Managed Care Solutions

Since 1988, ManageAbility, Inc. has delivered unparalleled performance and service in multiple areas including workers compensation, auto liability, short and long-term disability and disease management. ManageAbility, Inc. provides the following services:

• Medical Case Management

• Vocational Rehabilitation

• Medical Bill Review Services

• Utilization Review

• Preferred Provider Organizations

For more information about the services we offer, please contact:

John Bradley

Vice President of Sales
(616) 902-5233

Jackie Gunthorpe

Account Executive
(517) 614-3294

Melissa Bishop

Melissa has been a registered nurse for over 18 years.  She graduated from the University of Michigan in 1996 with a Bachelor of Science degree in Nursing.  Following her studies she worked in an acute care hospital setting that included medical surgical and orthopedic nursing as well as critical care (ICU/CCU).  From there she spent years working in the home care setting as a field case manager and worked her way up to the Director of Nursing and Administrator of both the Medicare Certified Division and Private Duty Home Care. In the home care setting she came in contact with Palliative Care and Hospice clients and decided to expand her knowledge into that arena.  She then took a position as the Clinical Director for an inpatient Hospice Facility where she expanded her knowledge of pain and symptom management.  It was then a natural progression to take the diverse clinical and management experience she gained into the world of case management.  She enjoys that every new case or new diagnosis brings the opportunity to expand her knowledge, use critical thinking skills and overcome new challenges.  She completed her certification for case management (CCM) and has managed many cases over the years in both Worker’s Compensation and Auto No-Fault with a particular focus on catastrophic cases including multiple trauma, brain and spinal cord injury.  Her primary objective has always been helping people.

Terry Chobey

Theresa is a case manager who comes with a 30 year history of practice in the field of nursing. Theresa’s expertise originated at St. Joseph Mercy Hospital and the University of Michigan Medical Center in Ann Arbor where she found a passion for the neurosciences which lead to specializing in patients with spinal cord and head injury trauma. In the past 19 year history as a field case manager Theresa has accomplished multi-diversified roles and responsibilities working Auto No-Fault and Workers’ Compensation claims. She is skilled at acute and long term adult and pediatric orthopedic, catastrophic, brain and spinal cord injury persons. She also has experience with long term cost projections, job analysis, home and vehicle modifications/purchase as well as Short Term Disability clients. In January 2013 Theresa accepted a position at ManageAbility as case management supervisor for the west side of Michigan. This role expanded to State Manager in February 2014. Theresa feels privileged to work collaboratively with a uniquely diverse and highly skilled team of colleagues who are also dedicated to the service of helping others and the art of case management services to assist the injured person back to a lifestyle of their fullest potential.

Stacey Brunner

Stacey graduated from Michigan State University with a BSN. She has been in the field of nursing for 28 years. Initially Stacey worked 15 years at IRMC as a staff RN which included general surgery, orthopedic/neurology, MRICU, dialysis and cardiology. Stacey managed the orthopedic/neuro unit. She was able to implement critical pathways/mini case management model by working collaboratively with physicians’ and management. As a result, Stacey was asked to assist with implementation of a sub acute rehabilitation unit in the Lansing area which was initiated. At that point Stacey realized she wanted to pursue field case management as it allowed for independent critical thinking, establishing relationships and implementing an appropriate plan of care to achieve optimal outcomes for the patients and the clients. I love to learn and have a passion for resolving the “irresolvable” and thinking “out of the box”, strategizing as necessary to achieve optimal outcomes. Stacey has experience with Workers’ Compensation and Auto No-Fault. Her other experience includes; home care/hospice, IV transfusion therapy. Stacey has been a CCM for the last 10 years.

Sue Cline

Sue has 40 years of nursing experience in various fields such as ICU, Emergency and Occupational Medicine. She began working as a certified medical case manager 25 years ago and has enjoyed and appreciates the opportunity as well as the challenges of providing services to individuals sustaining injuries from either a work or motor vehicle related accidents. She specializes with catastrophic injuries such as traumatic brain injuries, spinal cord traumas, burns, amputations and various orthopedic injuries, and has experience with all age groups, ranging from young pediatric to the elderly. Sue believes the field of case management provides a wonderful and unique opportunity to work with a team of individuals consisting of the patient, families, adjusters, medical providers, employers, attorneys, therapist, contractors, etc.; Communication is essential in order to assess, make recommendations and develop the plan of care necessary to reach resolution and recovery. She feels proud and fortunate to have this opportunity to assist injured individuals and to be able to make a difference at such a crucial time of their lives.

