Coventry Worker's Compensation Services
Industry: Company
DescriptionFounded: 2007 Parent organizations: Coventry Health Care, Aetna Health Holdings, LLC Subsidiaries: FOCUS HEALTHCARE MANAGEMENT INC,
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Coventry Worker's Compensation Services Employees
Coventry Health Care, an Aetna Company November 2013 - Present
Coventry Workers Compensation Services October 2003 - November 2013
GENEX Services, LLC 1998 - 2003
Texas Department of Assistive and Rehabilitative Services 1992 - 1998
Skills
Microsoft Word, Vocational..., Case Management, Disabilities, Rehabilitation, Traumatic Brain Injury, Workers Compensation, Post Surgical Care..., Advanced Appointment..., Testimony for State..., Testimony for Federal..., LTD Transitional..., TSA Utilizing OASYS, Counseling Psychology
Education
University of Houston-Clear Lake 1990 — 1992
Master's degree, Counseling Psychology
University of Houston-Clear Lake 1987 — 1989
English Literature, Secondary Education
College of the Mainland 1982 — 1988
Associate of Arts (A.A.), Focus on Child Development
Coventry Health Care August 2007 - September 2011
Coventry Workers Compensation Services August 2007 - September 2011
Coca Cola Enterprises September 2004 - March 2007
Skills
Provider Relations, Health Insurance, Medicare, Managed Care, Disease Management, Health Policy, Utilization Management, Medicaid, Healthcare, Insurance, Workers Compensation, Employee Benefits, Dentistry, HIPAA, Claim, Customer Service, Healthcare Industry, Microsoft Office, Pharmacy Benefit..., Microsoft Excel
Education
Rasmussen College 2010 — 2011
Health/Health Care Administration/Management
Papillion LaVista High School - HS
Hillsborough Community College
of, general studies
Alper Services LLC January 2013 - October 2014
Spitz Consulting Services May 2009 - November 2012
JND Healthcare Management, Inc. January 2012 - July 2012
Advocate Health Care April 2011 - January 2012
Coventry Workers' Compensation Services August 2009 - January 2011
Franciscan Sisters of Chicago Service Corporation May 2003 - March 2009
Humana, Inc April 1995 - May 2003
Humana April 1993 - April 1995
Franciscan St. Margaret Hospital March 1991 - April 1993
Franciscan Hammond Clinic October 1988 - March 1993
Skills
Nursing, Hospitals, Utilization Management, Case Managment, Healthcare, Managed Care, Healthcare Management, Medicare, Workers Compensation, Healthcare Consulting, Home Care, Elder Care, Leadership, Medical Terminology, Insurance, Case Management, Software Documentation, Program Management, Long-term Care, Training, Medicaid
Education
CMSA
Certified Case Manager
Jurex Center for Legal Nurse Consulting
Legal Nurse Consultant
Kennedy Western University 2002 — 2003
Masters - not completed, Health Administration, 4.0
Purdue University Calumet 1985 — 1987
Associates Science, Nursing
Purdue University Calumet 1976 — 1980
BA, Sociology/Social Work
Coventry Workers Compensation Services March 1988 - Present
Elizabethtown Hospital and Rehabilitation Center June 1983 - March 1988
Skills
Managed Care, Healthcare, Nursing, Utilization Management, Strategic Planning, Leadership, Hospitals, Case Managment, Workers Compensation, Rehabilitation, Medicaid, Disease Management, Medicare, Healthcare Management, Health Insurance, Pharmacy Benefit..., Claim, Provider Relations, Healthcare Industry, Claims Management, Network Development, Case Management, Long-term Care, Utilization Review, Insurance, PPO, Medical Billing, Claim Investigation
Education
St Joseph Hospital School of Nursing 1980 — 1983
RN diploma, Nursing
Penn State University 1979 — 1980
Medical technology
York Catholic High School 1975 — 1979
HS diploma
Coventry Workers Compensation Services July 2007 - Present
Coventry Workers Compensation Services July 2007 - January 2013
Coventry Workers Compensation Services June 2004 - July 2007
Coventry Workers Compensation Services May 2001 - June 2004
Concentra- Now Coventry Workers Compensation Services December 1997 - May 2001
Travelers January 1993 - December 1997
Skills
Managed Care, Case Management, Workers Compensation, Quality Assurance, Training, Utilization Management, Medicare, Healthcare, Provider Relations, Claim, Case Managment, Disease Management, Leadership, Team Building, Health Insurance, Medicaid, Short and Long Term...
Education
University of Maryland College Park 1990 — 1992
Masters, Rehabilitation Counseling
Penn State University 1986 — 1990
Bachelor's degree, Rehabilitation Counseling and Psychology
GENEX Services, Inc. May 2013 - Present
Associates in Rehabilitation February 2012 - April 2013
Coventry Workers Compensation Services 2010 - 2010
Travelers April 1999 - December 2009
Skills
Case Managment, Customer Service, Certified Case Manager, Claim, Training, Team Building, Utilization Management, Insurance, Workers Compensation, Risk Management, Claims Management, Disability Management, Managed Care, Medical Case Management, Case Management
Education
Towson University 1976 — 1979
Bachelor of Science (BS), Nursing
Perry Hall High School 1971 — 1974
Coventry Workers Compensation Services 1995 - Present
Education
University of Kentucky 1979 — 1982
Spalding University
Bachelor's degree, Registered Nursing/Registered Nurse
Coventry Worker's Comp Services January 2006 - July 2012
COVENTRY WORKER'S COMPENSATION SERVICES January 2006 - July 2012
Blue Shield of California June 2004 - July 2005
DIABETES NETWORK OF HAWAII COUNTY January 2001 - January 2002
PAAUHAU COMMUNITY ASSOCIATION January 1998 - January 2001
HOME CARE OPTIONS January 1996 - January 1998
SUTTER VNA January 1992 - January 1994
CPC SIERRA VISTA HOSPITAL January 1991 - October 1991
ST. JOSEPH'S BEHAVIORAL HEALTH January 1981 - January 1983
SAN JOAQUIN COUNTY DRUG DEPENDENT WOMEN January 1979 - January 1981
Skills
Program Development, Disease..., WC Case Management, Nonprofits, Healthcare, Case Managment
Education
California Institute of Integral Studies 1996 — 1998
M.A, Philosophy/Religion
Bellevue School of Nursing, New York University
A.A, Nursing
St. Mary’s University, Twickenham
B. A, Health Services Administration
Guardium, an IBM Company May 2008 - March 2011
Coventry Worker's Compensation Services March 2008 - May 2008
Creative Financial Staffing (CFS) December 2007 - February 2008
Amerifit Pharma,Inc July 2007 - November 2007
Education
University of Massachusetts at Lowell 2004 — 2007
Bachelor, Double major in Accounting and Finance