1. LISA L. POOLE
1933 Treeview Drive
Antioch, Tennessee 37013
(615) 438-6023
SUMMARY
Detail-oriented professional with experience in managed healthcare. Strong work ethic with the ability to work independently or as a team member using
designated guidelines and protocols. Dependable, dedicated, and quality oriented individual with ability to adapt to change quickly.
PROFESSIONAL EXPERIENCE
BROADSPIRE, SERVICES, INC., Nashville, Tennessee 2004 to present
Area Manager - TCM 2008 to present
Responsible for supporting Leadership to provide quality services and meet departmental goals. Assist Telephonic Case Management Staff daily,
coordinating assignments, monitoring and insuring production goals are met. Managed staff located in various states across the US.
• Knowledgeable in the application of the Case Management Process
• Directs the team in resolving problems and by providing input as needed.
• Assists and coaches team to achieve quality and production goals.
• Responsible for supporting Senior Management Staff to enforce policies and make sure revenue goals are met.
• Experience in evaluation and development of departmental policies to enhance efficiencies and provide direction to case managers.
• Responsible for training team in the use of all the resources provided to do their job.
• Experience leading projects for the development of new products offered and develop new policies and procedures for the department.
• Experience meeting with key clients and providing support when needed.
• Knowledgeable of URAC Standards.
Telephonic Case Manager II 2004 to 2008
Responsible for coordinating case management of the injured worker and assisting with timely return to work. Working in close conjunction with
physician to evaluate, monitor and assure all medically necessary services are provided.
• Work with employers to develop alternative work options to get injured workers back to work.
• Educate providers, employers and injured workers on safe return to work options
• Educate claims staff regarding various diagnosis based return to work outcomes and act as a medical resource for staff and clients.
RSKCO/CNA INSURANCE, Nashville, Tennessee 1999 to 2004
Nurse Case Manager
Responsible for coordinating case management of the injured worker & assisting with timely return to work. Working in close conjunction with the
physician to evaluate, monitor & assure all medically necessary services were provided. Took on the role of preceptor for new employee training.
Worked with a team in developing documentation templates for the case management team to ensure that URAC standards were met.
XANTUS HEALTHCARE, Nashville, Tennessee 1997 to 1999
Precert/Concurrent Review Nurse
Responsible for Precertification of Procedures requested by Providers via telephone. Responsible for inpatient telephonic and on-site concurrent review.
Elevated questionable medical services to medical director to evaluate.
PRUDENTIAL HEALTHCARE, Nashville, Tennessee 1996 to 1997
Patient Care Coordinator/Case Manager
Responsible for coordinating case management of the hospitalized patient. Working in close conjunction with physicians and the medical director to
evaluate, monitor, and assure all medically necessary services are provided.
ST. THOMAS HOSPITAL, Nashville, Tennessee 1989 to 1996
Home Health Admissions Nurse, 1992 to 1996
Thoroughly evaluate patients for admission based on Medicare guidelines. Effectively generate patient plan of care using the nursing process. Educate
patients regarding their disease process. Instruct patients in health related procedures resulting in patient independence. Possess knowledge of HCFA
guidelines.

2. Special Care Nurse, 1989 to 1992
Responsible for patient care as a charge nurse, make shift assignments and function as a resource for unit. Knowledgeable in invasive monitoring,
cardiac monitoring and life support systems.
VANDERBILT UNIVERSITY MEDICAL CENTER, Nashville, Tennessee 1987 to 1989
Staff Nurse II
Responsible for primary patient care. Acted as assistant head nurse for eight-week period. As charge nurse make shift assignments, sign off on orders,
and communicate with physicians and staff.
BAPTIST VILLAGE, Central Sharon Israel 1987
Conference Center and Camp Nurse
WESTERN BAPTIST HOSPITAL, Paducah, Kentucky 1987
Staff Nurse
EDUCATION
Murray State University, Murray, Kentucky BSN, 1986
Licensures: Tennessee –Lic: RN 075595; Florida—Lic: RN9256011
Certifications: Certified Case Manager
Additional Knowledge:
InterQual Guidelines; URAC Guidelines, Caretech, MS Windows, MS Mail, Lotus Notes; DOS systems; MS Excel, Use of Medical Disability Guidelines
to estimate Predictive Length of Disability.