
maria antonella penafiel
@mariaantonellapenafi
I coordinate remote clinical care, triage patients, and manage workers’ compensation cases as a Registered Nurse.
What I'm looking for
At Am Trust North America, I coordinate medical care for workers’ compensation claims, reviewing clinical documentation, monitoring treatment progress, and partnering with injured employees, physicians, attorneys, employers, and healthcare teams.
Previously, I provided telephonic triage at St. Luke’s University Health Network and remote home-health support at Ultimate Care. My background also includes inpatient nursing at Glen Cove Hospital and nearly nine years managing workers’ compensation claims.
Experience
Work history, roles, and key accomplishments
Medical Case Manager
Am Trust North America
Aug 2026 - Present (1 month)
Provides clinical case management and coordination of medical care for workers' compensation claims, supporting timely, appropriate treatment and positive outcomes. Reviews medical documentation and coordinates with stakeholders to ensure continuity of care.
Clinical Triage Specialist
St. Luke's University Health Network
Apr 2026 - Aug 2026 (4 months)
Performed telephonic nursing triage using evidence-based protocols, including Schmidt-Thompson guidelines. Assessed patient symptoms, provided education, and escalated urgent cases appropriately.
Telehealth Nurse
Ultimate Care
Oct 2023 - Mar 2026 (2 years 5 months)
Provided remote nursing assessments, education, and support for home health patients. Documented patient interactions in EHRs, performed chart reviews, and ensured compliance with HIPAA and telehealth best practices.
Registered Nurse (RN)
Glen Cove Hospital
May 2020 - Oct 2023 (3 years 5 months)
Provided care for geriatric patients in med/surg, telemetry, BIU, and rehab units. Performed head-to-toe assessments, medication administration, wound care management, and collaborated with interdisciplinary teams.
Workers Compensation Claim Examiner
Risk Management Planning Group
Jul 2011 - Jun 2020 (8 years 11 months)
Managed 400 workers' compensation claims while maintaining high customer service. Screened case folders, analyzed claim payment issues, determined compensability, and prepared medical histories.
Education
Degrees, certifications, and relevant coursework
Adelphi University
Bachelor of Science in Nursing, Nursing
Bachelor of Science in Nursing from Adelphi University, completed in May 2019.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Salary expectations
Skills
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