Case Manager Management
Resume:
Teresa Serena RN CCM
Lebanon, TN 37087
*******@*******.***
Career Objective:
Seeking an opportunity with a growing and dynamic organization that will utilize my managerial skills and
permit the development of new skills.
EDUCATION
BSN Tennessee State University
RN Licensure Tennessee (Compact State)
CCM Certification 2017
PROFESSIONAL EXPERIENCE
Case Management/Workers Comp:
Field Case Manager working as a liaison between injured worker, employer, physician and
account. Focused on early intervention, early RTW, and cost savings.
Have worked as an Independent Case Manager
Coordination and Management of In-patient/Outpatient services, on-site chart reviews, discharge
planning.
Pre-certification, concurrent review, retro-review.
Management of workers compensation claims, directing telephonic and on-site case management.
Advanced knowledge of computer systems and software programs.
Critical Care:
Have worked with a wide variety of patients with acute conditions including cardiac, renal, pulmonary,
hepatic, gastrointestinal and neurologic systems and with multisystem failure.
Have worked with patients ranging from newborn to geriatric.
Skilled in obtaining venous access and venous blood samples.
Have assisted with the insertion of arterial lines, internal pacemakers, pulmonary arterial catheters, and
central venous catheters.
Medical/Legal Consultation:
Knowing the inner workings of the complicated health care system, I applied my knowledge
and understanding of medical, nursing and health-related issues to assist the attorneys,
case by case with Kinnard, Clayton & Beveridge, Accident and Injury Lawyers,
Nashville, TN.
Experienced consulting bodily injury, work-related injuries, medical malpractice.
*Assessed medical records and analyzed case (also attended medical exams if needed)
*Provided support for attorney’s case
*Served as attorney’s liaison
*Worked with experts and other witnesses, assisted with discovery and court prep.
EMPLOYMENT HISTORY
*2021-present
Manley & Associates
Telephonic Case Management
*2019-2020
Eckman Freeman
Field Case Manager
Field RN Case Manager for workers compensation patients. Liaison between the employer, IW,claims adjuster, and MD. Attended MD appts. Report writing
*2015-2019
Restore Rehabilitation
Field Case Manager
Field RN Case Manager for workers compensation patients. Liaison between the employer, IW,claims adjuster, and MD. Attended MD appts. Report writing
*2012-2015
Independent Field Case Manager
Marketing and procurement of my own caseload from local adjusters, TPA’s and employers. Average caseload 15-20. Catastrophic, workers comp, med only.
*2011-2012
Genex Services
Field Case Manager/Workers Comp
Field RN Case Manager for workers compensation patients. Liaison between the employer, IW,claims adjuster, and MD. Attended MD appts. Report writing
*2007-2010
Coventry Healthcare
Medical Case Manager/Field Case Manager
Field RN Case Manager for workers compensation patients. Liaison between the employer, IW,claims adjuster, and MD. Attended MD appts. Report writing
HIGHLIGHTS
-Over 15 years Workers Compensation On-site field case management
-Telephonic case management for workers comp and medical insurance
-Utilization review, Chart review, Bill audits
-Managed Care/HMO experience
-Over 5 years acute hospital work (SICU/Recovery Room)
-Member of the MSWCA ( Mid South Workers Compensation Association)
-Member CMSA
References Available on Request
Contact this candidate