Case Manager Nurse

Carla C. Gilreath

**********@***.***

**** *. ******* **** *******, AZ 85044 901-***-****

An experienced nursing professional with strong written/verbal attributes and organizational skills. Clinical and case management background in delivering desired results with emphasis on problem solving and a focus on short and long term positive outcomes.

EXPERIENCE

30 Years in Nursing

13 years worker’s compensation TPA

15 years Neurosurgery – Direct patient care

Charge Nurse of Brain & Spinal Cord Unit/Neurosurgery/Ventilator

10 Years Utilization Review

EDUCATION

St Francis Hospital School of Nursing 1983-1986 New Castle, PA

EMPLOYMENT

1/2018-Present

Aetna Nurse Case Manager/Claim Medical Management/TPA

Phoenix, AZ

Responsible for telephonic assessment of workers’ compensation patient claims through evaluation and coordination of medical as well rehabilitative services for the most cost effective approach to wellness. Identify obstacles to recovery, educate patient, address treatment alternatives and communicate with employer on patient’s optimal return to work.

4/2014-11/2017

Patriot Care Mgmt Nurse Case Manager/Claim Medical Management/TPA

Phoenix, AZ

Responsible for telephonic assessment of workers’ compensation patient claims through evaluation and coordination of medical as well rehabilitative services for the most cost effective approach to wellness. Identify obstacles to recovery, educate patient, address treatment alternatives and communicate with employer on patient’s optimal return to work.

12/2006-4/2014

Bunch Care Solutions Nurse Case Manager/UR/Claim Medical Management/TPA Phoenix, AZ

Responsible for telephonic assessment of workers’ compensation patient claims through evaluation and coordination of medical as well rehabilitative services for the most cost effective approach to wellness. Identify obstacles to recovery, educate patient, address treatment alternatives and communicate with employer on patient’s optimal return to work.

2003-2006

Intracorp Nurse Case Manager/TPA

Memphis, TN

Responsible for telephonic assessment of workers’ compensation patient claims through evaluation and coordination of medical as well rehabilitative services for the most cost effective approach to wellness. Identify obstacles to recovery, educate patient, address treatment alternatives and communicate with employer on patient’s optimal return to work.

CERTIFICATIONS

CERTIFIED REHABILITATION REGISTERED NURSE

CERTIFIED BRAIN INJURY SPECIALIST

CERTIFIED CASE MANAGER

LICENSURE

Arizona #RN164113

Hawaii #70658

California #822160

North Carolina

Tennessee

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