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JUDITH MALLER, RN, BA, MS, CCM
Encino, CA 91436-1024 Phone:(818) 784-3347
E-mail:
ACADEMIC
AND PROFESSIONAL PREPARATION
Los Angeles Valley College, Van Nuys, California
A.A. Registered Nurse
Mt. St. Mary's College, Los Angeles, California
M.S., Education (Learning Handicapped Specialist Credential)
California State University, Northridge
Standard Elementary Credential
University of Chicago, Chicago, Illinois
B.A., Psychophysiology
CURRENT LICENSURE
Registered Nurse, California, #T375056
Certified Case Manager #05360 (eligibility until 11/30/03)
AREAS OF
EXPERTISE
·
Case
Management of patients with catastrophic conditions and multiple care needs
·
Development
of patient and professional educational materials
·
Broad
knowledge of Internet resources, especially for patient and professional
education
·
PC and Mac competence
PROFESSIONAL
EXPERIENCE
Current
Positions as of 5/2001
Case Manager, Writer's Guild Health Fund, Burbank, CA (as of 5/2001)
·
Case
Management activities in a self-funded environment: coordination of care for
patients with catastrophic diagnoses, patient/family support and education, and
proactive intervention. Negotiation
of contracts and agreements with both local and national providers. Development of work-flows, documentation
systems, and reporting mechanisms for case tracking.
Consultant, Pfizer Health Solutions, Santa Monica, CA
·
Development
of patient and Care Manager educational materials for pediatric and adult asthma,
nutrition and weight loss, and building self-efficacy. Utilization of Health
Care Literacy Guidelines and Readability standards.
Previous Positions
8/2000 to 5/2001
- AETNA US Healthcare, Woodland Hills, CA
Case Manager
·
Case
Management of catastrophic cases referred by established criteria. Coordination and management of patient
care via contact with facilities, patients, and providers. Provision of the most cost-effective
outcomes while monitoring and maintaining quality of care.
4/96 to 4/2000 - Protocare Sciences (formerly Value Health Sciences), Santa
Monica, CA
Project Manager and Clinical Developer
· Developed content and processes for the
Transplant Learning Center Program (TLC) and the Managed Care version of TLC, a nationwide patient education program
sponsored by Novartis Pharmaceuticals, Inc. TLC has an enrollment of over 12,000 solid organ transplant
recipients.
· Guidelines and algorithms for disease
management and value-added programs were developed by coordination and
documentation of research. Established
expertise in the development of patient and caregiver educational
materials.
·
Coordinated
team of physicians, consultants, and nurses to develop programs in Acute Stroke
and Stroke prevention, Depression in Chronic Illness, COPD, and Smoking
Cessation.
6/90 to 4/96 - CIGNA Health Care of Los Angeles - Glendale, CA
Transplant Case Manager
· Participated in the development of the
CIGNA National Case Management Program. Lead national workgroups that developed
care maps for Organ Transplantation and Pediatric Aids Program. Developed the
Case Management Transplant Program for the Los Angeles healthplan (clinic and
IPA), which included work flows, careplans, and policies and procedures.
Responsible for management of all transplant requests within the LA area
healthplan. Led the development and implementation of Paradox database for the
tracking and outcomes measurements of transplant cases. Facilitated special
local contracting for patient services and procedures. Appointed to Care
Management Council. Featured in national video, CIGNA, the Business of Caring.
Catastrophic Case Management
Coordinator
·
Managed
cases referred by diagnosis or condition (e.g. organ transplant, HIV/AIDS,
cancer, premature birth) utilizing the network of contracted ancillary
providers, community resources, and Centers of Excellence. Served on TQM and
CQI Task Forces. Part of the local healthplan committee for development and rollout
of the Case Management.
1/90 to 8/94 - The Beverly Hills Center for
Depression and Anxiety -
Beverly Hills, CA
Consultant
·
Set up new
center for clinical trials for central nervous system medications, including
the contracting for professional services. Provided quality and compliance management for the ongoing
research program.
1988 to 5/1990 Pharmacology Research Institute - Reseda, CA
Administrator
·
Responsible
for coordination, supervision, and quality assurance of large phase III and IV
pharmacological research studies at up to three research sites, served as a
liaison between P.R.I. staff and pharmaceutical company representatives,
maintained compliance with FDA and IRB requirements. Editor of P.R.I.
newsletter.
1987 to 1988 Allergy and Asthma Research Foundation - Brentwood, CA
Research Coordinator
1986 to 1987 Northridge Hospital Medical Center - Northridge, CA
Charge Nurse: Eating Disorders Unit
1984 to 1986 Children's Hospital of Los Angeles - California
Staff Nurse: Medical-Surgical Unit
· Acute care of patients (ages 3 months to
adolescence) pre and post tracheostomy, neurosurgery, plastic surgery, ENT and
orthopedic procedures.
MEMBERSHIPS,
AWARDS, AND PUBLICATIONS
Professional
membership: CMSA, Peer
Review Panel for The Journal of Care Management
Award: P.R.A.P., CIGNA National Service Award,
1995
Contributor to
publication: ICMA Case
Management Practice Guidelines , Mosby, 1996
Publications: "The Internet: Why Case Managers
Need to be Connected," CMSA-SC Newsletter, Jan. 1997, pg. 2; "Learning for Life," LifeTimes,
Issue I:2000
Unpublished
studies:
Transplant Education and Adherence: A review of programs and
materials
WebSite Directory: Reviews and recommendations for professional
and patient educational materials