Case Manager Management
Resume:
Vanessa M. Crawford-Norman RN BS CCM
Ocala FL 34480
Cell Phone 513-***-****
(**********@***.***)
Ocala, Florida,
34480
Education:
Indiana Wesleyan University, BS in Criminal Justice, Graduation August 10, 2013. Christ School of Nursing, Registered Nurse (1991)
Legal Nurse Consultant Courses, University of Cincinnati (2008-2009) Certificate in Quality Management, Home Health Quality Initiative and Laws & Rules regarding Nursing practices in Ohio
Tristate Medical Reserve Corps, volunteer since 2009 VA Medical Hospital Lake Nona, FL, volunteer since 2016 Case Manager Certification (CCMC) Obtained CCM 2014 Member Southern Ohio Valley Chapter of Case Management Society of America (CMSA) Employment History:
Genex
605 Crescent Executive Court Suite 104
Lake Mary, Florida 32746
RN Certified Case Manager (10/01/2016 to present)
Responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the claimants appropriate and timely return to work. Acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel. Assesses and analyzes an injured employees medical and vocational status; develops a plan of care to facilitate the patients appropriate and timely return to work. Interviews claimants at their work-sites, or physician's office to provide ongoing case management services. Monitors claimants progress toward desired outcomes through assessment and evaluation. Communicates 5320 SE 92nd Street
Ocala FL 34480
Cell Phone 513-***-****
both in-person and telephonically with claimant, medical providers, attorneys, employers and insurance carriers; prepares all required documentation of case work activities. May arrange referrals, consultations and therapeutic services for claimants; confers with specialists concerning course of care and treatment. Applies all special instructions required by individual insurance carriers and referral sources. Completes work or reports in timely manner. Performs other related duties as assigned.
ExamWorks Clinical Solutions
2397 Huntcrest Way, Suite 200
Lawrenceville, GA 30043
RN Case Manager (07/15/2013 to 10/01/2016}
Case Manager provides medical expertise relative to managing the medical and return-to- work aspects of workers' compensation claims. Serves as a medical resource and educator to claims representatives, injured workers, policyholders and other team members related to the medical treatment plan, estimated duration of disability and the return-to-work process. Continuously promotes effective medical case management working with team members, the medical director and by following medical best practices guidelines. Case Manager interacts regularly with team members, injured workers, policyholders, physicians, and technical specialist(s) to achieve individual and team goals.
HealthCare Scouts, Inc. /Centene
2269 Lee Road
Winter Park, Florida 32789
RN Care Manager II (05/07/2012- 03/2013)
Perform collaborative duties to assess, plan, coordinate and forecast potential financial exposure throughout the continuum of care for select members at high risk in order to promote quality cost-effective outcomes.
Conduct screening and risk assessment of identified members and coordinate with their physicians to facilitate individual plan of care to meet client's needs.
Assess and adjust as necessary the care plan to ensure compliance and promote desired outcome.
Coordinate services between Primary Care Physician (PCP) specialist, and other medical and non-medical providers to meet the medical socio-economic needs of the clients. Cincinnati, Ohio 45204
Investigator I (1979 - 1980)
Investigated claims of discrimination per Ohio Revised Code § 4112.
Interviewed and analyzed data.
Made determinations based on evidence collected.
Collaborated in formal hearings with attorneys to resolve claims.
Attended seminars, conferences to better educate and inform the public of their rights.
Home Care RN/Coordinator {1995 - 1999) Weekend Coverage
Coordinate referrals on clients needing home care services after discharge or after outpatient/ER.
Collaborate with physicians to clarify orders.
Interview patients/family to assess additional home care needs.
Collaborate with the potential payment source or third party payer for payment and coverage of home care services.
Identify and arrange for medical equipment and supplies.(DME) University of Cincinnati Hospital
234 Goodman Avenue
Cincinnati, Ohio 45219-2316
Registered Nurse (1990 -1991)
Provided care to Renal Transplant Unit
Peritoneal Dialysis
Clinical Nurse
Department of Human Services
222 Central Parkway
Cincinnati, Ohio 45202
Income Maintenance Worker III (1983 -1987)
Determined eligibility for Medicaid, ADC, GA, and Food Stamps.
Assisted with referrals to Ohio Bureau of Employment Services for clients seeking work information.
Managed a large caseload establishing working relationships to promote positive, wellness, and economic services for families.
Ohio Civil Rights Commission
80 I W. Eight Street
Maintains and enhances professional growth and development through Attendance at seminars, conferences, etc.
Develops and monitors the Performance Improvement Plan for all CHS companies. Cincinnati Health Department
3101 Burnet Avenue
Cincinnati, Ohio 45229
Public Health Nurse III (1991 - Feb 16, 2007)
Assist in the development and implementation of quality improvement, assurance guidelines for the nursing programs.
Compliance with local, state and federal requirements for the City of Cincinnati.
Review for current health issues and changes accordingly.
