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Customer Service Medical Surgical

Location:
Terryville, CT
Salary:
27:00/hr
Posted:
July 15, 2023

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KIM ROUILLARD, RN

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**** – Pres. ALEXION PHARMACEUTICALS, INC. / ASTRA ZENECA, New Haven, CT

Patient Liaison, Patient Services Department (2021 – Pres.)

Assisting patients with two ultra-rare diseases; Paroxysmal Nocturnal Hemoglobinuria (PNH) and Atypical Hemolytic Uremic Syndrome (aHUS) gain access to Soliris and Ultomiris

Assist physicians and patients work through insurance coverage issues

Provide ongoing education to patients with PNH and aHUS

Provide ongoing treatment support to help patients understand importance of compliance

Maintain 100% compliance with PV reporting

Nurse Case Manager, OneSource program (2008 – 2021)

Assisted patients with two ultra-rare diseases; Paroxysmal Nocturnal Hemoglobinuria (PNH) and Atypical Hemolytic Uremic Syndrome (aHUS) gain access to Soliris and Ultomiris

Assisted physicians and patients work through insurance coverage issues

Provided ongoing education to patients with PNH and aHUS

Provided ongoing treatment support to help patients understand importance of compliance

Coordinated and delivered training to team including management

Travelled nationally to physician offices to showcase OneSource program and help resolve issues

Spearheaded Policy and Procedure committee so department standards can be met

Served as a Chief Liaison for the Alexion Access Program for 2 1/2 years

Accepted into the Global Mentorship program as a mentor in April 2015

2003 – 2008 METLIFE DISABILITY, Glastonbury, CT

Specialty Services Nurse Manager

Working manager for a team of nurse case managers, claims specialists, and psychiatric clinicians that managed large caseloads of disability claims. These claims were evaluated for disability defined by functionality. Hands on role with escalated or highly complex claims with multiple diagnoses

Actively participated in multi-disciplinary team meetings where complex cases are discussed for resolution

Contacted physicians for clarification on employee's restrictions and limitations regarding level of functionality, restrictions and limitations

Partnered with nurses to proactively address restrictions and limitations to injured or ill employees

Regular contact with customers and employees to provide updates, partnered with return-to-work solutions, and to help them understand their benefit plan and options for resolution

Regularly provided internal training to clinicians and claims specialists

Heavy involvement in committee work where results needed to be communicated to large groups of individuals

Experienced with data tracking, trending, analysis, and reporting

Appropriately managed low performers to create high performance culture

Recipient of "Excellence in Management Award" 2004

2000 – 2003 HARTFORD MEDICAL GROUP, Wethersfield, CT

Practice Manager

Managed and coordinated two dedicated Occupational Medicine practices and worked with implementation team to open one Chiropractic practice

Responsible for budget development, revenue, expenses, bottom line for all offices

Responsible for staff recruitment, retention, training and scheduling

Responsible for OSHA compliance, DOT collector training for all 6 HMG offices

Developed and coordinated all external customer projects. This included providing flu shot clinics.

Worked closely with marketing team to grow the business

Responsible for customer service, quality of care, appropriateness of treatment

Duties included some clinical coverage as needed

KIM ROUILLARD, RN

Page 2

1981 – 2000 NEW BRITAIN GENERAL HOSPITAL, New Britain, CT

Manager, Occupational and Employee Health Services (1991 – 2000)

Developed, implemented and managed hospital-based Occupational Medicine program for NBGH

Created In-house workers compensation program; savings exceeded 1 million dollars the first year

Regularly developed and delivered safety and bloodborne pathogen training to external employee populations, often needing to customize sessions, depending on need

Regularly delivered internal hospital safety-based training to over 2000 employees

Provided case management services for contracted customers and hospital employees

Developed and implemented Transitional Work Programs for injured hospital employees returning to work

Responsible for staff recruitment, retention, scheduling. Budget development and expense management

Responsible for OSHA compliance for 2700 workers

Developed and implemented many Employee Health policies and procedures

Duties included clinical coverage as needed

Medical Surgical /Dialysis Nurse (1981 – 1991)

Performed the role of a hands on Medical/surgical nurse carrying a full case load as well as coordinated services such as home care services, social services and financial assistance.

Specialized in Dialysis for 6 years carrying a full caseload of patients who required a multitude of external resources throughout their treatment

EDUCATION

DISTANCE LEARNING PROGRAM, Melborne, KY,

1999 – 2010

TUNXIS COLLEGE, Farmington, CT

AS in Nursing, 1981

Graduated Summa cum Laude

References Available Upon Request



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