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Experience:
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EDUCATION
1983- P.H.D. Candidate -Rutgers University, New Brunswick, NJ
1974- M.A. Nursing -New York University, NY, NY
1972- B.S. Nursing -Adelphi University, Garden City, NY
1969- R.N. Certification -Creedmoor State Hospital, Queens Village, NY
CERTIFICATION
R.N. Licensure-State of New York, Pennsylvania, and New Jersey #RN210154L
N.H.A.- Nursing Home Administrator Certification #NH006295
PCH –Personal Care Home Administrator
C.C.M.-Certified Case Manager
A.B.D.A.- American Board of Disability Analysts-Senior Disability Analyst & Diplomat
L.N.C. - Legal Nurse Consultant
P.C.H. – Personal Care Home Administrator
PA. Dept. Labor & Industry–Vocational Evaluator
EXPERIENCE
1999 – Present Unified Reinsurance Corp., Safety Director, Workers Compensation Consultant
Responsible for claims handling medical and vocational management, medical billing review, Safety Committee In-service.
1996 – Present C.D.E.
Instructor & Consultant
Job Placement Consultant
Vocational Counselor
Responsible for vocational assessments, labor market survey, job analyst/placement, securing employment, counseling, vocational placement of dislocated workers, displaced homemakers, resume preparation, job seeking skills and instructor, provides safety, accident and illness prevention in-service, Safety Program Director.
1991-Present Tom Sawchak’s Action of Pennsylvania,
Vice President Medical/Vocational Services
Vocational Counselor
Responsible for vocational assessments, labor market survey, job analyst/placement, securing employment, counseling, vocational placement of dislocated workers, displaced homemakers, resume preparation, job seeking skills and instructor.
Rehabilitation Nurse, Nursing Home Administrator, and Safety Manager and Instructor. Responsible for medical bill review, medical/vocational management, peer review, URO coordinator, repricing coordinator, disability consultant, liability assessment, supervise staff, marketing, system development, legal nurse consultant, program development, expert witness, disability analyst, divorce rehabilitation, nursing home and personal care home administrator, medical/vocational file reviewer, physical assessments, geriatric consultant and First Responder.
1990-1991 Management Consultation of Nursing Homes
1990-1992 Nursing Consultant
Responsible for quality patient care, ancillary staffing, billing and federal/state regulations of nursing homes and personal care homes compliance. Entral Urological Inventory, usage, billing and therapy. Frequent meetings with Administrators, Director of Nursing and appropriate staff to ascertain correctness of orders, treatment, and documentation to bill Medicare and other third party individuals. Territory includes twelve nursing homes with an average of five individuals per home. Medical management of geriatric and disabled individuals and family included in service, disability consultant.
1987-1990 Consultant, Ltd.
Administrator, Director of Education
Devise, plan and implement educational programs in health care for professionals in acute, long term and home settings. Create and plan Pennsylvania Department of Education approved programs. Conduct continuing education programs for professional nurses. Educate and train J.T.P.A. recipients. Consult for Fast Tracking Nursing Homes, Disabled Workers, Marketing, Utilization Review and Quality Assurance Committees.
1987-1989 Medical Education Consultants
Director
Assess and implement programs of J.T.P.A., Disabled Workers recipients, Marketing, Research and Quality Assurance. Supervised clinical experience in nursing homes
1987-1988 Lackawanna County Human Services
Consu ltant-Head Start Division
Utilization Review, Advisory Committee, and Psychiatric assessment of children and families accepted into programs.
1982-1987 Marywood College
Assistant Professor
Instructor in R.N. Program and assistant planner of generic program to devise Nursing I, II, III, IV, VII. Committees included Program Brochure, Curriculum, Admission, Financial Aid, Department Chairperson and Search and Screen.
1978-1982 East Stroudsburg University
Department Chairman, Assistant Professor. Responsible for all activities of department budget, internal operations, marketing, evaluations, curriculum changes and offerings, meetings and instruction. Instructor in Mental Health ,Medical Surgical Community Health and Emergency Nursing. Served on local hospital Review Committee.
1978-1992 Private Duty
Registered in local hospitals and private homes. Provided care to critical care, medical surgical patients and geriatric residents in hospitals and nursing homes.
1977-1978 Wilkes College
Assistant Professor
Coordinator responsible for planning, organizing and evaluating level faculty. Supervised and participated in delivery of Mental Health Nursing, Community and Geriatric Nursing courses. Committees included Faculty, Peer Evaluation and TREC.
1975-1977 Creedmoor State Hospital
Alcoholic Unit Supervisor
Administrative tasks encompassed scheduling, budget, personnel supervision and troubleshooting. Nursing duties included venipuncture, physical examinations, and administration of medications, dietary instruction, group therapy, psychodrama, and recreation planning and screening team member. Committee member for Utilization Review.
