Self Employed Independent Contractor. Write Medicare Set Aside’s and Medical Cost Projections after analysis of medical records. Provide recommendations to adjuster on how best to improve outcomes and minimize exposure. Commissioner on ICHCC Medicare Set Aside Board.

Review medical records and create Medicare Set Aside Allocations for insurance companies and Third Party Administrators Write Medical Cost Projections identifying concerns and potential opportunities to improve outcomes. Suggestions provided on how to best implement recommendations for optimum file management.

Best Doctors Worker’s Compensation Associate Director Cat Care Program • Assured accurate diagnoses and treatment recommendations for injured workers by providing real time medical information and consultations with Best Doctors’ experts.• Provided current and ongoing appropriate medical treatment for injured individuals though Best Doctors’ opinions and recommendations. • Directed and supervised field case managers in securing appropriate medical information. • Furnished accounts with value added and return on investment as a result of utilizing Best Doctors.Associate Director Outcomes Assessment: • Analyzed in-house physician clinical summary written for expert. Wrote condensed synopses of member’s medical history, current treatment plan and expert report for client.• Identified cost avoidance actualized based on expert physicians’ alternative treatment recommendations.• Developed Outcomes methodology/work flow process.• Created itemized spreadsheet of client cost savings based on expert compared to treating physician recommended treatment.

• Supervised Medical Specialty Products, ALARIS CAT Case Management program• Developed and marketed medical specialty projects • Composed Medicare Set Asides, worked with attorneys, submitted to CMS• Composed Life Care Plans/Medical Cost Projections • Paradigm Catastrophic Network Manager

Certified Life Care Planner - Developed Life Care Plans, Medicare Set Asides and Cost Reserve Analyses to facilitate claim settlements. Assisted adjusters with treatment and pricing data to effectively set lifetime reserves on catastrophic claims.Nurse Case Manager- refer to description under Medical Case Manager Responsibilities 8/98 through 4/00.Catastrophic Case Manager-Worked with injured workers, families, adjusters, health care providers and employers to facilitate appropriate, cost effective medical care and safe return to work.

Local Account Manager, August 2000 to March 2001• Established and maintained relationships with external customers performing monthly visits to assess needs. • Provided file reviews and management recommendations to claims adjusters.• Coordinated social events to promote business Supervisor of Medical Case Managers, April 2000 to August 2000• Provided leadership to medical and vocational case managers; facilitated quality, cost effective case management for clients, by maintaining Case Management standards, philosophy and mission. • Educated and collaborated with staff in problem solving. Motivated staff by highlighting successes, reaffirming strengths • Worked directly with insurance companies and Third Party Administrators to assure their needs were met. Field Medical Case Manager May 1998 to April 2000• Assessed client injuries and needs Developed and implemented action plans that aided in clients return pre- injury status. • Coordinated services with physicians, therapists, and injured workers to assure appropriate and timely medical treatment. • Performed role of liaison between injured worker, physician, attorney, employer and adjuster • Created plans, made recommendations and removed obstacles that kept rehabilitation process moving forward in positive direction. • Provided clear, concise and timely communication with all parties, particularly accounts.• Assured strict adherence to Standard Delivery Expectations making sure customers’ and clients’ needs were met.