Jody Lynam Email & Phone Number

Littleton, Co, Us

Colorado, United States

-Expertly reviewed quality of work of staff/nurses regarding appropriateness of bills for auto-related injuries.-Reviewed bills received by variety of providers including: chiropractic, physical therapy, orthopedic surgeons, physical medicine, rehabilitation specialists, spinal surgeons, and more.-Collaborated with managers by providing actionable feedback on all audits, providing opportunities for managers to coach staff in areas of improvement.-Ensured quality of reports by physicians, reviewing Independent Medical Exam (IME) reports for details such as physical exams, patient history, diagnoses, treatment recommendations, prognosis and disability if applicable.-Directly worked with physicians, relaying changes necessary on reports.-Reviewed medical records and identified medical necessity of treatment, appropriateness of care and relatedness of all treatment for numerous diagnoses on a national level.-Effectively provided chronology of treatment, summary and treatment recommendations to insurance carriers to assist in settlement negotiations with Attorney.

Greenwood Village, Colorado, United States

-Performed medical management activities including utilizing medical knowledge to review, authorize treatment by employees injured in a worker’s compensation claim. -Used multiple computer systems/operating programs to obtain, verify, and utilize information. -Maintained communication with Physicians and collaborated to determine IME exams through both verbal and written communication.

Denver, Colorado, United States

-Full time RN for managed care company in the Personal Injury Protection Utilization Management Department: Motor Vehicle Accidents.-Provided intensive case management for complex cases including coordinating care; communication with clients, provides, and adjusters; reviewing treatment requests for medical necessity and MVA relatedness; and presenting requests to medical consultants as needed.-Responsible for reviewing complicated cases and treatment requests. Prepared and presented cases/requests to consultants (MD, DC, or DDS). Reviewed treatment requests with nurses in the Utilization Management Call Center.

Bachelor Of Science - Bs, Nursing Science

Diploma In Nursing, Gpa 3.9, Graduated 2Nd In Class

Activities and Societies: Graduated 2nd in class