MEMBERSHIPS AND ORGANIZATIONS
American Association of Legal Nurse Consultants
Association of Rehabilitation Nurses -Test Item Writer-Advanced Level National Examination
Individual Case Management Association
National Association of Rehabilitation Professionals in the Private Sector
Northeastern PA Claims Association
Case Manager National Certification Examination - Test Monitor
MPB Pharmacy Program
Northeastern Claims Association
10/14/93 Litigation Steps
11/11/93 Forensic Meteorology-The Winning Edge In Claims Adjusting
01/13/94 The new Workers Compensation Legislation Impact On Claimsand Areas Of Reform
02/10/94 Work Hardening
03/10/94 Forensic Pathology
04/14/94 Stress Management
05/12/94 Vision Disorders, Therapy Relative To Brain Injuries
09/08/94 Mild Brain Injury/Community Re-Entry Program
10/13/94 Insurance Fraud
11/10/94 Insurance Settlements, “What you didn’t know...”
01/12/95 FCE & IME’s
02/09/95 “How to Prepare for a Work Comp Hearing"
03/09/95 Chiropractic Treatment For Low Back Pain,
04/13/95 Operations Of The Coroners Office
05/11/95 “Cause & Origin”, PA State Police Fire Marshall
09/14/95 Auto/Truck Accident Reconstruction
10/12/95 E.M.G.’s - When to get one and how to interpret one
11/09/95 How gem and jewelry appraisals pertain to claim handling,Sy Biederman, Gem & Jewelry Appraisal
01/11/96 Rehabilitation & Functional Assessment following Spinal Cord Injury,
02/08/96 Environmental Regulations and Practices - affect the Insurance Industry, Kevin Hurley, Health and Safety Manager
03/14/96 PA Worker’s Compensation Legislation Update
04/11/96 “Bad Faith"
05/09/96 “Treatment of Acute Back/Neck Injuries"
09/12/96 “Criminal Justice System”, Office of the Magistrate
11/14/96 “Injections - A to Z”
02/13/97 Property Damage, Restoration vs. Replacement
03/13/97 Fraud as it Pertains to Dental Claims
04/10/97 Opinion Regarding Vocational T estimony, Workers’ Comp, Act 57
10/09/97 Engineering & Environmental Geology
11/13/97 Insurance Fraud,
01/08/98 Update on Act 57, Worker’s Compensation
02/12/98 Worker’s Compensation New Rate Changes - Claims Handling
03/12/98 Insurance Fraud Pertains to Claims Handling
03/25/9803/26/98 Case Management & The Millennium
04/09/98 Understanding Radiology and MRI Reports
05/14/98 “An Investigator’s View of Surveillance”
09/10/98 Impairment Rating
Presentations
06/10/94 Practical Stops For Reducing Workers Compensation CostsTom Sawchak, Michele Taylor
09/12/95 Preparing for The Changes in Worker’s Compensation ActTom Sawchak, Michele Taylor
04/10/96 Worker’s Compensation Act of 1996 & How The Changes Will Affect Insurance Claims, Tom Sawchak, Michele Taylor
01/01/96 -05/24/96 NARPPS - Case Managers’ CommitteeMichele Taylor
05/15/96 DOT - Substance Abuse Training, Michele Taylor
04/17/9804/18/9804/19/98 Association of Rehabilitation. Nurses, Advanced Test,Item Writer
12/19/98 Analyzing Medical Records for PennsylvaniaNational Institute of Paralegals
Action Of Pennsylvania Staff Meetings/Case PresentationsJanuary 15, 1991 to September 15, 1995, 52 Meetings
Involvement:
As Company Vice-President of Medical Services -Schedules meetings; assists with meetings
As Medical Case Manager-Participates and presents information as a member of the staff
SEMINARS:
10/28/02 Personal Care Home Administrators Orientation
11/12/02 Personal Care Home Administrators Program- Recreation
11/12/02 Personal Care Home Administrators Program –Community Resources and Social Services
11/13/02 Personal Care Home Administrator Program-Staff Supervision
11/13/02 Personal Care Home Administrators Program-Financial Record Keeping
12/06/02 Personal Care Home Administrators Program – Fire Prevention and Safety/Emergency Planning
12/06/02 Personal Care Home Administrators Program – Local, State and Federal Laws and Regulations
02/26/03 Long Term Care Survey
Testimony/letter of Merit review of medical records and bills, suggest statergies, offer opinions, assist in preparing briefs and affadavits, research, referral to our book of physicians medical providers, organizing, summarizing, indexing, and Bates stamping of records and medical billing
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