Experience:

• 30 years as R.N., B.S.N. of that:
• 10 years experience as Registered Professional Nurse in hospital care specializing in ICU, ER, Neuro, Ortho, M/S, Rehab
• 7 years health care cost containment experience with private industry as nurse consultant in medical and worker's compensation cost containment and wellness.
• Served as a Consultant to employers and the insurance industry in the area of Medical Cost Containment.
• A private consultant in all aspects of Medical Review and Medical Cost Containment serving Employers, TPAs, insurers, re-insurers, and U.R. companies.
• 13 years in Reinsurance Industry - presently as V.P. of Claims and Managed Care for Alliance Underwriters.

Achievements:

• Bachelor of Science in Nursing
• Board Certified in Quality Assurance and Utilization Review by American Board of Quality Assurance & Utilization Review
• Certified Professional in Utilization Review - InterQual, Inc.
• Certified Risk Manager, State of Florida
• Certified HMO Auditor, State of Florida
• Certified Case Manager
• Certified Legal Nurse Consultant
• Served as 2nd Vice President and Board of Directors of the American Board of Quality Assurance and Utilization Review for 3 years.
• Selected Biographer for "Who's Who of American Women" Fifteenth Edition, 1987-1988, 1989-1990.
• Selected Biographer for Who's Who of Emerging Leaders in America", 1987-1988.
• Selected for "Distinguished Achievement" by World Who's Who of Women Developed, implemented and marketed a package of medical review services for Intracorp.
• Assured systems and quality of utilization review program.
• Hired, trained and supervised nursing and clerical staff for medical review and hospital bill (audit) review programs for Intracorp.
• Set up U.R. MCM Products for Private U.R.
• Company Set up "in-house" U.R. and MCM units for TPA's.
• Set up "in house" U.R., MCM - Benefits & Workers' Comp for Self-Insured, Self Administered Employers.
• Assisted in the development of software modules to assure departmental efficiently .
• Implemented P & P for TPA Appointment, UR Vendor Appointment and ongoing evaluation.
• Developed and implemented for Claims and OCM departments at Alliance Underwriters to assure accuracy and efficiency of both departments.