Lori Dockery

Lori began her nursing career in orthopedic acute care through a vocational program in High School.  She earned her nursing degree from Purdue University in 1994.  She went on to work within the case management field in home care and private duty nursing before finding her niche in Workers’ Compensation.  She enjoys the challenges uniquely found within the work comp setting and prides herself on her ability to effectively communicate and connect with a wide variety of personalities.   She earned her CCM certification in 2003.   She founded the Northwest Chapter of the Indiana Workers’ Compensation Institute and remains active within the organization.  She is proficient at managing both Indiana and Michigan Workers’ Compensation claims as well as Michigan Auto No-Fault.   She is licensed in both Indiana and Michigan.    She has extensive training and expertise in spine injuries having worked for several years as a care coordinator and liaison in an orthopedic spine group.  She diligently works to remain current and up to date on the latest medical advances.  She enjoys working to obtain the best possible outcome for all parties involved.

Penny Dunlap

Penny has over 36 years of nursing experience in various capacities including open heart recovery, private duty for complex care patients and case management. She is a compassionate, thorough, detail oriented case manager who goes out of her way to find the best medical providers to return her clients to pre-injury status in the timeliest manner. She works well with all parties involved, keeping everyone updated on events as they occur.

Karen Fulkerson

Karen began her nursing career at a Certified Trauma Center working with patients who had recently suffered a traumatic life event including auto accidents, strokes, falls that resulted in broken or fractured bones and/or mental status changes. Karen became a caregiver at a young age by following her aunt to the nursing home several times a week to help care for her aging grandmother. She then helped care for her aunt when she was diagnosed with terminal cancer. She credits her aunt for her passion in nursing. Karen enjoys working in case management because it allows her to assist clients with their rehabilitation at a time that can be very overwhelming.

Ann Garlock

Ann graduated from Michigan State University with a BSN and has been a nurse for 28 years. Upon graduation, Ann initially worked in acute care at Bronson Methodist Hospital on the oncology and medical surgical unit, then in the hemodialysis unit. From there she moved to home care nursing first in Kalamazoo, then in Battle Creek as a field case manager, then to the Management/Liaison position where she worked in Intake and Referral, part time hospital liaison for Bronson Methodist Hospital and Borgess Medical Center, and Battle Creek Health System. She also did marketing to physicians in the greater Southwest Michigan area. While in home care, she also performed utilization review and provider bill review and documentation response.

In 2000, Ann transitioned from home care to field and telephonic case management, performing assessments, procurement of services, and collaboration with insurance providers and self-insured employers for continuity of care for medical case management. She obtained her Certified Case Manager’s (CCM) in 2002.  During this period, she moved from field case manager to Clinical Services Supervisor for a team of remote telephonic case managers across the eastern United States for multiple employers and insurance companies.

In 2009, she returned to field case management, where her path led her to the diverse field of Auto No-Fault, Workers’ Compensation, and Medical Case Management client’s. This enabled her to gain valuable experience working with a wide range of age groups from pediatric to geriatric with moderate to catastrophic injuries and expand on knowledge of medical case management.

As a mother to a daughter with epilepsy, her passion for case management comes from the need to champion for patient advocacy, the autonomy to work with the entire health care team to solve complex medical challenges, and help people overcome barriers. In addition to her regular employment, since 2003, she also has performed per diem long term care insurance Underwriting and Benefit Assessments as an independent case manager. She was blessed with the opportunity to join the Manageability team in January 2015 and appreciates the commitment and dedication of the entire company to enhance the lives of injured and ill persons.

