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Case Management Manager

Location:
Indianapolis, IN
Posted:
January 04, 2024

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Resume:

MARCELINDA THOMSEN RN, OHN,CM

ad2fy1@r.postjobfree.com

317-***-****

Professional Profile:

● Seasoned Professional Registered Nurse with demonstrated multifaceted experience and management in clinical, non-clinical commercial health care areas.

● Skilled in occupational health, worker’s compensation, and case management.

● These include hospital, clinical, laboratory settings, Project Management, Human Resources, Vendor Credentialing, client relations, issue resolution, cultivating and maintaining relationships, driving compliance and analytic reporting.

● Known for a unique combination of excellent communication, quick thinking, teaching skills, vast clinical medical knowledge within the scope of compliance all while maintaining cost- effective solutions for all parties.

Professional Experience:

Wright Rehab Case Management Services

Nurse Case Manager

8/2022 to Present

● Case manager for Worker’s Compensation claims throughout Indiana and some surrounding states

● On-site coordination of WC benefits, liaison between patient, family, employer, adjuster and ancillary health

● Early intervention and use of Evidence-based medicine to create care plans necessary for a safe, timely Return-to-work.

ATI Physical Therapy

Occupational Health Nurse Case Manager (PRN)

4/2022 to present

● On-site Occupational Health Nurse at Honda Manufacturing of North America.

● Triage, treatment and Case Management of injuries and personal health absences.

● Coordination of benefits and treatment with Insurance, TPA and medical providers in a timely, fiduciary manner.

Loyal Source Government Services

Medical Services Manager

09/2021 to 2/2022

● Medical coordination for Afghan refugees to assure their safe and healthy transition to final destination.

● Managed several clinical areas; staffing, supplies, Case Management of outside higher level of care.

Rhino Medical Services for LHI

Professional Clinic Coordinator

05/2020 - 05/2021

● On site Covid testing clinic coordinator and Registered Nurse throughout Indiana for Optum Richard “Rich” Sidaui 407-***-****

division of LHI.

● Assisted civilian and armed forces clients in the registration, testing, database entry and follow up education surrounding both PCR and Bynax Covid testing.

● Included over site of Administrative as well as Clinical personnel.

● Test sites were mostly on National Guard grounds with few exceptions. Ortho Indy Hospital

Discharge Planner/Case Manager

07/2020 - currently PRN status

● Pre-op needs assessment.

● Discharge Case Manager of complex and routine surgical stays in this Orthopedic hospital.

● Extensive knowledge of UR and Interqual

Genex Services LLC

Medical Case Manager

10/2019 – 02/2020

● Case management of Worker’s Compensation and Disability Injury claims, on-sight case coordination, determination of services/benefits and liaison for Adjusters, Employers, Attorneys, Physicians, PT/OT, facilities, claimant families throughout the state of Indiana.

● Early intervention and use of evidence-based medicine to create care plans are incorporated to effectively and safely return the injured party back to work. Siemens Healthcare USA

Occupational Health Nurse Manager (dual job role with Siemens Medical Solutions) 8/2005 – 2018

● Managed work injuries, OSHA entries, workman's compensation, medical disability, and Federal Family Medical Leave claims.

● CPR classes, Wellness Initiatives: Hospital Case Management in partnership with the TPOs.

● Case Manager of all disability claims inhouse and for customer-facing field-based employees. Siemens Medical Solutions, USA - Vendor Credentialing Coordinator

● Managed the changes, regulations for all who entered Customer locations throughout the Nation.

● Served as the VP of the Consortium for Universal Health care

● Implementation of ANSI Standards to the Credentialing process.

● Proved positive ROI with use of CM and early intervention of RTW. Citizen’s Insurance Allmerica Insurance Company

Field-based Nurse Case Manager / States of Indiana, Il, Ky (Citizen’s outsourced to Genex) 2001– 2004

● Case management for Worker's Compensation and Disability Injury claims, on-sight case coordination, determination of services/benefits and liaison for Physicians, PT/OT, facilities, claimant families throughout the state of Indiana.

● Assisted the Legal Department with litigated claims.

● Scheduled, evaluated, adjusted all medical treatments, IME's, Medical Record reviews, U.R. Files.

● Liaised between the adjuster, employer, injured person, attorneys and all medical personnel.

● Lead monthly fiscal reports showing Case Management ROI with employer, TPO and GENEX Management.

Richard “Rich” Sidaui 407-***-****

Additional Relevant Experience:

Behavioral Healthcare Valle Vista - Nurse Manager / Supervisor, Psychiatric Nurse Supervisor Education:

Graduated from Center Grove High School of Greenwood, IN. Associates of Nursing from Ivy Tech College - 1995. Professional Development

● Multiple classes in Leadership, Organization, Six Sigma and SAP.

● Certification in Case Management – expired

● Current Certification in Parish Nursing – University of Indianapolis.

● Excellent Leadership, Negotiation, Motivational and computer skills with the proven desire to excel through continued education to support multiple patient populations. Richard “Rich” Sidaui 407-***-****



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