Case Manager Management Specialist

The Medical Affairs Department acknowledged that I met the education and experience requirements outlined in the Home Health Psychiatric Care Local Coverage Credential ID determination #L31531/J11HH-11-002-L. Effective 9/17/13. I was able to conduct psychiatric home visits and these visits were accepted by Medicare. NurseWorxs, Inc., Monroe, LA 1987-2014

Owner/ Independent Medical Case Manager

Managed and coordinated medical services for patients with diverse medical conditions, including orthopedic injuries, neurological disorders, and more. Optimized quality and cost-effectiveness of care through advanced clinical and nursing skills, resulting in exceptional outcomes. Facilitated care for caseload of 30-50 patients, providing comprehensive occupational and disability management services. Fostered effective communication and collaboration throughout the care process by interfacing, interacting, and coordinating medical services between insurance companies, medical providers, employers, and attorneys. Achieved positive outcomes by leveraging specialty resources such as behavioral health programs, physician advisors, peer reviews, and medical directors to ensure optimal resolution of complex cases.

• Successfully facilitated occupational, behavioral and disability management of a caseload of 30-50 patients.

• Recognized for managing and coordinating medical services for work-related injuries and catastrophic complex medical conditions.

• Acknowledged for effective interface, interaction, and coordination of medical services between various stakeholders, including insurance companies, medical providers, employers, and attorneys.

• Effectively managed and resolved approximately 1 k work injuries over a 27-year period using advanced medical case management techniques, resulting in successful amicable resolutions with employers and positive outcomes for patients.

Additional Experience

Psychiatric Nurse Unit Coordinator, Adult Unit, Psychiatric Pavilion, Monroe, LA

• Administrative and staffing duties.

• Develop teamwork skills.

• Developed psychiatric care plans for approximately 30 patients.

• Consult with multidisciplinary team regarding patient care.

• Utilized analytical skills and problem-solving.

• Collaborated with community resources to provide resources following discharge. 1987-1989

Psychiatric Nurse Supervisor of Intensive Care Unit at Woodland Hills Hospital, West Monroe, LA 1982-1985

• Develop care plans based upon physician diagnoses.

• Consult with multidisciplinary team regarding patient care.

• Administers and notes reactions to psychotropic drugs and other medications.

• Arranges further medical attention when necessary.

• Assists the patient in understanding the nature of emotional disturbances and accepting the need for treatment.

• Assists in maintaining a safe and secure environment for staff and patients.

• Advocate on behalf of caregivers, and families to work with community agencies, and providers to ensure effective collaboration and improved clinical outcomes following discharge. Education

Nursing Associate Degree

Louisiana Tech University, Ruston, LA

Licenses & Certifications & Affiliations

Registered Nurse - TX, license# 839836- Enhanced Nurse Licensure Compact (eNLC) implemented in 39 states Certified Case Manager (CCM) Certificate number 01383 Valid through May 2023 Certified Rehabilitation Registered Nurse (CRRN) Certificate number 00017200; valid through December 2027 Certified Disability Management Specialists (CDMS) Certificate number 05488; Valid through December 2025 Association of Rehabilitation Nurses: ARN# 00017200 CMSA- Case Management Society of America, Member# 41853 Page 212