Preferred Case Management |
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MEDICAL CONSULTANTS
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CURRICULUM VITAE
CURRENT POSITION: Medical Case Manager – Preferred Case Management, LLC
CURRENT RESPONSIBILITIES: Medical case management of Auto No Fault, General Liability and Workers’ Compensation claims Review/consult with claims specialists for case directives and appropriate rehabilitation services Case coordinator and liaison between clients, employers, providers and attorneys Medical record analysis to determine appropriate medical care and billing Case load activities include multiple trauma, brain injury, spinal cord injury, carpal tunnel syndrome, RSD, and all orthopedic and soft tissue injuries
EDUCATION: Saginaw Valley State University, Bachelors in Science of Nursing 1984 University of Maryland, Masters in General Administration of Health Care 1992
CERTIFICATION: State of Michigan Registered Nurse License Certified Case Manager #036074 Maintain credentialing @ Spectrum Health Care System as an Allied Health Practitioner (External Case Manager) 1999-present
SPECIALIZED TRAINING/EXPERIENCE: Extensive Training and Experience: Medical/surgical Orthopedic Psychiatric Maternal/child Pediatric Oncology Rehabilitation Workers’ compensation/auto no-fault/medical case management Health insurance medical record review Correspondence Courses/Seminars: Medicare, Medicaid, Social Security: Rules and Regulations Cervical and Lumbar Laminectomy and Fusion Surgeries 10/1994 Neuropsychology Testing and Analysis 10/1994 Pulmonary & Cardiac Impairments 10/1994 Rehabilitation & The Disabled Worker 10/1994 Shoulder Injuries 9/1995 Case Management 9/1995 Legal Issues 9/1995 Managed Care 1/2001 Work Smarter, Not Harder: Return to Work Issues 9/2001 Michigan Return to Work Issues in Worker’s Compensation Seminar 7/2002 Evaluation of Neuropsychological Evaluations/Findings 9/2002 MiARP Conference 9/2002 Handling Criticism: Nobody Asks For It 12/2002 Medical Education Seminar 5/2003 Maximizing Potential through Partnerships (seminar sponsored by the Brain Injury Association of Michigan) 10/2003 MiARP Fall Conference 9/2003 Emotional Needs of Teenagers in the Health Care Systems 4/2004 CCMC Role & Function Study 6/2004 Rehabilitation Nursing 8/2004 MiARP Fall Conference 10/2004 PCM Sponsored Conference 4/2005 MiARP Fall Conference 10/2005 Horizons in Medicine 4/2006 IARP 2006 Annual Conference in Minneapolis, MN 5/2006 MiARP Fall Conference 9/2006 CMSA (Case Mgmt Society of America) Annual Conference, Denver CO 6/2007
WORK HISTORY: Preferred Case Management LLC – 1998 to Present Active Re-Employment & Medical Consultants, Inc. – 1997 to 1998, Medical Case Manager Travelers/Aetna Pepsico Claim Unit – 1994 to 1997, Disability Manager Blue Cross/Blue Shield of the National Capital Area – 1990 to 1994, Medical Reviewer Ear, Nose & Throat Specialty Group – 1988 to 1990, R.N. Office Manager E.W. Sparrow Hospital – 1984 to 1988, Medical/Surgical Float St. Lawrence Hospital – 1986 to 1988, Adult Psychiatric Nurse
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Northern Michigan