Newsroom | Collaborative Care

Difficult testimony and unreliable pay led her to follow her passion and return to school, becoming a nurse about 15 years ago. Lambert joined BCBSOK as a utilization management coordinator in 2019 after years working as a clinic pediatric nurse, in home health, and a brief stint in laser hair removal.

“It was the best decision I ever made,” says Lambert, although she feared the transition from clinical work to case reviews. “I was afraid I wasn’t going to feel like a nurse if I was not touching people. But this is a dream come true.”

She works with providers to coordinate member care for needs such as hospital stays, elective surgeries and in-home physical therapy. Lambert enjoys the job because she’s learning new things about diseases, treatments and therapies, including those for cancer and cardiac care.

“Every day is a new person and a new story,” she says. “I treat them like my family member. I’m going to get what I need to review their case. I’m going to fight for you. I would want someone to do that for me.”

Following in her mother’s footsteps,Tibbs became a nurse and worked 20 years at the same hospital —working as a floor nurse to case manager.

She remains as passionate about patient care now as a medical review nurse as she did as a hospital volunteer. In 2018, Tibbs joined BCBSOK, and, she says, “hit the jackpot.” In reviewing member cases, Tibbs believes she has more time to get to know her patients and their conditions despite never meeting them.

Her experience as a floor nurse was invaluable, but she typically rushed from patient to patient until her shift ended. “I’m doing meaningful work because I’m still making sure patients get what they need,” Tibbs says. “You touch people’s lives when no one else in the world can.”

He also believes his own story of survival could offer members strength and encouragement as he helps them manage their health conditions and illnesses. In March 2020, as threat of COVID-19 infections kept Americans quarantined at home, Catone waited in a Dallas-area hospital for a heart transplant, which he received weeks later.

He shares his story because he knows it gives other people hope. The hospital recorded a video testimonial of Catone and his wife, which it plays on a TV screen.

“A patient at the hospital recognized me from the video and told me that they watch it all the time,” Catone says. “Nurses have to have empathy, but this experience has given me a different perspective.”

While successful, Catone’s transplant required him to reinvent his nursing career, which started in the early 1990s after he trained as a U.S. Army combat life saver during his Operation Desert Storm deployment. Anti-rejection medications suppress his immune system and increase his infection risk, preventing Catone from performing the direct patient care he was used to providing.

He joined BCBSOK after a fellow church member and clinical operations director for the company suggested Catone apply for a position that would allow him to make use of his nursing skills and work from home.

“If I can do something for other people, I’ll definitely try,” Catone says. “I still love helping people.”