Lori Gilardone

Lori has expertise providing Nurse Case Management for clients with a variety of needs including Long and Short Term Disability, Workers’ Compensation, and Auto No-Fault Claims. She is a dedicated professional Certified Case Manager (CCM) and a Certified Brain Injury Specialist (CBSI). She effectively assists those with short term injuries or illnesses to successfully return to work, and also provides compassionate and comprehensive case management to those with catastrophic injuries and long term disability. After working as a nurse in many diverse capacities, Lori found her passion in Case Management. As the mother of a son who suffered a traumatic brain injury, she understands the needs of clients and families during this stressful time. Providing the caring and knowledgeable advocacy she wishes she had when her son was injured is her aspiration.

Julie Hicks

Julie graduated from Purdue University in 1994 with an Associate Degree in Nursing.  She has been working with Workers’ Compensation cases since 2007 and currently holds certification for case management.  In her over 20 years of nursing Julie’s clinical experience includes oncology, emergency room with trauma nursing certification, outpatient IV therapy clinic for rheumatology and infectious disease which included wound care and home IV therapy case management.  While working for Hammond Clinic in Urgent Care Julie was also the special procedures nurse for the cardiology department.  Since becoming a Workers’ Compensation case manager she has been able to use all of her areas of experience and enjoys the challenges faced when dealing with Workers’ Compensation cases.  She believes communication is essential to achieve an optimal outcome for all parties involved.  Julie holds nursing licenses in Indiana and Illinois.

Lisa Horn

Lisa has been a certified medical case manager since 1993. She has a passion for working with injured individuals who have been injured in a motor vehicle accident or as a result of a work injury. Lisa enjoys working with the insurance adjusters, employers, physicians and other health care providers that may be involved in the treatment team. Achieving a successful outcome in a timely manner is very rewarding to her. Prior to becoming a certified case manager she enjoyed working in a hospital setting focusing on orthopedics, rehabilitation and medical-surgical units.

Cynthia Johnson

Cindy has been a registered nurse since 1980 with clinical experience in Neurology, Neurosurgery and the Emergency Room. She moved into the case management field in 1993 and has been a medical case manager for the last 21 years.  She initiated her case management career with telephonic case management of worker’s compensation files in a claims office and progressed to field case management for Workers’ Compensation cases as well as Auto No-Fault, catastrophic injuries, and Short and Long Term Disability cases.  Cindy has a strong knowledge of the Workers’ Compensation rules and PIP regulations that assists in the coordination of care in a cost effective manner.  She has extensive knowledge of current medical treatment and due to her 21 years of experience in the Southeast Michigan area, has vast knowledge of the physicians in the area that provide excellent care.  She obtained certifications in case management, rehabilitation nursing and is a certified brain injury specialist.  She has enjoyed the case management role due to the diversity of conditions and the challenges in helping the catastrophically injured.  Due to her career initiating with the neurologically injured, she particularly enjoys working with traumatic brain injury and spinal cord injury.

Mary Kramer

Mary graduated with a Bachelor’s Degree in Nursing from Nazareth College near Kalamazoo, MI. She began her career working as a nurse in a medical surgical specialty unit at St. John Hospital in Detroit, MI. She later worked in the home care industry as a staff nurse and in supervision. Mary started in case management and was promoted to a supervisory position in the State of Colorado where she worked for 10 years in a variety of roles. She has worked in a variety of venues for case management including private entities and insurance companies. She enjoys utilizing her clinical skills and many other skills attained through education and experience to assist those suffering an alteration to their health. Mary has worked with many types of injuries including, but not limited to, orthopedic, head injury paralysis, burns and musculoskeletal injuries.

Lorraine Largent

Lorraine has 30 years’ experience working as a Nurse Case Manager including Workers’ Compensation, Auto No-Fault, catastrophic injuries and Short Term Disability cases.

She is an active member of the RINC (Rehabilitation Insurance Nurses Council). Her clinical experience includes working at Children’s Hospitals, Grace Hospital’s medical surgical units and Sinai Hospital’s rehabilitation unit where she was responsible for the medical care of 5 to 7 patients, 24/7. She always thought of Nurse Case Management as an extension of a patient’s hospital medical care – guiding patients to their best possible outcome.

Efie Lewin

Effie started her career in medical surgical, OB/GYN and private practice office nursing. She then spent 25+ years in workers’ compensation as a field case manager including catastrophic cases (spinal cord injuries, burns, traumatic brain injury, amputations, and multi-orthopedic trauma).

