ANGELA M. BATTAGLIA, LVN
New Braunfels, TX 78130
ac7zaq@r.postjobfree.com
Cell: 832-***-****
Home: 830-***-****
Career Objective
Continue to utilize and leverage the skills developed through a successful career in the health care industry over the last 20 years. Identify and secure a position commensurate with these skills in an organization that values and rewards customer service, initiative, process discipline, and strong work ethic.
Summary
Administrative Writing Skills, Reporting Skills, Supply Management, Scheduling, Microsoft Office Skills, Organization, Time Management, Presentation Skills, Equipment Maintenance, Travel Logistics, Verbal Communication
A disciplined and self-motivated individual with extensive experience in case management and coordination in the medical field
Familiar with all aspects of the exacting requirements of record keeping and management in medical facilities
Recipient of numerous awards during career acknowledging strong strategic planning skills and performance against goals
Comfortable in the organizational structure and reporting relationship environment of a medical facility
Work History
UnitedHealth CARE
Houston/ Austin, Texas
Service Coordinator September, 2013- Present
Basic Structured, standard approach to work.
Unrestricted LVN Licensure in the State of Texas.
85% travel to member homes.
Telecommute while working with various computer office programs and clinical programs.
Use excellent nursing judgment to assess, evaluate, and recommend treatment decisions for members throughout the risk stratification spectrum.
Coach member’s in psychosocial and medical needs.
Educate members on medical and psychosocial needs.
Assess member needs to ensure safety, ADLs/ IADLs are met.
Facilitate member’s ability to remain in their homes/ community safely.
PARAMOUNT REHABILITATION and HEALTHCARE CENTER
Pasadena, Texas
Temporary Job
Discharge Coordinator Feb. 2013 – June, 2013
Coordinate seamless discharge planning for skilled nursing facility
Initiate and maintain Transitions Program for follow-up of patients with diagnoses of pneumonia, congestive heart failure and acute myocardial infarct in accordance with CMS guidelines to decrease recidivism rates
Communicate with managed care organizations to ensure continued authorizations for skilled nursing facility
Track Transitions Program patients after discharge to avert readmissions to acute care facilities
Manage and track credentialing for managed care networks
TEXAS HEALTH SPRING
Houston, Texas
Community Case Manager Dec. 2011 - June 2012
Identify high risk patients for case management intervention and coordinate the delivery of cost-effective, quality based health care services for health plan members
Implement alternative treatment plans that address individual needs of the member, their benefit plan, and community resources
Direct intervention with moderate to high risk members and provide support and oversight to other team members
Manage high and low risk members
Communicate with providers of medical services and equipment to facilitate referrals, development of discharge planning and alternative treatment plan development
Initiate contact with patient/family, physician, and health care providers/suppliers to discuss the alternative treatment
Plan and conduct on-site or in-home evaluations, as necessary
Monitor, evaluate, extend, revise or close treatment plans, as appropriate
Evaluate cases for quality of care
Communicate case management decisions with all relevant parties
Understand and follow policies and procedures; produce and submit reports in a timely manner
Handle high acuity and complex cases
Serve as a professional resource to other Case Managers
Initiate and lead the multi-disciplinary care planning process
Practice Coordinator Sep. 2008 – Nov. 2011
Improve HEDIS Guideline compliance through proper coding and documentation techniques
Increase healthcare plan reimbursement through proper coding
Coordinate care of patients with physician offices, health plan, and disease management vendors
Review and participate in medical chart audits
Implement and maintain method of chronic disease management identification
Collaborate with physicians, other practice coordinators, and staff
HCR MANOR CARE
Houston, Texas
Case Manager Sep. 2007 – July 2008
Communicate with physicians, nurses, patients, and families to gather information regarding need for appropriate skilled nursing admissions on a patient-by-patient basis
Negotiate contracts with managed care companies to allow benefits for admissions and extended stays
Monitor trends regarding skilled nursing stay
Assist patients with financial needs and obtaining funding for skilled nursing care
Appeal denials from managed care organizations for payments of skilled nursing care
CYBERONICS, INC – DELAWARE
Houston, Texas
NURSE CASE MANAGER 2 Jan. 2002 – Apr. 2007
Coordinate and implement the Patient Identification/Implant Process
Drive utilization of the patient relationship marketing (CRM) system, fulfilling the educational needs/implant logistics for patients
Work directly with field sales to meet quotas/revenue objectives by ensuring patients are provided adequate education
Create a rapid and user friendly path for patients deciding VNS Therapy is the best choice for them
Ensure accuracy of Patient Identification forms to implement the patient education program
Collaborate with sales team to ensure patient barriers are removed and internal and external resources are aligned to facilitate the implant process
Follow-up with patients to provide education on VNS Therapy; either through an immediate phone education and/or scheduling them for field education
Provide support to teammates for the completion of letters of medical necessity and prior authorizations on behalf of the health care provider
Work with patients and care providers to insure quick and easy access to surgical consults, surgical scheduling and VNS Therapy
Participate in territory conference calls to ensure efficient patient identification and strategies are used on every VNS Therapy candidate
Initiate appeal denials on behalf of physicians and hospitals
Attend regional or national meetings, as required
Occupational License
Licensed Vocational Nurse License Expires: Oct 31, 2018
Texas Board of Vocational Nurse Examiners, Pasadena, Texas
Education
Axia University of Phoenix (Online) Phoenix, Arizona
3+ years
Major: Bachelor of Science; Business
Minor: Healthcare
GPA: 3.88
San Jacinto College North Campus Houston, Texas
1 year
Major: Licensed Vocational Nurse
GPA: 3.57
ANGELA M. BATTAGLIA, LVN
134 Trailwood
New Braunfels, TX 78130
ac7zaq@r.postjobfree.com
Cell: 832-***-****
Home: 830-***-****
References
Dawn Larrabee, LVN, Service Coordinator, United Health Care
Office: 952-***-****
Cell: 512-***-****
Email: ac7zaq@r.postjobfree.com
I have known Dawn approximately 2 years through our working relationship with United. I trained Dawn as a new employee. Dawn works with me in the H2060 Team.
Megan Roegelein, RN, Service Coordinator, United Health Care
Office: 952-***-****
Cell: 281-***-****
Email: ac7zaq@r.postjobfree.com
I have known Megan approximately 2 years through our working relationship with United. I trained Megan as a new employee. Megan works on the Complex Care Team.
Lori Underwood, Girling and Nurse’s Unlimited Manager of PAS Attendants
Cell: 512-***-****
I have known Lori for 2 years. I met Lori while in field working with United and coordinating member’s care through assessments and authorizations.