Nurse case management company that helps injured workers, employers and insurance adjusters navigate through the workers’ compensation process. Our team is professional, results driven, and takes a proactive approach to every case we are involved with. We look to build a deep relationship with our clients to understand their needs and discuss trends we are seeing in regards to their specific company within the industry.

Sales and marketing of Workers’ Compensation TPA, Property & Casualty TPA, Managed Care and Program Business solutions to brokers, risk managers, public entities, Texas Non-subscription employers and self-insured employers with the workers’ compensation industry. Implemented regional sales plans, determined annual targeted revenue goals, marketing strategies and analyzing trends. Developing lasting winning relationships with existing clients and potential clients.

I am a high-energy consultant who develops winning relationships through a needs-discovery approach, a commitment to results through creative problem solving and follow through. I combine strategic, big-picture thinking with analytical skills and attention to detail to define the most profitable opportunities to deliver results in the short and long-term. I have strong interpersonal skills and ability to effectively collaborate with executives, while also simplifying highly technical information to educate and provide value for all support teams. I am highly engaged, ambitious, quick to comprehend new ideas and skills.Specialties: Medicaid, Healthcare, Texas WC Insurance, Risk Management, Property and Casualty Insurance, Auto Insurance, Pharmacy Benefit Management, Case Management, Peer Reviews, Pre-Authorization, Project Management, Strategic Planning, Account Management, Relationship Building, High-Impact Presentations, Market Research, Financial Analysis, Operations Management, and Business Development.

Sales and marketing of pharmacy benefit management services to executives, risk managers, claims directors, and nurse case managers within the workers' compensation industry, third party administrators, insurance carriers, public and private employers. Nationwide results driven solutions to reduce pharmacy costs for clients and improved outcomes for their injured workers. By combining advanced technology, data analytics, clinical expertise and comprehensive reporting.

Managing the execution of the organization’s ancillary and pharmacy benefit management services for clients including self-insured employers, third party administrators, managed care companies, as well as workers’ compensation and auto insurance companies. He works closely with internal departments to develop operational efficiencies within the ancillary and pharmacy department.

Lead the growth, profitability, operational effectiveness, administration and compliance of NFIB’s Workers' Compensation program with the Texas Department of Insurance. Coordinated and oversee loss prevention, 3 safety committees (Construction, Retail and Manufacturing), risk management, claims and strategic risk initiatives. Create awareness of the program with insurance agents and NFIB members through a strategic communication and marketing plan.

Manage the Texas Department of State Health Services Children with Special Health Care Needs Services Program (CSHCN), Family Planning (DFPP), Primary Health Care and Expanded Primary Health Care. Responsibilities include strategic operations analysis, program-related expertise, client management skills, project management, policy interpretation, strong investigation and issue resolution skills. Serve as the point of escalation for internal/external issues for the respective State customer. Provide subject matter expertise for assigned projects for State customers and internal staff. Conduct cross-organizational and State program impact analysis. Facilitate meetings with State customers, external stakeholders, and other professional associations.

Coordinated safety, risk management, claims and strategic risk initiatives across nine universities and six health institutions. Developed and implemented workers’ compensation benefits to ensure employees receive appropriate care at the right price point. Oversaw Request for Proposal process relating to workers’ compensation healthcare network option and utilization review. Evaluated vendor responses and conducted cost benefit analyses for senior management. Implemented international claims management program to ensure employees located out-of-state and internationally receive prompt attention post-injury. Managed contracted vendors to confirm performance was in compliance with state contract. Monitor state bills during legislative sessions to determine impacts on UT System and WCI policies. Develop initiatives to obtain a “High Performer” for the 2010 TDI/DWC Performance-based Oversight.

Managed 25 case manager and preauthorization nurses, vocationalcase managers and clerical staff for the Austin and Houston Regional Offices. Coordinated vendor services in the delivery of preauthorization, case management and peer review services. Established and maintained controls to ensure compliance with TWCC and TDI regulations. Developed policies and procedures to assure the efficiency, compliance and accountability. Established protocol for contracted vendor services for limited assignments to control cost.

Provided account management and marketing for the Air Force Insurance account and the Vocational Longshore product. Developed and implemented program standards for the company’s vocational products. Supervised vocational counselors, employment specialist and nurse case managers. Implemented Return-to-Work programs for the United States Air Force.

Managed vocational rehab services to injured workers under Short Term Disability/Long Term Disability, Workers’ Compensation, Longshore and Harbor Workers’ Compensation Act, and Personal Liability. Conducted vocational testing and transferable skills analysis. Develop rehabilitation programs designed to assist disabled workers in returning to work within their residual employability profile. Supervised employment specialists, vocational case managers, and sales.

Established vocational plans for multicultural populations with disabilities. Developed and managed marketing efforts. Supervised 20 support staff and employment specialist schedule, motivate, and guided professional development.