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Case Manager Registered Nurse

Location:
Lebanon, NJ
Posted:
January 08, 2024

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Resume:

Sherrie L. Williams (Wittig) RN CCM

*** ***** ****** ** ********** Iowa 52209

Phone: 309-***-****

Email: ad2kg4@r.postjobfree.com

Dedicated skilled registered nurse and certified case manager with over 40 years of varied experience within the areas of workers compensation, occupational/industrial, emergency and critical care settings. I hold a multi- state RN license including California, Nevada, Iowa Compact state and Illinois.

I continue to maintain all my specialty certifications including CCM, ACLS, BLS, Audiometry and Spirometry. I also am a certified Wellness coach and Blood Borne Pathogen and CPR Instructor.

EDUCATION AND TRAINING:

1982-1984 Augustana College, Rock Island, IL Nursing courses

1982-1984 Lutheran School for Nurses, Moline, IL Diploma Nursing Program

1983-1984 Black Hawk College, East Moline, IL Nursing courses

SKILLS:

• Catastrophic case management services telephonically

• Extensive discharge planning for worker’s comp cases that are hospitalized.

•Extensive ER experience with sound decision leadership and strong clinical judgment

•In depth workers compensation and claims knowledge

•(ACLS) Advanced Cardiac Life Support

•CPR/BLS/AED Certification

•Health and Wellness expertise

•BAT/BAC/DOT/ Drug screening collection

•BLS Instructor and BBP trainer

•Ergonomics knowledge

•NIOSH Spirometry certified and Audiometric Testing & Hearing Conservation Program

•Computerized Nursing programs such as OHM program, Alaris ware, Claim Vision data bases.

PROFESSIONAL EXPERIENCE:

6.9.2021 to Present Remote Telephonic Nurse Case Manager dedicated account GB CARE and also Chubb account.

Provides medical and vocational services to injured individuals, many of whom were industrially injured. Assists consumers in their recovery so that they may return to the highest level of function as possible. Medical services are coordinated and assessed frequently, vocational options are explored with the injured worker and their employers, and pre-injury employment or alternate employment is secured.

Duties include but not limited to:

Counsel, direct and motivate consumers using telephonic communication to reach their highest level of function.

Clear, concise and professional verbal and written communication.

Work in a fast-paced environment where job duties change frequently and quickly.

The ability to prioritize while working on multiple changing tasks.

Works with all parties to the claim including: the injured person, the claim’s examiner, employer, attorneys (plaintiff and defense) and medical providers.

Coordinate and knowledge of URAC requirements for case management services on all California claims.

Telephonic CAT Nurse Case Manager Held at Mitchell/ Genex/ Coventry

2.17.2015 to 7.1.2021 Remote Telephonic Nurse Case Manager

Senior Nurse Case Manager 1 for the division of Catastrophic and Early Intervention Medical Management Services / CSG / UM West Genex Services

ICW Group/ Dedicated Telephonic CAT Nurse for Triage of Large loss cases as they come in for Insurance company.

Triage and coordinate hospital care while Injured worker is inpatient.

Obtain Catastrophic medical information and interpret medicals for Insurance company.

Coordinate treatment plan with Hospital case managers

Expedite discharges and Plan of Care from hospital stays to in network providers.

Direct as needed into the MPN for Continued care of Catastrophic cases or early intervention cases.

Maintain contact with all involved in Cat case and use interpretation services as needed for all claims.

Multiple state Case management services as assigned.

Use Embedded UR services as needed.

Education of all parties on workers compensation plan of care and processes

In addition to Catastrophic cases also maintaining early intervention cases to improve return to work outcomes and recovery of the injured worker in the first 30 days post incident.

Coordinate FCM services and provide hand off reports to promote continuity of care for the catastrophic case and claims adjuster.

Provide any medicals services as needed to Claim adjusters related to cases.

Management Care Consultant WEST BEND MUTUAL INSURANCE, West Bend WI

8/5/2013 to 6/27/2014

Case Management a caseload of 50-60 workers compensation clients as assigned by claims adjuster each quarter.

Collect all necessary medical information to complete proper evaluation of injury claim and provide an evaluation of diagnosis, treatment plan and RTW status of each client assigned. Negotiate and maintain cost savings on each file.

FCM services on local appointments with clients to assist with continued treatment plan or bringing the file to closure.

Peer review of specific cases and evaluate the validity of causation.

