Case Manager Workers Compensation

Deborah L. Goza

ad5yzi@r.postjobfree.com 423-***-**** Signal Mountain, TN 37377

Summary-Registered Nurse and Certified Case Manager. Extensive RN-CCM 30+ year Nationwide Workers Compensation practice.

Education and Certifications

MS. Occupational Health and Safety, 2006, Columbia Southern University, Orange Beach, AL

B.S. Nursing, 1979, University of New Mexico at Albuquerque, Albuquerque, NM

RN Diploma, 1975, Erlanger Medical Center, Chattanooga, TN

Certifications:

Board-Certified Case Manager, 1993 Exp. 05/31/2029 Tennessee Registered Nurse- Compact #40075 Exp. 07/31/2025

Non-Compact States Inactive: ALASKA, CALIFORNIA, OREGON

BLS /CPR ID #47593 Exp.08/19/2025

Skills

Case Management: Multistate Telephonic and Field Workers Compensation. Including: Southern States, Florida, Texas, California.

Healthcare Delivery Analysis and Auditing- Interviewing & analyze data collection.

Renders informed opinions on Healthcare delivery and outcomes.

Manager and designated company representative for litigation of Workers Compensation and ADA Litigations.

Electric Power Board 300 Mbps Internet Service.

Microsoft Office: Intermediate Level Proficiency including Adobe and EMRs.

Experience- Workers Compensation

Koch Foods, Chattanooga, Tennessee

Company Registered Nurse -Temporary, April 8,2024 -Estimated June 3,2024

Provide medical needs and programs for the team members. Including emergency care/treatment, contractors, and visitors for injuries or illness sustained from work. Reports to the Safety manager and manages health services. Maintains and manages workers compensation claims, doctors’ appointments. Provides professional medical advice and recommendations to management.

Coordinates and performs pre-employment physicals, addresses functional abilities for work, and drug testing. Evaluates employee functional abilities and skills for impact on job functions.

ProActive Partners, Dallas, TX

RN Field and Telephonic Workers Comp Case Manager, January 2008 - November 2016

Managed comprehensive nationwide field, telephonic, and catastrophic cases from routine to catastrophic injuries. Achieved optimal patient outcomes. Responsible for coordination with healthcare providers, insurance companies, and patients for effective care plans. Worked from my home office. Utilized strong auditing and review skills to oversee healthcare delivery and outcomes based on InterQual Guidelines

T h e R e n y C o m p a n y, P l a n o, TX

Corporate Director of Case Management/ Workers Comp, January 2006-December 2007

The Reny Company, a nation-wide medical managed care firm that designed customer-specific innovative programs for first-party insurers, attorneys, municipalities and third-party administrators, costs reduction programs associated with non-subscribers, maritime medical cost-containment, workers compensation, catastrophic injuries, liability and group medical claims. Provided Bill Review services in all 50 states.

Directed and managed the day-to-day activities of a nationwide system of telephonic and field nurse case managers. Caring for the workers’ compensation, catastrophic, and maritime (Jones Act) programs. Conducted staff conferences and training programs. Resource for medical bill auditing department.

United Parcel Service, Dallas, Texas and Birmingham, Alabama

Alabama District and Southwest Region Occupational Health and Worker Comp Manager 1994-2006.

Documented over eight million dollars in costs savings. Obtained lowest cost per case and lowest average days of lost work days in the Southeast Region workers’ compensation claims.

Worked with operations’ management to provide "intelligent” restricted based on job demands to reduce the number of lost time days and reduce indemnity costs to the centers.

Designated District workers’ compensation-employer representative for litigated Worker Comp claims- including ADA claims.

Prison Health Services, Wilmington, DE

Director of Nationwide RN Telephonic and Onsite Prison Case Management, 1985-1989

Established case management nationwide for correctional medical care based on InterQual Guidelines. Monitored and documented quality of patient care for “detainee and prisoners.” Worked Telephonically from home. Established protocols for patient care: Infection Control, Disease Management, professional staff credentialing. Manager of twenty-two staff medical records management team. Saved jails and prisons “millions of dollars”!

**Husband was Active Duty US Navy**

Prior Nursing Positions- Details upon request:

New Graduate RN- Erlanger Hospital Emergency Department, 5/1975 to10/1975

Emergency Dept. Asst. Charge RN- San Jose Hospital, California 1/1976-6//1977

Post Anesthesia RN- St. Joseph Hospital, Albuquerque, NM.10/ 1977-4/1980.

Emergency Department- CEN-/ Charge Nurse, Memorial Hospital, Jacksonville, Florida 2/1981-1984

Boaz-Albertville Hospital RN -3—11 House Supervisor, Boaz, AL 1989—1994

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