She earned her Associate in Claims (AIC) while working for Citizens Insurance as both a workers’ compensation field case manager and providing assistance with litigation case preparation for casualty claims. Effie has experience with medical records reviews and chronologies for defense attorneys and has also assisted with medical issues in mediations and arbitrations for claim settlement.

She has presented at the Hoosier Safety Council, Indiana Spine Group Back Talk Seminars, Indiana Insurance Institute, and Indiana Workers’ Compensation Institute (IWCI). Effie graduated from Indiana University School of Nursing Cum Laude in 1983.

Lesley Limbright

Lesley is a Registered Nurse of 20 years and a Certified Case Manager working in the Metro Detroit and surrounding areas. She also has 15 years disability management experience in Workers’ Compensation, Auto No-Fault, Short Term and Long Term Disability cases. The best part of her job is being there for clients to assist them during the recovery process, and help them achieve their highest quality of life.

Cathy Mead

Cathy Mead has been a Registered Nurse for 30 years with experience in Family Medicine, Medical/surgical, Obstetrics and Post Anesthesia Recovery as well as Orthopedics, Acute Rehabilitation, Pain Management, Utilization Review, and discharge planning.  Her Case Management Certification (CCM) was obtained in 2005 after working as a case manager in the Acute Rehabilitation setting.  She earned her BA in Family Counseling in 2003. As a case manager Cathy has experience as a clinical coordinator in the Pain Management Clinic, Case Manager (field and office) in a TPA setting for a worker’s compensation carrier and Field Case management in both Auto No-Fault and Workers’ Compensation with Case Management Providers. Cathy believes obtaining appropriate care to progress to an optimal return to work and/or maximum medical improvement, a safe discharge from an acute care setting, and assisting with positive outcomes is essential in the field of Case Management.

Mary Beth Parmelee

Mary Beth has been a Nurse Case Manager for over 30 years. She was drawn to case management by the variety of the work and the challenges of meeting clients’ needs in a cost effective manner. She enjoys working with insurance adjusters, clients, employers, physicians, and the treatment team in developing a treatment plan and reaching goals. Collaborative efforts which bring about successful resolution and recovery are so rewarding to her. Mary Beth has extensive experience working with many types of injuries including those of catastrophic nature including brain injuries, spinal cord injuries, amputations, fractures, burns, etc. and have worked with all age groups from pediatric to geriatric patients.

Sharon Pascoe

Sharon has spent the past 28 years in nurse case management with experience in Workers’ Compensation, Auto No-Fault, catastrophic cases, Short and Long Term Disability cases, expert testimony/legal nurse consulting, and management experience. Her clinical experience includes: primary care nurse at a rehabilitation hospital; clinical and management responsibilities for a home care agency; and experience working on the medical-surgical units of several hospitals. She has enjoyed being in the field of case management the most as each day brings a new challenge and opportunity to solve complex problems for  those who need it the most.

Lisa Sawinski

Lisa has been a nurse for over 20 years initiating with an extensive orthopedic background with continued broadening of knowledge by working telephonic case management for Workers Compensation, PIP and Liability claims. That was further extended into Utilization and Provider Bill Review, Disability Claims and Independent Medical Examinations. Being an Operating Room Nurse and doing Home Care took that experience full circle in the paradigm, of working behind the scenes and in front.   Since coming to Manageability Lisa has been able to use all of these areas of experience and today work with Workers’ Compensation, Auto No-Fault, Short and Long Term Disability, and Utilization/Provider Bill Review Services. She truly enjoys educating, researching and helping people in all aspects of the medical process in whatever venue it is to better the overall outcome.

Cynthia Stevens

Cindy has been working as a case manager for the past 18 years. Prior to case management she worked as both a staff nurse in several local hospitals and a Nurse Manager on a medical/surgical/orthopedic unit and in the post-anesthesia care unit and pre-surgery unit. She finds that case management affords her the opportunity to directly affect the lives of those injured in motor vehicle accidents or injured in the workplace. It is an extremely rewarding and satisfying career for Cindy.

