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Case Manager Workers Compensation Resume...
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Title Case Manager Workers Compensation
Target Location US-FL-Orlando
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Street Address  Mattituck DriveOrlando, Florida Street Address
PHONE NUMBER AVAILABLE HomePHONE NUMBER AVAILABLE CellEMAIL AVAILABLEExperience07/01/2021-04/24/2023CCMSI2600 Lake Lucien Dr., Ste. 225Maitland, FL 32751PHONE NUMBER AVAILABLEDianne Hicks/Ana SalesTelephonic Nurse Case Manager  Workers Compensation- Responsible for claim triage, initial three point contact, employer contact, adjuster coordination, and all other treatment management as approved. Determination of Major Contributing Cause and use of ODG and or MDA Guidelines. Coordination of all treatment and care through Maximum Medical Improvement. 01/05/2015-04/02/2020Corvel1035 Greenwood Blvd., Ste 225Lake Mary, FL 32746PHONE NUMBER AVAILABLELisette CastellanosTelephonic Nurse Case Manager  Workers Compensation- Responsible for claim triage, initial three point contact, employer contact, adjuster contact, and all other treatment management as approved. Determination of Major Contributing Cause and use of ODG and or MDA Guidelines. Coordination of all treatment and care through Maximum Medical Improvement. Coordination of STD and LOA paperwork/monitoring.03/27/2014  10/30/2014Free State Staffing, Inc.2170 W SR 434, Ste., 386Longwood, FL 32779PHONE NUMBER AVAILABLENancy FluittTelephonic Nurse Case Manager  Orange County, Florida-Workers Compensation Account- Responsible for claim triage, initial three point contact, employer contact, adjuster contact, and all other treatment management as approved. Coordination of all treatment and care through Maximum Medical Improvement.05/14/2012-12/30/2013Optacomp (Blue Cross/Blue Shield)610 Crescent Executive CtLake Mary, FLPHONE NUMBER AVAILABLEWorkers Compensation State of Florida Account- Responsible for opening new claims, initial three point contact, arranging and coordinating initial/continued treatment. Presumption Claims.-Monitoring claim through physician contact, injured worker contact, employer contact, adjuster contact, pharmacological management and all other treatment management as approved.- Daily document reviews, bill paying and pharmacy review.- Trained new employees for 1st two weeks of employment.- Resource for new employees and other team members as needed.- Clinical background with Oncology, Pain Management, Cardiology, Hospice, Progressive Care. 04/2012  05/2012RemX Specialty StaffingOrlando, FloridaPHONE NUMBER AVAILABLERN  Osceola County Health Department  Family Planning Clinic 09/2011  12/2011Mollen Immunization ClinicsScottsdale, ArizonaPHONE NUMBER AVAILABLE- Immunization RN for various locations, seasonal. 09/2011  12/2011Healthcare Support StaffingOrlando FloridaPHONE NUMBER AVAILABLECerner Project RN-Handled Computer Physician Order Entry Training Project for local hospital system. Temporary Position. Trained for and then worked exclusively with training physicians on hands on computer assistance daily during twelve (12) hour shifts in hospital for go-live systems. 03/2009 - 01/2011Hewitt Associates (AON)Orlando,FLPHONE NUMBER AVAILABLETelephonic Clinical Case Manager-Responsible for handling Short Term Disability Claims from Intake to Return to Work - including, but not limited to coordination of treatments, approval/denial of payments, follow-up with providers, employers, employees and enforcement of observance of multiple Short Term Disability and Leave of Absence Contracts. 06/2006-02/2008Cornerstone HospicOrlando, FLPHONE NUMBER AVAILABLEAdmissions RN-Assessed and admitted patients in different settings for settings for hospice care including home, assisted living facilities, and nursing home settings. Case Management Initiated and staffed crisis care as needed. Coordinated all team care, including, but not limited to all durable medical equipment, hospice pharmacia ordering, medication/pain management, social work issues, insurance coordination, Nursing/CNA staffing, spiritual support for patient and family members.02/2004-6/2006Supplemental Health CareOrlando, FLPHONE NUMBER AVAILABLEAgency RN Hospital Float RN  Medical-Surgical Nursing, PCU Nursing, CDU Nursing and all other assignments as given. Psychiatric Unit Nursing, Medical Unit Nursing  State Prison System. 09/2003  02/200Healthsouth Surgical CenterOrlando, FLRegistered Nurse Admitted/Discharge nurse for patients for outpatient surgery. Assisted with endoscopic procedures. Recovery nurse for post-op patients from same day surgery patients. 06-2001  09/2003Florida Hospital EastOrlando, FLRegistered Nurse Medical Telemetry RN  Responsible for total patient care and coordination of other disciplines. Pain Resource Clinician. Chemotherapy Nurse on call. Spiritual Ambassador for Employees.07/1999  06/2001Orlando Regional Medical CenteOrlando, FLRegistered Nurse Medical-Surgical  Responsible for total patient care and coordination of other disciplines. Charge Nurse with full patient team care. Full phlebotomy training.EducationValencia Community CollegeOrlando, FL- Associate in Arts Degree,- Associates in Science Degree  NursingUniversity of Central Florida, Orlando- Bachelors in Science Degree - NursingAccreditationsCertified Case Manager, CERNER, State Board of Nursing License. References upon request

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