utilization of services.

Rebecka J. Messamore Page 2

CNA, Maitland, FL

1996 - 1999

Telephonic Case Manager, STD and LTD Management - Worked closely with the

Disability Specialist in the administration of the Short-term and Long-term

Disability plan for Citibank employees. Educated the Injured Worker in the

plan as written as well as in their disability and goals for return to

work. Review of medical records. Close contact with physician as well as

employer to facilitate timely and safe return to work based on work

restrictions, disability and any need for modifications.

Paragon Home Health, Care- One Home Health, Winter Park Home Health 1992

-1996

(Paragon changed their name to Care- One and then we merged with Winter

Park Home Health)

Quality Improvement Coordinator - Coordinated compilation of clinical

records and accuracy of client billing. Assured compliance to state and

federal regulations including JCAHO standards. Readied the branch for a

Joint Commission review, with good outcomes. Reviewed clinical records,

collected and analyzed data for tracking and trending of multiple

indicators as well as over and underutilization of services. Developed

indicators and expected outcomes. Collaborated with team members in the

development of corrective action plans based on quality data. Developed and

implemented an orientation program for all new hires and in-

service/training programs for both professional and Non-professional

employees from a diverse group of individuals: (Home Health Aides,

Occupational Therapists, Physical Therapists, Registered Nurses, Clinical

Nurse Specialists and Social Workers.)

Implemented a Total Quality Management program at the branch level and

brought branch compliance into the 99th percentile, maintaining the highest

percentiles to all indicators amongst the twelve branches in the Central

Florida area. Educated all staff on the TQM process and concepts which

enhanced each participant's understanding of their own contribution to the

process.

Home Health Case Manager, Paragon Home Health, Orlando, FL 1990-

1992

Field based case management of Medicare, Medicaid and HMO patients of an

elderly population. Including physical and psycho-social assessment, and

education based on disease process and individual needs of the patient,

including health maintenance. Served as liaison between the patient and

their physician and supervision of the Home Health Aide.

Rebecka J. Messamore Page 3

Humana - Aurora, Denver, Colorado 1989 -

1990

Staff Nurse ICU/CCU Provided direct care to 1-3 patients in the critical

care environment.

Wheatridge Regional Center, Wheatridge CO. 1985 -

1989

Case Manager for 16- 18 developmentally disabled residents. Physical and

psycho-social assessment of ongoing health needs for individuals with

developmental disabilities ranging in severity from profoundly to mildly

retarded, some dual diagnosis i.e. depression, Schizophrenia, and

behavioral problems. Supervision of Tech staff.

Iowa Methodist Medical Center, Des Moines, IA 1980

-1985

Staff Nurse, Telemetry/Cardiac Step Down Unit, RN 1984

-1985

Provided direct care to 2-6 patients in various stages of

recovery from cardiac disease or surgery.

Staff Nurse on a Surgical floor, LPN

1980-1984

LPN -Surgical Floor, provided direct care to pre- and post-

operative patients (while going to school working towards

RN Degree)

1975 -1980

Worked in various areas of nursing as an Licensed Practical Nurse in

Philadelphia

EDUCATION

Des Moines Area Community College, Ankeny, IA.

Obtained Associate Degree in Nursing, 1984

Des Moines Area Community College, Boone, IA.

Obtained Degree in Practical Nursing, 1975

Rebecka J. Messamore Page 4

PROFESSIONAL AFFILIATIONS

Quality Rehabilitation Professional, no longer a requirement

Certified Case Manager, current, until 2015

Association of Home Health Agencies of Florida 1994-1996

Participated in the development of educational/training protocols for

Certified Nursing Assistants in the state of Florida. Assisted in the

development of standardized quality indicators for Home Health Agencies in

the state of Florida.

Rebecka Messamore Page 5



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