Bill Kotowski, RN, CCM

Experience

• 

  Centralia Care Center

  Dec 1982 - Jun 1985

  CNA
• 

  Claywest House - Retirement Center

  Jul 1985 - Jan 1987

  CNA
• 

  Med-Staff Inc

  Jan 1987 - Jul 1988

  CNA & Staffing Coordinator
• 

  Daughters of Charity of St. Vincent DePaul

  Oct 1988 - Nov 1990

  ICU Tech
• 

  Mercy

  Jan 1990 - May 1995

  ICU Technician

  ICU Technician Manager - Staff of 12 techsProvidedAdministrative Assistance for a 24 bed Trauma/Medical/Surgical Intensive Care Unit at St. Louis County's Largest Medical CenterStarted the ICU Quality Assurance TeamStarted the ICU Infection Disease CommitteeStarted ICU Cost Control of SPD Supplies

• 

  St. Louis University Hospital

  May 1995 - Jun 1997

  Registered Nurse

  RN on multi-speciality intensive care unit: Neuro/Spine/Trauma/Liver & Kidney Transplant/Limb Reattachments

• 

  GENEX Services, Inc.

  May 1997 - Oct 1999

  Registered Nurse Medical Case Manager

  Provided medical case management services for injured workers.

• 

  New York Life Insurance Company/Hertiage Southwest IPA

  Jun 1997 - Jan 1998

  RN Medical Case Manager

  Provided discharge planning for plan members

• 

  CorVel Corporation

  Oct 1999 - Feb 2002

  RN Rehabilitation Manager

  Supervised 18 nurse medical case managers

• 

  CMSA

  Nov 2001 - Dec 2008

  Executive Director

  Case Management Society St. Louis (Non-Profit 501c 6)-Executive Director 2007-2008-President 2006-2007-President Elect 2002-2006CMSA Public Policy Committee 2006-2007

• 

  Kotowski and Associates Experts in Medical Case Management

  Feb 2002 - Apr 2013

  Managing Member

  Expert Medical Case Management for workers' compensation

• 

  BJC HealthCare

  Apr 2013 - Jan 2015

  Senior Case Coordinator

  Case (coordinator/adjuster) Manager at BJC Corporate Health -Workers' Compensation Administration. Claims administration for a self-insured/self-administered corporation.

• 

  GENEX Services, LLC

  Jan 2015 - Aug 2015

  Medical Case Manager

  Medical management of complex industrial injuries. Advocate for the medical and social requirements of injured workers. Assessments and coordination of medical services. Promote communication between all involved parties. Facilitate patient centered actionable interventions to meet the goals of the healthcare team. Care planning to meet the needs of the patient. Negotiate for services that are cost effective with proven positive evidence based outcomes. Educate patients, healthcare providers, insurance providers and the community on the advancement of healthcare trends, federal and state laws. Show less

• 

  ExamWorks Clinical Solutions

  Nov 2015 - now

  Medical Case Manager

  Assesses and analyzes injured worker's medical and/or vocational status and develops a viable, realistic action plan for maximum medical improvement from date of referral to closure. Meets with individuals in their homes, work-sites, physician's or therapist's office to provide ongoing case management services. Assesses the assigned individual to ensure appropriate safety measures are in place. Implement, calculate and document cost savings measures. Manages progress towards desired outcomes. Responsible to maintain regular communication with the injured worker, medical providers, attorneys, employers, claims professionals, and ECS management. Develops guidelines for working with patients, healthcare management companies, insurance companies or other third party payers to determine quality, cost-effective care. Apply all special service instructions required by customers/accounts. Appropriately applies all laws and regulations to the provision of rehabilitation services. As needed, testify to substantiate any casework or reports that may be deemed relevant in litigated cases. Evaluates outcomes and case goals. Prepares reports and other required documentation for casework activities. Arranges referrals, consultations, therapeutic services, and confers with other specialists regarding course of care and treatment.  Upholds applicable state and federal regulatory requirements that govern workers' compensation disability. Substantiates case activities carried out/services rendered in all activity reports completed. Accurately report all case activity and billable hours in accordance with client specific guidelines and consistent with company billing practices. Attend all scheduled conference calls as mandated by management. Maintain any required credentials and adhere to all codes of ethics required by these credentials. Show less