CURRENT POSITION
Medical Case Manager, Preferred Case Management, LLC, Muskegon, MI
CURRENT RESPONSIBILITIES
Provide medical case management of Workers’ Compensation, Auto No Fault Claims, Disability Claims and Health Insurance Claims
Case coordinator and liaison between clients, employers, providers and attorneys
Rehabilitation and case management activities to include multiple trauma, brain and spinal cord injuries, orthopedic and soft tissue injuries and pediatric cases
Medical records analysis to determine appropriate medical billing
Review/consult with claims specialist for case directives and appropriate rehabilitation services
EDUCATION
Alamance Community CollegeGraham, North Carolina
Associates of Applied Science in Nursing 1988
CERTIFICATION
State of Michigan Registered Nurse
Certified Case Manager # 00077561
American Red Cross CPR and First Aid Instructor 2007
CONTINUING EDUCATION
Therapy Services: The Importance of Achieving Appropriate Referral, Assessment, and Utilization PracticesAugust 30, 2000
MPRO, Outcome Based Quality ImprovementFebruary 6-7, 2001
Restructuring the Role of Today’s Nurse ManagerMarch 13, 2001
Coaching for Improved Work PerformanceMarch 27, 2001
Avoiding the Pitfalls of MO825 (Oasis/PPS) Through Improved Projection and Appropriate Record Corrections
Is This For Real? Jacobus Donders, PhD, Mary Free BedSeptember 10, 2002
Michigan Association of Rehabilitation Professionals Ethical Challenges of Today’s World, Dr. Gordon Blush
Case Management of Chronic Non-Malignant Pain, Edwin Kremer, PhD
In Depth Examination of No-Fault Insurance Issues
MiARP 2003, 2004, 2005, 2006
Dementia Care 2004
Discussions in Medicine 2005
Ethics in Rehabilitation 2005
Alzheimer’s Disease 2006
New Horizons in Medicine 2006: Neuropsychological Testing Updates
Stem cell implants
SPECIALIZED TRAINING
Wound Care
Pediatrics
CHF & Cardiac Bypass surgery
Geriatrics/Alzheimer’s
Diabetes
Quality Improvement
ICD-9 Coding
Utilization Review
WORK HISTORY
Preferred Case Management, LLC - September 2002 - Present
Certified Medical Case Manager
Amicare Homecare, Muskegon, Michigan - August 2000 - September 2002
Case Manager/Supervisor
Homecare Providers, Burlington, North Carolina - August 1988 - May 2000
Clinical Coordinator, Case Manager, Hospital Referral/Discharge Planner, Preceptor
Alamance Community College, Graham, North Carolina - 1993-1995
Part time instructor of the Nursing Assistant Level II Program, classroom and clinical instruction
Alamance Regional Medical Center, Graham, North Carolina - 1995-2000
Part-time on-call float pool - Pediatric, Med-Surgical, Ob/Gyn Units