Kim Stoltz

Kim has been a nurse for over 18 years. She graduated from the University of Southern Indiana with her Associate of Science in Nursing, and BS in Health Services.  After working on a medical/surgical floor for a few years, she moved to an acute rehab setting where she developed a passion for traumatic brain and spinal cord injuries. She worked in the rehab setting for eight years then moved to the inpatient hospital setting as the trauma case manager of a level II trauma hospital.

Kim switched her focus to workers’ compensation over 6 years ago, and received her CCM 2 years ago. Kim enjoys the case management role due to the diversity of conditions and the challenges of helping those who have been catastrophically injured. Due to her history of acute rehab and acute inpatient trauma case manager, she remains particularly passionate for the patients with traumatic brain injuries and spinal cord injuries. Kim enjoys the team approach case management offers, from the involvement of insurance adjusters, injured workers, MD’s, physicians, employers, to collaborating with all involved to come up with a successful resolution and recovery.  Kim enjoys being a Case Manager and feels lucky to be given the opportunity to help others and make a difference in people’s lives, especially when they feel they have lost control.

Linda Swierbut

In 1994 Lisa began working for an insurance company doing telephonic case management of workers’ compensation claims for a dedicated company. Two years later she obtained certification in case management and obtained a position with an insurer as a field case manager for workers’ compensation and auto no-fault claims.  In 2008 she joined ManageAbility providing field case management services for workers’ compensation and auto no-fault claims.

Prior to her career in case management, Lisa worked in the hospital setting in various areas such as med-surgery, nephrology and primary care.  Her last hospital position was in a community program called “Hello, Nurse”, giving medical advice over the phone and doing after hour’s calls for physician offices.

She has maintained her CCM certification and attends continuing education presentations on a regular basis.  She enjoys helping injured persons obtain appropriate medical treatment and guiding them towards returning to work and to restoring their prior life and activities.

Donna Szwabowski

Donna has over 20 years of nursing experience including more than 15 in home care. She has vast experience in medical legal issues including Auto No-Fault, medical malpractice and insurance fraud. She spent the last 3 years doing Quality, Safety and Risk management for a home care. While there she developed numerous disease management programs.

Sue Wegener

Susan has been a nurse case manager for 17 years. She began working as an Independent Case Manager in 1997, and then joined Manageability in January 2009.

She has a strong rehab background, and has worked in medical/surgical, community mental health and an extended care facility. Susan is proud of her many certifications: CCM (certified case manager) CRRN (certified rehabilitation registered nurse) and CBIS (certified brain injury specialist). Her continued passion for nurse case management comes from the autonomy, the opportunity to help others, and to make a difference in people’s lives.

Cara Chester

Cara has 20 years of experience as a Vocational Rehabilitation Counselor/Vocational Expert with a specialty in working litigated claims.  She has 7 years of experience in completing Medicare Set Asides, obtaining Conditional Liens and working with CMS to reduce unnecessary payments incurred in the Conditional Lien.  She also focuses on developing and implementing creative Vocational Rehabilitation Plans for the facilitation of closing wage loss benefit claims. Cara provides aggressive and proactive job search activities and is an expert in providing Vocational Rehabilitation Services with regard to Workers ’ Compensation, Auto No-Fault and Long Term Disability. Here knowledge and experience includes working with TBI individuals, collaborating closely with other medical professionals and developing and maintaining solid relationships with employers, insurance adjusters, Defense attorneys and other medical professionals.

Lisa Garner

Lisa is a Certified Rehabilitation Counselor with over 14 years of experience working with Workers’ Compensation and Auto No-Fault claimants and claims representatives.  Her background includes counseling individuals and groups in inpatient and outpatient settings and working with Veterans as a nurse’s aide.  She obtained her Bachelors’ Degree in Family Life and her Masters’ degree in Counseling Psychology from Western Michigan University.  Lisa decided to change her career direction to Vocational Rehabilitation Counseling after talking to a few case managers in this field. She was intrigued by the opportunity to help guide others to reach their vocational goals after they had been injured in work related or auto accidents.  The aspect she enjoys most about her job is being able to provide and guide injured people with information that helps them to make educated choices and decisions regarding their return to work vocational goals.