10+ years of Workers Compensation experience including Senior Claims Adjuster, Telephonic Case Management (TCM) and Direct Nurse Management looking to obtain a long term position that utilizes my skills in management, workers compensation and medical risk.
10+ Years Direct Nurse Management experience
10+ years Healthcare Risk Management
Certified Workers Compensation Professional (CWCP)
Licensed Practical Nurse
Skills
Nurse Management
OSHA Certified
Off Shore Team Development
Care Planning and Management
Large caseload management
Nurse retention management
Workers compensation
Compensation analysis
Team Building
Organizational Development and Leadership skills
Work History
Workers' Compensation Clinical Nurse Manager, 06/2018 to Current Marsh & Mclennan Companies, Inc. – Hartford, CT,
Collaborated with physicians and interdisciplinary teams to devise and manage individualized plans of care
Educated patients and families on treatment, expected outcomes and discharge instructions, serving as advisory resource to patients and families to facilitate recovery
Coordinated departmental operations according to administrative, legal and medical guidelines
Supervised team of 8 nurses and 4 Offshore Global team nurses
Continuously sought opportunities to improve patient care, outcomes and nursing staff performance
Evaluated nursing staff's performance and developed education programs and professional development opportunities to improve individual and team competencies, clinical knowledge and delivery of care
Documented all aspects of care following facility and Medicare standards, creating accurate patient records of all interactions and interventions to sustain continuity of care
Won BRAVO Awards for exceptional ability to make connections with team members
Administered performance evaluations and probationary reviews to assess nursing personnel
Reviewed clinical reviews weekly to complete quality control checks
Created several Standards of Operating Procedures
Created training materials and user manual
Created an offshore team including workflow training
Worked with multiple departments to resolve claim problems, improve operations and provide exceptional customer service
Healthcare Risk Consultant, 06/2016 to 06/2018 PMA Insurance – City, STATE,
Completed statistical reviews to uncover trends, patterns and variations
Performed in-depth research and investigations and recommended strategies to resolve problems and prevent further concerns
Produced and filed reports to inform Underwriters of current activities and potential risk issues
Updated quality control standard methods and procedures to meet customer SLA and compliance requirements
Generated new business leads through direct customer engagement, deploying inbound and outbound marketing tactics and developing and optimizing informative content
Liaised with client leadership and brokers to organize and perform quality standard training for new and existing clients
Developed exceptional attendance record with special attention to punctuality and preparation to work upon arrival
Maintained regular contact with clients and identified opportunities to deliver added value to client relationships
Partnered with cross-functional teams to conduct thorough discovery and due diligence on existing processes
Managed high-value existing and new business partnerships to deliver on objectives and maximize corporate revenue, support and awareness
Attended Stewardship meetings
Safety and Loss Control Consultant, 10/2008 to 06/2016 Beverly Enterprises/Golden Living – City, STATE,
Developed recommendations to reduce hazards by improving gear, behaviors and procedures
Identified accident causes and optimal prevention strategies by conducting thorough investigations and analyses
Built successful hygiene programs based on techniques such as atmospheric monitoring and noise surveys to provide ongoing worker support
Optimized new employee training on gear and procedures to maximize team safety
Eliminated dangerous behaviors potentially impacting worker safety in healthcare settings through careful analysis and process optimization
Evaluated workplace conformance with OSHA standards and state regulations, implementing immediate strategies to resolve deficiencies
Adhered to established policies, procedures and compliance for satisfactory audit rating
Conducted field visits and met corporate customers for business development
Performed quality controls following technical interventions and during product industrialization for products and processes
Presented metric reporting and account reviews to underwriters and clients
Education
Associate of Science: Practical Nursing, Expected in 10/1992 Gwinnett Technical College - Lawrenceville, GA GPA:
Master of Arts: Organizational Development/Leadership, Expected in 04/2005 Shorter University - Rome, GA GPA:
Bachelor of Science: Business Management, Expected in 12/2003 Shorter University - Rome, GA GPA:
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
