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Case Manager Management

Location:
Virginia Beach, VA
Posted:
December 29, 2023

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Resume:

CURRICULUM VITAE

BRENDA FAY SKUTNIK, R.N., C.C.M., C.R.P., L.N.C.

Consulting Specialists, Inc. {CSI}

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

Virginia Beach, Virginia 23451

Office: 757-***-****

Fax 757-***-****

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

POSITIONS:

Medical Professional Case Review Nurse

President and Owner

Nurse Case Manager

Legal Nurse Consultant

PREVIOUS DUTIES:

Work with State Workers’ Compensation Act, Federal Employees Compensation Act, Long-term Disability Workers’ Compensation, Longshoremen and Harbor Workers’ Compensation and Jones Act. Performs medical case management for auto liability, medical payment and workers’ compensations cases. Currently working as a collaborator and strategist, offering support in medically related litigation and other medical legal matters. Performs research and review of medical records for both insurance carriers and attorneys. Compiles Life Care Plans and Medical Cost Projections to provide a comprehensive analysis of a person’s disability or illness. Analyzes ADA (Americans with Disabilities Act) cases and provides opinions and case management. Expert witness in related fields.

PROFESSIONAL CERTIFICATION AND LICENSURE:

Registered Nurse, Commonwealth of Virginia, #000*******

Certified Case Manager, C.C.M., #08965

Registered Nurse, The University of the State of New York, # 1742074

EDUCATION:

Associate Degree in Nursing, 1984

Marymount University, Arlington, Virginia

CONTINUING EDUCATION EXPERIENCE:

Obtain 80 CEU’s every 5 years to meet CCM criteria for renewal.

On-going participation in educational seminars, conferences and grand round to keep abreast of changes and trends in both the medical and legal professions.

Attend annual National NARPPS/IARPPS conferences.

Attend National MCMC conferences.

Attend quarterly state VARN Conferences

Attend local HARN seminars.

Attend local, monthly continuing educational seminars (medical, legal, safety and occupational topics)

PROFESSIONAL AFFILIATIONS/ MEMBERSHIPS:

Association of Rehabilitation Nurses (A.R.N.)

Virginia Association of Rehabilitation Nurses (V.A.R.N.)

Hampton Roads Association of Rehabilitation Nurses (H.A.R.N.)

Member, Harvard Women’s Health Watch

International Association of Rehabilitation Professionals (I.A.R.P.)

American Association of Legal Nurse Consultants (A.A.L.N.C.)

U.S. Chamber of Commerce

Case Management Society of America

WORK HISTORY SUMMARY:

11/01/2021 to 2/24/2023-Zurich American Insurance Company-

Medical Professional Case Review Nurse- To collaborate with Claims and staff legal professionals to optimize medical mitigation strategies for claims resolution.

Use clinical expertise nursing judgement and established medical criteria to formulate opinions as to relatedness of medical conditions by reviewing and analyzing medical records provided by claims professional and/or attorney comparing documented injuries/diagnosis established and treatment rendered. Document claims file by accurately capturing and updating claims data/information in compliance with best practice. Ensure customer service by proactively communicating information, responding to inquiries and following customer protocols. fMeet quality standards by following best practices.

04/17/98 to 12/31/2021– Consulting Specialists, Inc.

Owner- Officer- Performs medical and legal consulting services to insurance carriers, third party administrators, city municipalities and attorneys. Performs medical case management of Workers’ Compensation injuries, ADA cases and medical record reviews. Evaluate, analyze and render informed opinions of the delivery of health care and the resulting outcomes. Works as a liaison between legal and healthcare communities and provides consultations and education to legal, healthcare and other professionals in these areas. Expert witness and depositions.

11/30/84 – 04/16/98 Resource Opportunities, Inc.

Medical case management for Workers’ Compensation injuries. Managed both minor and catastrophic injuries. Performed medical record reviews, research and review of multiple medical diagnoses, Life Care Plans, expert witness, multiple presentations on medical diagnoses and occupational injuries.

06/90 – 04/95 Olsten, Kimberly Quality Care

Skilled nursing visits to home bound patients. Work included total body assessments, sterile and non-sterile dressing changes, colostomy care, orthopedic care, diabetes teaching, cardiac care, respiratory care and monitor intravenous infusions.

10/81 - 12/84 Fairfax Hospital, Fairfax, VA

Neurosurgical/Orthopedic Units. Total patient care for neurological and orthopedic patients with acute injuries, diseases or disorders. Included proficiency with cardiac and pressure monitors specialty beds, neurologic assessment, Glasgow coma scale, skin assessment, patient and family teaching, tube and intravenous feeding techniques; worked with quadriplegic and paraplegic patients as well as severe head injuries, spinal cord injuries, seizure disorders, brain tumors, multiple traumas and degenerative disorders.

06/76 – 07/81 Quality Care Nursing Services, Encino, CA

Licensed Vocational Nurse (LVN). Worked at multiple Los Angeles County and Ventura County hospitals as a Registry nurse. Worked in all nursing departments, ICU, CCU, Oncology, Emergency Room, Orthopedics and Dialysis. Additionally, performed private duty nursing for Pediatrics, Geriatrics and catastrophic injuries in hospital.

1976 – 1981 Simi Valley Hospital, Simi Valley, CA

Emergency Room Nurse. Performed all aspects of patient care for a Level-II trauma center, to include I.V.s, gunshot wounds, multiple trauma, head injury, auto accidents, drug overdose, lacerations and cardiac emergencies.

Associations:

CMSA: Case Management Society of America

AALNC-American Association of Legal Nurse Consultants

Hampton Roads Chamber of Commerce

ASSE- American Society of Safety Engineers

ARN- American Association of Rehabilitation Nurses

COURT TESTIMONY/DEPOSITIONS/EXPERT WITNESS:

1990 – Present

Johnnie Vickhouse v. Carolyn Grace, Inc.

Approximately 1990

Court Testimony

Johnny Cox v. Norfolk Shipbuilding and Drydock Company

Approximately 1990

Court Testimony

Gary Wilder v. Holiday Inn

Virginia Workers Compensation Commission, June 1992

Court Testimony

Frieda Cox v. Sea Technology, Ltd.

City of Williamsburg May 1993

Court Testimony

Donald Eastwood v. Snapp Contracting Company

Virginia Workers Compensation Commission Approximately 1993

Court Testimony

Betty Hawkins v. Alberico, Burger & George Norfolk Circuit Court

Approximately 1994

Deposition

Dianne Murphy v. U.S. Attorneys Office

City of Virginia Beach June 1994

Expert Witness, Deposition

Sallie A. Jones v. Janet Henderson, M.D., et al

City of Virginia Beach, October 1996

Deposition

Donald Axe v. Flagship Maritime

City of Norfolk May 1996

Expert Witness, Deposition

Cruz D. Hernandez v. Ms. Trawler Vertie Mae, Inc.

City of Newport News, October 1996

Court Testimony

Donald Eastwood v. Snapp Contracting

Virginia Workers’ Compensation Commission, approximately, December 1997

Court Testimony

William H. Harris v. William Miller, M.D.

Norfolk Circuit Court, April 27, 1999

Expert Witness, Court Testimony

David Holte v. Norfolk and Western Railway Co.

June 1, 1999

Deposition, Expert Witness

Estate of Lewis Moseley v. Behrooz Dayanim, et al

Portsmouth Circuit Court, June 28, 1999

Expert Witness, Court Testimony

Elda Battocchi v. Arlington Healthcare System

Arlington Circuit Court, January 27, 2000

Expert Witness- Jury Trial

No. Law Deposition 98-727



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