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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
- Nurse Management
- OSHA Certified
- Off Shore Team Development
- Care Planning and Management
- Large caseload management
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- Nurse retention management
- Workers compensation
- Compensation analysis
- Team Building
- Organizational Development and Leadership skills
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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
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:
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