Case Manager Management
Resume:
Sue Kennedy, RN, BSN, CCM, WCCM
Objective
Work History
Full or part-time remote, permanent position in Case Management, Disease Management, Transitional Case Management or Utilization Management with an innovative, established home health agency, hospital or company whose primary goal is providing excellence in service and access to high quality healthcare for its clientele. Supervisory level position qualified and preferred, will consider staff position. Salary negotiable. Recent certification obtained for WCCM in Maryland to support persons during the workers compensation process.
Excellence in Service Awards Received:
Defense Centers of Excellence for Psychological Health and Traumatic Injury
Defense and Veterans Brain Injury Center
Letter of thanks from Department of the Navy Rear Admiral K. Flaherty
Current Employer:
6/21/2021 to present: Adventist Health Care Clinical Nurse Liaison, Business Development, Home Health, Clinical Reviewer for Home Health
Short-term Contracts during COVID:
Crawford and Company 2/2021-4/2021:
Worker’s Compensation Case Manager – job closed due to lack of clientele during pandemic.
Humana 11/2020-2/2021: Contract completed.
Telephonic RN Care Manager, Medicare Advantage and Dual- Eligible programs.
Sterile Services/Maryland National Guard 7-27-2020 to 11/24/2020: Contract completed.
Sterile Services Co. Contract position for RN Case Manager supporting the Maryland National Guard, Camp Fretterd, MD.
Corporate Office Address:
14773 Courtlandt Heights Rd.
Woodbridge, VA 22193
11/18/2019 to 4-17-2020:
Senior Nurse Care Manager, for Anthem BC/BS/DBG Remote Telephonic Case Manager-Contract completed.
Anthem Corporate Office:
220 Virginia Ave.
Indianapolis, IN 46204
Positions held Prior to COVID-19 Pandemic:
2/2016-9/2019:
University of Maryland Medical System Department of Population Health-Quality Care Network Field Lead Case Manager.
Provide comprehensive case management, transitions of care case management and physician liaison services for Medicare Beneficiaries of the UMMS Transform Health MD program (CTO)
UMMS Transform Health MD Program
920 Elkridge Landing Rd.4th floor
Linthicum, MD 21090
10/2014-1/7/2016:
Clinical Research Case Manager for the National Intrepid Center of Excellence Network Research Program at Walter Reed National Military Medical Center in Bethesda Maryland, Contract Position with Cherokee Nation Businesses. CITI Research Nurse Certification Obtained. Research and follow up on Service Members with TBI and PTSD.
Cherokee Nation Businesses Corporate Offices:
777 West Cherokee St.
Catoosa, OK 74015
Assigned contract worksite:
National Intrepid Center of Excellence (NICOE)
Walter Reed National Military Medical Center (WRNMMC)
4860 Palmer Rd. South
Bethesda, MD 20889
www.wrnmmc.capmed.mil/NICoE
11/09-2/2014:
RN Case Manager Consultant for the Department of Defense Centers of Excellence for TBI and Psychological Health TBI Clinical Standards of Care and component center Defense and Veterans Brain Injury Center via Altarum Institute (contract company) contract position.
Primary Responsibilities:
Developed Clinical Guidance Document for Case Management of Mild TBI Injury for the Military Health System (available for free download at www.dcoe.health.mil)
Developed the Military TBI Case Management Community of Interest for the purposes of educating military case managers, information dissemination
Editor of and publisher of a quarterly newsletter for military case managers-available on line at www.dcoe.health.mil
Provided guidance for National Intrepid Center of Excellence new case management staff by development of Standard Operating Procedures.
Recipient of Excellence in Service Awards, December 2010 and September 2013 and February 2014.
Provide case by case guidance for service members and military case managers
Content developer and creative consultant for newly launched TBI Case Management dedicated website: Telehealth and Technology Web Resource Locator at https://ttwrl.dcoe.mil
Altarum Institute: (contract company)
c/o 3520 Green Ct., Suite 300
Ann Arbor, MI 48105
Assigned contract worksite:
Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE)
1335 East West Highway
Silver Spring, MD 20910
7/08 to 11/09:
Livanta LLC. RN State Policy Review Specialist for PERM DDC. Contractual position. Contract ended 10/1/09
Primary Responsibilities:
Research Medicaid Laws, Regulations in regard to Medicaid claims payment, determine descriptive for each in terms RN reviewers could use for claim audits
Clinical resource and back up support if needed for Call Center staff
Livanta, LLC
9090 Junction Dr. #10
Annapolis Junction, MD 20701
1/08 to 7/08:
Team Lead (Manager) for Discharge Planner/Case Managers for United Health Care-Americhoice, company downsized laid off 16 positions including mine.
Primary Responsibilities:
Supervision, hire, training of team of 6 RN Case Managers, some telecommuters, one special renal project RN.
Assist Physician advisor with determinations and communication back to Medicaid Ombudsman
Reviewed requests for in and out of-contract service extensions
United Health Care Americhoice
Company Address at the time of my employment:
6095 Marshalee Dr.
Elkridge, MD 21075
410-***-**** (number no longer in service, company moved location)
This is the currently listed contact page for inquiries for UHC:
https://careers.unitedhealthgroup.com/contact-us.aspx
10/04 to 1/08:
Case Manager for Kernan Hospital, now known as UMMS Orthopedics and Rehabilitation Institute:
Primary Responsibilities:
Case Management/Discharge Planning for locked TBI unit, acute surgical and ICU. Covered Trauma and CVA units as needed.
Utilization Management for all assigned patients
Preceptor for New Case Management Staff
Assist with Medical Assistance Clinical Reimbursement Process
Development of Standard Operating Procedures for the Case Management Department including standardization of forms.
2200 Kernan Drive Baltimore, MD 21207
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