Familiar with the Outcome-Based Quality Improvement process for Home Care Agencies.
Assist in the development of nursing standards/policies and procedures for nursing practices.
Monitor compliance through appropriate audit tools, and detailed reports.
Compile necessary Quality Assurance Reports and provide appropriate distribution and consultation to community nursing staff on issues.
Recorded Pre-Disciplinary Hearings for the Human Resources Department.
Supervisor duties as assigned, Interim Staff Development Facilitator.
Central Intake referrals as assigned.
Public Health Nurs_e Il
Provided home nursing care in the field, coordinated services after developing and implementing a medical care plan with medical providers.
Evaluated and coordinated a variety of health care needs per physician's orders.
Maintained accurate and complete records per agency's directives.
Promoted education/conducted flu shot and blood pressure clinics to the public. Health Alliance of Greater Cincinnati
The Christ Hospital
2139 Auburn Ave
Cincinnati, Ohio 45229
OMS RN -Utilization Review, Document Quality Events {07/2008-01/2010)
Determined hospital stay for inpatient services, contact with insurance carriers daily to provide patient assessments for continued stay, case management services with social service department including personal interviews with patients to develop, implement and coordinate medical plans with health care providers as well as discharge planning. Served on committees as assigned, completed QI reports, met with hospital MD's monthly to establish care of the patients and respond to the insurance companies for additional days needed for care.
Vitas Hospice Care
11500 Northlake Drive, Suite 400
Cincinnati, Ohio 45249
Hospice Clinical RN {Aug. 20, 2007 - Oct, 2008)
Carry out responsibilities of case management, assess the patient/family and develop a care plan.
Implement a plan of care accomplishing pain and symptom palliation.
Participate in supervisory, educational and quality improvement activities, documentation per Joint Commission standards
Consolidated Health Services
1000 Summit Drive, Suite 300
Milford Ohio 45150
Program Mana2er Clinical Compliance (Feb.16, 2007- July 27, 2007)
Assist in clinical policy development/revision with V.P., Professional Services
Prepares yearly Quality Improvement reports for senior management and professional affairs committee.
Conducts visits to branches, perform clinical record audits to monitor compliance with regulatory standards of practice.
Monitors and reviews outcome data (Home Health Compare) and adverse events every month per branch and reports to V.P., Operations-COO 7
Provide patient education regarding the clinical condition and basic health care needs at age specific levels to foster client understanding and compliance with care.
Facilitate client/physician communication regarding basic health issues. Identify related risk management quality concerns and report these scenarios to appropriate resources.
Develop and refine cases in disease management programs with the Medical Director as needed.
Collect and report quantifiable, quality of care and/or quality of life improvement as measured against goals of the care plan. Compile statistics for monthly and quarterly reporting or active referrals, contacts, visits.
Participate in the development of policies and procedures to provide standards for medical review.
United Health Group
9050 Centre Pointe
West Chester, Ohio 45069
RN Case Ma nager (05/02/2011-12/01/2011)
Responsible for clinical operations and medical management activities of the case
Making outbound calls to assess members' current health status
Identifying gaps or barriers in treatment plans
Providing patient education to assist with self-management
Interacting with Medical Directors on challenging cases
Coordinating care for members
Making referrals to outside sources
Coordinating services as needed (home health, DME, etc.)
Educating members on disease processes
Encouraging members to make healthy lifestyle changes
Documenting and tracking findings
Utilizing Milliman criteria to determine if patients are in the correct hospital setting
Make transitional care calls to ensure that discharged member receive the necessary services and resources
Jewish Hospital
4777 E. Galbraith
Cincinnati, Ohio 45236
C C
ferCase Manager Certification
November 6, 2020
To Whom It May Concern:
This letter is confirming the following individual is board certified as a case manager and is in good standing with the Commission for Case Manager Certification:
Name: Vanessa Marie Crawford-Norman
City, State: Saint Cloud, FL
Expiration Date: 11/30/2024
Certificate # 4204662
For questions, please contact CCMC Customer Service at ******@****************.*** or 856-***-****.
Sincerely,
Martine DiDonato
Director of Administration & Operations
1120 Executive Plaza, Route 73 Suite 200 I Mount Laurel, NJ 08054 I 856-***-**** Fax: 856-***-**** *******@****************.*** I www.ccmcertification.org J: '.
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DISPLAY IF REQUIRED BY LAW
Scott A. Rivkees/MD
St te s·urg on Generii'
Jbiatl Gfhe GBoard of Gfrustees of 5ndiana ®eslepan CUniversitp, upon the recommendation of the @resident and (#acultp of the CU.niversitp, has coeferred on G\Janessa CzM.arie f!ranford-cWorman
the degree ef
G.Bachelor of c5dence
enminal <lustice
together with all the rights, honors, privileges, and responsibilities pertaining to that degree, given at 0\1.arion, in the 8tate ef:Indiana thisfourteenth dap efGJ)ecember, 2013.
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