Objective:
 

telephonic case manager working from home


Work Desired:Full Time - Permanent
Citizenship:US Citizen
Resident Of:State: Florida - Area Code: 941
Willing To Relocate:No
Posted By Candidate:1+ Year Ago
Experience:More than 3 years of work-experience
Technical Skills:, Project Management
Work Experience:
Luz Del Castillo.R.N, B.S.N, C.C.M, C.L.N.C
                              4220 Looking Glass Ln #3 Naples, Florida 34112,
Ph: 239-793-7516 
                                                          e-mail:[Send email
using form at bottom] 
OBJECTIVE
I am interested in furthering my career with a progressive organization that
will allow me the opportunity to utilize my unique talents and abilities.
ABILITIES
Five years of certified legal Nurse Consultant, Twelve years of Case Manager
experience. Nine years of Supervisory experience. Nine years of long term care
experience. Two years experience of worker’s compensation. Medicare guidelines,
documentation, reimbursement and cost effectiveness. Prospective payment System
(PPS) training. IV Certified, Healthcare administration and management
training.Bilingual(English/Spanish)
EXPERIENCE
.Telephonic disease care manager
Alere 1-800-423-3223 Feb 2001 to present time.
Case Management for Neighborhood Health Partnership. Initial assessment of
patients. Stratifying patient into fourth categories. Provide in depth cancer
education and training. Contact physician to coordinate plan of care and ensure
continuity.
.Telephonic Disease Care Manager.
Coordinated Care Solutions, Coral Springs, Fl       March 2000 to February 2001
Case Management for Florida Medipass (Diabetes Solution)Program. Initial
assessment. Stratification of patients into three categories. Provide in depth
diabetic education and training. Frequent contact with physicians. Maintain
working case load of 300 patients.
Telephonic Case Manager
Kemper National Services, Plantation Florida        954-452-4000 July 1998-
March 2000
Telephonic Case Manger for Worker’s compensation cases. Assessing, implementing
and planning medical services and treatment for injured workers. Maintain close
contact with treating physician, patients and payers to ensure communication
between all parties involved. Expedite treatment for prompt return to work.
Regional Medicare Manager
Vencor Fort Lauderdale, Florida       954-713-2471 June 1997 to June1998 
Medicare Case Management. Review of Medicare Documentation in over 64
facilities. Training of employees related to Medicare reimbursement. Insurance
coverage investigation. First responder of Medicare hotline.
Regional Medicare Coordinator
Extended Care, Fort Lauderdale, Fl             954-344-6650         April 1995-
June1997
Medicare Case manager. Review of Medicare documentation. Training of employees
related to Medicare reimbursement. Formulation of Medicare review communication.
R.N Supervisor
HCR of Tamarac, Tamarac Florida      954-722-7001 March 1994- to April 1995
Supervision of nursing staff in long term care setting .Employee performance
evaluation. Investigation and  follow up incident reports. Chart audits for
assurance of compliance to Medicare guidelines and Federal and State regulatory
standards.
R.N Supervisor
Pinehurst Convalescent Center, Pompano Beach, Fl                954-943-6100   
1989-1994
Supervision of nursing staff in skilled long term care setting. Employee
performance evaluation. Investigation and f/u incident reports.
Education. Del Norte University, Colombia, S.A Barranquilla BSN 1978.Florida
Risk Management Institute.1997.Medical Legal Institute 2000.





 

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