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Click here or scroll down to respond to this candidateCandidate's Name , RN, CCMStreet Address M Village RoundAllentown, PA Street Address
EMAIL AVAILABLE ; PHONE NUMBER AVAILABLERegistered Nurse and Certified Case Manager (CCM) with success as a Medical Case Manager, Administrative/Operations Manager, Marketing Specialist, and Educator, with strong liaison and organizational skills seeks a career opportunity in which to apply diversified experience.EMPLOYMENT HISTORYCOVENTRYHEALTHCARE, Tampa,FLMedical Case ManagerFunctioned as case manager for workers compensation claims for a national customer, providing case assessment, investigation, and medical guidance to claimants in order to achieve a safe, cost effective return to work. Interacted with claims case managers, physicians, and employers to negotiate same duty return to work success.ST. LUKES HOSPITAL, Bethlehem, PA 1999 5/2009Clinical Risk Manager, St. Lukes Visiting Nurses Association and St. Lukes Hospice (2007- 5/2009)Clinical Risk Manager (2005-2007)Functioned as Clinical Risk Manager of two network hospitals and various free-standing health care delivery units, reporting directly to the Assistant Vice President/Chief Quality Officer. Responsibilities included investigation, management and performance improvement of patient safety issues, pro-active safety initiatives, and root cause analyses of appropriate adverse events.Patient Safety Officer of VNA and Hospice: approximately 500 employees and clients in the Lehigh and Mahoning Valley, responsible for reporting to the PA Department of Health as appropriate.Patient Safety Officer of two campus facilities, responsible for reporting to the Pennsylvania Patient Safety Authority (PA-PSRS) and the PA Department of Health.Co-chairperson of Network Patient Safety Committee for 750+ bed hospital network.Procured and rolled out an internet-based incident/event reporting system working directly with computer specialists as well as hospital administrators.Revised Network Patient Safety Plan according to PA MCARE Act 13 regulations.Revised patient complaint/grievance procedure to meet JCAHO/CMS regulations.Provided lectures and education for all job classifications for proactive risk reduction and patient safety strategies.Operating Room Nurse, Preceptor (1999-2004)Successfully functioning in both circulating and scrub nurse roles, with specialization in vascular (general and open heart) and neurological surgery.Established a dedicated Network OR Safety Committee as a sub-committee of the Network Patient Safety Committee.Precepted newly hired Registered Nurses, as well as professional nursing students from St. Lukes Hospital, Moravian University, Cedar Crest College, and Northampton Community College.Created and published the operating rooms quarterly educational newsletter.Participated on the departmental Education Council.LIBERTY MUTUAL INSURANCE COMPANY, Allentown, PA 1994 1999Certified Medical Case ManagerManaged medical and occupational issues for national marquis accounts from the PA and NJ workers compensation and no-fault markets. Functioned as Medical Case Manager and negotiation liaison between claimant, physician, employer and claims case managers to assure high quality, cost effective, time-sensitive treatment and return to work. Success was measured by decreased expense to the customer/employer on yearly indemnity costs and premiums.Proactively intervened and modified current physical requirements on the job site for risk prevention purposes.Participated on a national company-based Information Technology Committee that was responsible for streamlining our computer reporting system.Extensive use of computer systems for documentation, communication and presentation purposes; provided computer support for coworkers during new system roll-out.Developed and implemented 48 hour response to appointment requests for physician specialists in order to expedite an injured workers treatment plan.LEHIGH VALLEY HOSPITAL, Allentown, PA 1995 1998Educator, Womens Health ServicesEducator for community programs on womens health issues, prenatal childbirth education, sibling preparation, and American Heart Association CPR instruction. Responsibilities included curriculum development and implementation of the programs.Candidate's Name , RN, CCM Page 2INTERIM HEALTH CARE, Toms River, NJ 1986 1994 Second in command for two county franchised home health care offices. Functioned in a key role in daily operations,management, marketing and modernization of procedures evidenced by consistent career growth and increased responsibilities.Director of Marketing, Ocean/Monmouth Counties (1991-1994)Director of Marketing, Ocean County (1990-1991)Designed and marketed customized case management skills to nursing and insurance specialists, discharge planners, hospitals, and rehabilitation facilities.Sole marketing representative for above territories. Maximized regional corporate revenues which grew to $7 million by 1994.Maximized cost containment for claimants and provided cost studies to insurance companies to substantiate nursing care.Created a marketing report form that was adopted by the national corporate office.Wrote and issued press releases and performed as keynote speaker for various events.Director of Health Care Services, Ocean/Monmouth Region (1989-1990)Executed dynamic role in quality assurance/utilization review, discharge planning, public relations, marketing and human resource development.Spearheaded promotional campaigns that extended client base.Developed, coordinated, and implemented successful in-service programs for nurses and nursing aides.Recruited, hired and oriented staff, providing job counseling as necessary.Home Care Supervisor (1986-1989)Directed and evaluated the care of approximately 100 in-home clients and the field activities of approximately 300 nurses/nurses aides. Marketed home care to potential referral sources.Redesigned patient admission, discharge and status reporting procedures.Performed case by case cost comparisons to justify insurance reimbursement for care.COMMUNITY MEDICAL CENTER, Toms River, NJ 1971 1986Operating Room NurseRoutine cases included neurological and vascular procedures as well as a full complement of general surgeries.Designed, organized, and implemented a teaching program for surgical training of obstetrical nurses. This included consultation to restructure changes in the obstetrical suite as well as staffing needs.Preceptor for students in Associate Degree RN program at Ocean County CollegeEDUCATIONMORAVIAN COLLEGE, Bethlehem, PATEMPLE UNIVERSITY, Philadelphia, PAUNIVERSITY OF CONNECTICUT, Stamford, CTOCEAN COUNTY COLLEGE, Toms River, NJ, Associate in Applied Science, R.N.CERTIFICATION / LICENSURE / AFFILIATIONSMember Phi Theta Kappa, National Honor Fraternity, Ocean County College2009 recipient of St. Lukes Trauma Center Hero award for providing excellence in Trauma CareCertified Case Manager (CCM), sponsored by the Certification of Insurance Rehabilitation Specialists Commission.Past member and secretary of the Jersey Shore Chapter of the Association of Operating Room Nurses.Currently licensed as a Registered Nurse in Pennsylvania.Certified American Heart Association BCLS InstructorREFERENCES AVAILABLE UPON REQUEST |