Coordinate care and communicate with employers, clients and providers to bring the case to closure.

Observed strict confidentiality and safeguarded all patient related information.

Occupational Health Nurse/ Disability Nurse Case Manager PROCTER & GAMBLE PAPER PRODUCTS CO. Green Bay, WI

11/2011 to 07/2013

•Administer and maintain the plant medical emergency plan, including the training of first responders and Blood borne pathogens exposure plan.

•Provide emergency treatment of both occupational and non-occupational injury and illness.

•Manage and treat work related illnesses and injuries with emphasis on early recognition intervention, follow-up and monitoring workers as they return to work.

•Assist in administration of case management for employees who have prolonged or complex illnesses/injuries.

•Communicate with appropriate individuals including plant management and be involved in case closure plans for each case.

•Provide evaluation, monitoring and documentation of short-term disability (STD) and Family Medical Leave (FMLA) requests.

•Perform health assessments on site for early detection of health problems, to include the following clinical: vision screening, blood pressure, audiograms, respirator medical questionnaire evaluation, pulmonary function tests and blood draws. Administer medical surveillance and biological monitoring.

•Coordinate the Hearing Conservation Program with Safety Coordinator by providing audiometric testing, with follow-up and referrals.

•Maintain liaison with the Safety Coordinator by identifying, preventing and controlling occupational injuries and illnesses.

•Conduct periodic plant walk through to assess safety, environmental and ergonomic hazards. Provide crisis intervention, counseling and referral to plant Employee Assistance program (EAP) provider.

•Provides health education and promotion programs to include smoking cessation, exercise, fitness, nutrition, weight control, hypertension, immunizations and stress management.

•Maintain employee administrative records according to standards of confidentiality as required by OSHA, professional ethics codes and individual state privacy acts.

•Maintain current awareness of applicable federal, state and local health, industrial hygiene and safety regulations. Be prepared for OSHA inspections.

•Perform other duties as assigned.

On site Telephonic Nurse Case Manager with Coventry Health Care KONE, Inc. Moline, IL

11/2008 to 11/2011

•Review and audit General Liability medical records of liability claims against KONE.

•Telephonically implement, coordinate and manage injured employees nationwide for KONE according to URAC and ODG guidelines for workers compensation for each state.

•Comprehensive reporting with documentation of TCM services using formatting excel spread sheets and computer software programs.

•Implementation and coordination of the flu clinic and Biometric testing and wellness programs which reduces FMLA and insurance premiums for employees and the corporation.

•Providing medical expertise and resource to all branches of KONE, Inc.

•Account of anticipated and actual medical and vocational expenses with CCM documentation of cost savings for ESIS insurance carrier.

TNCC ER Charge/ Staff Nurse at GENESIS WEST MEDICAL CENTER Davenport, IA

01/1998 to 10/2011

•Maintain a 3rd shift staff nurse position with relief charge nurse duties.

•Charge nurse duties include coordinate staffing for the shifts and between hospitals to cover both emergency rooms.

•Provide to be a resource for current staff and preceptor for new hires and new grad RNs for the unit.

•Provide timely emergent care of patients with varied ailments and injuries.

•Implement the standing orders and protocol for all patients to decrease cost and time in the ER.

•Provide triage and "fast track" options for incoming patients thru effect screening on admission.

•Ambulance Transport nurse duties which include monitoring critical patients to other facilities and assisting EMT's as needed during transport.

•Attend all codes and IV needs for the hospital.

Field Nurse Case Manager with CORVEL CORPORATION Davenport, IA

02/2003 to 02/2008

•Provided field nurse manager services requested by either the employer and or insurance carrier for injured workers to assess their needs and coordinate medical care under workers compensation guidelines for the tri state area.

•Identify return to work options and facilitate employee's return to work in a timely fashion by starting early interventions and referral(s) to appropriate provider(s).

•Coordination of cost-effective quality care by assessing and developing an effective and efficient plan of care as approved by the insurance carrier. Assisted with health fairs for CorVel Corporation. Provide cost saving options to the employer and insurance carrier in managing their workers compensation programs.

OTHER JOB EXPERIENCES: 1994 to 2002 Occupational Health Nurse and Manager: from full time to relief positions with John Deere Davenport Works, ComEd Inc., ALCOA, IBP Inc.,

PROFESSIONAL REFERENCES: Upon request



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