Experienced Registered Nurse working as a Disability Case Manager assisting employees when off work or at risk of being off work for health reasons. Proficient at assessing barriers to a successful and timely return-to-work and implementing strategies to address those identified barriers and support return-to-work or an alternative plan.
Overview
30
30
years of professional experience
1
1
Certification
Work History
RN Disability Case Manager
RWAM Disability Management
2023.09 - Current
Support employees through their medical absence from work by determining benefits available through Employer disability plans
Analyze, review and adjudicate STD and LTD claims
Work in collaboration with Rehabilitation Specialists to proactively put plans in place to support employee recovery and return to work
Conduct thorough phone interviews to collect information for assessment purposes and gather details of absences resulting in fair and informed claim decisions
Develop and document an understanding of the situation and the factors supporting as well as inhibiting a successful return to work for the employee
Determine if an injury or illness keeping an applicant out of work is tied to a pre-existing condition
Coordinate independent medical examinations when required to support claims
Determine an appropriate RTW goal with the employee and the employer, provide active support for the return-to-work planning process
Manage the transition to LTD and provide medical and summary case management information to the LTD insurer to ensure a seamless transition
Work with RWAM's Rehabilitation Consultants to proactively put plans in place to support employee recovery and return to work
Liaise with employers, insurance carriers and medical practitioners when necessary
Ability to consider complex claims, medical details and contractual language
The ability to assess supporting medical information and make timely decisions using critical judgement.
RN Case Manager/Clinical Care Coordinator
Home and Community Care Support Services, Ministry of Health of Ontario
2020.06 - 2021.11
Facilitated the development of Coordinated Care and Treatment Plans for all identified 'Health Link' patients
Effectively transitioned complex and vulnerable patients back into the home environment after discharge from hospital
Reviewed and analyzed nursing assessments and determined 'Ministry of Health of Ontario' eligibility for health care services and resources for complex and vulnerable patients within the community
Championed and developed collaborative working relationships with community partners and agencies to ensure that health care support and services were linked seamlessly
Focused on increasing the client's self-sufficiency, autonomy, and rehabilitation by assessing and determining their needs, developing individualized coordinated care plans
Monitored the care plan's progress on a regularly scheduled basis and revised as needed
Collaborated and liaised with the patient/caregiver and primary care team to develop and deliver care that is patient-centered, meeting the patient's identified needs and goals, so that the patient's necessity to access the emergency room and hospital was reduced
Provided 'Intensive Hospital to Home' service planning as appropriate
Authorized all health care services and medical supplies and equipment necessary to achieve the established goal
Approved the fiscally responsible use of appropriate resources to achieve the desired outcomes by mobilizing and integrating patient support networks
Collaborated with management to collect data and reports as required.
RN Case Manager Home Health
Henry Ford Health System
2019.11 - 2020.05
Managed the assignment/supervision of Physical Therapy, Occupational Therapy, Social Work, Registered Dieticians, Licensed Practical Nurses and Home Health Aide services in the patient's home
Collaborated and supported physicians and the interdisciplinary team in facilitating outcome based patient care in their homes
Conducted comprehensive physical assessments, including the Outcome and Assessment Information (OASIS) as well as performed medication reconciliations
Provided direct patient care to patients in accordance with physician's orders
Identified environmental and social needs with regard to clinical diagnosis
Administered medications and treatments as prescribed by the physician and monitored the patient's response (i.e
I.V
Therapy)
Assessed patient by obtaining vital signs, wound management and observation, monitored lung sounds, and reviewed laboratory tests and x-ray studies related to problem or illness
Collected body fluid specimens and blood draws for tests and transported to the laboratory
Re-evaluated in conjunction with the attending physician, the patient outcomes for care, their continued needs, the effectiveness of services rendered and plans for discharge on a regular basis.
Registered Nurse Clinical Work Placement
North Lambton Community Health Centre
2015.09 - 2018.12
Delivered primary care for the population of Kettle & Stony Point Indigenous and rural community
Completed comprehensive initial nursing assessments for clients across the life span
Promoted client advocacy in interactions with Nurse Practitioners and Physicians
Provided health teaching to facilitate Indigenous health and well-being
Application of wound care management according to best practice
Triaged patient care and patient health promotion
Collected blood via venipuncture procedure
Prepared proper handling of client specimens
Administrated immunizations
Provided comprehensive chronic and acute wound care management
Removed sutures and staples
Monitored and provided client education re: INR and HbA1c blood lab values
Monitored and followed up on client lab results and diagnostics
Responsible for placement of Holter monitor and client education
Monitored baby's growth and development progression; 'Well Baby' assessments.
Home Health Nurse
Bayshore Home Healthcare
2001.06 - 2010.02
Responsible for the assessment and provision of skilled nursing care to clients in their homes
Provided a systems theory approach to client care (addressed physical, mental, and spiritual needs of clients)
Prepared nursing care plans that addressed the needs identified during nursing assessments
Initiated client's involvement to determine their health care goals, plans, and objectives
Provided safe, skilled nursing care to clients and their families
Implemented palliative care nursing to terminally ill clients and initiated end-of-life care plan within the home setting
Collaborated with team members to develop and maintain up-to-date nursing care plans
Identified individual and family medical concerns (i.e
Pain control issues)
Applied wound care according to best practice guidelines
Initiated and maintained PICC lines and I.V
Therapy in the home.
Pharmaceutical Nurse Educator and Sales Representative
Solvay Pharmaceuticals
1997.01 - 2001.04
Focused on sales activity of general practitioners within the Sarnia/Chatham/Windsor territory
Detailed physicians on prescription medications, specific to the gastroenterology markets (Pantoloc and Dicetel prescription medications)
Organized and implemented Continuing Medical Education programs for general practitioners