Margaret Z. Chiavetta

*** ****** *****

Harrisburg, PA 17111

Cell – 717-***-****

OBJECTIVE:

To be in a health-related position with security and advancement.

QUALIFICATIONS:

Organized, good communicator, client oriented. Assertive, outgoing, dependable. Establishes quick rapport with new acquaintances.

EDUCATION:

Bryn Mawr Hospital School of Nursing, Bryn Mawr, PA

Diploma – June 1976, Current RN licensure in PA

Millersville University, Millersville, PA

Additional work towards B.S.N.

Harrisburg Area Community College

RN Refresher Program – October 2001 to November 2001

Phlebotomy – September 2001 to October 2001

9/3/22- Present Harrisburg, Pa, Pa Life Sharing Agency, West Shore School District, School Nurse.

Assists with students’ needs, provides First Aid, Administers medications, manages chronic health conditions, carries out Individualized Health Plans, performs Health Screens and Maintains School Health Records.

08/2020- 8/31/22 Centene, Pa Health Wellness, Camp Hill, PA. and Wellcare, Remote, RN Case Manager .

Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Develop, assess and adjust, as necessary, the care plan and promote desired outcome. Assess the member’s current health status, resource utilization, past, present treatment plan and services, prognosis, short and long term goals, treatment and provider options. Coordinate services between Primary Care Physician, specialists, medical providers, and non medical staff as necessary to meet the complete socio economic needs of clients . Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member’s needs. Provide patient and provider education . Facilitate member access to community based services. Monitor referrals made to community based organizations, medical care and other services to support the member’s overall care management plan. Actively participate in integrated team care management rounds. Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems.

02/19 – 7/29/20 Centene, Pa Health Wellness, Camphill, Pa. Prior Authorization Nurse. Promote the quality and cost effectiveness of medical by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests. Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations. Compete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings. Collaborate with various staff within provider networks and case management team electronically or telephonically to coordinate member care. Educate providers on utilization and medical management processes. Provide clinical knowledge and act as a clinical resource to non-clinical staff. Enter and maintain pertinent clinical information in various medical management systems.

09/25/17 - 02/19 The Jewish Home of Greater Harrisburg, Harrisburg, PA. Staff Development/Infection Control/Quality Assurance Nurse. Coordinates and implements the orientation process of clinical and non-clinical nursing staff on a bi-monthly basis to meet necessary mandatory education required by regulatory standards. Facilitates with schools of nursing and nursing assistance programs. Monitors and tracks licenses, certifications, TB testing, and Hepatitis B program. Implements, coordinates, and evaluates the facility infection control program in accordance with current regulations and guidance that govern such requirements. Track rates and types of infections through surveillance systems and makes written and oral reports to QI, DON, Medical Director, and Administrator. Reviews assessment tools, data collection reports, and all activities regarding quality assessment and continuous improvement which have a direct impact on resident care and safety.

11/29/16 – 9/22/17 Spring Creek Rehab and Nursing Center, Harrisburg, PA. Staff Development Coordinator. Assist in the developing in the planning, conducting and scheduling of orientation programs that oriented newly hired employees to their position, the Facility’s policies and procedures, and resident rights and responsibilities. Plan, organize, develop, and assist all in-service educational programs throughout the facility in accordance with current applicable federal, state, and local standards, guidelines, and regulations, and as may be directed by the Administrator, to assure that the highest degree of quality resident care can be maintained at all times.

09/28/15 – 11/28/16 Sedgwick CMS, Harrisburg, PA. Care Management Specialist. Telephonic Nurse Case Manager for a Workers Compensation TPA. Coordinates medical care for injured workers with their physicians and their employer. Performs initial and ongoing clinical assessments of the injured worker. Creates a plan to help injured worker return to work as soon as possible.

02/24/14 – 09/25/15 PA Department of Health, Harrisburg, PA. Health Facility Quality Examiner Surveyor/Consultant. Responsible for conducting surveys/resurveys for Medicare certification and/or state licensure/approval programs: Home Health agencies, hospices, end-stage renal disease facilities, rural health clinics, outpatient physical therapy and/or speech pathology services; comprehensive outpatient rehabilitation facilities; and in the state licensure/approval program: home health care agencies, birth centers, pediatric extended care centers, and the Home Care Agency/Home Care Registry licensure program. Evaluates quality of care and services using approved survey procedures.

My mother passed away. I took some time off from work.

01/04/10 – 11/23/12 Compassionate Care Hospice, Camp Hill, PA. Quality Assessment and Performance Improvement Coordinator (QAPI). Coordinates and implements organizations QAPI plan to ensure quality of care and improvement in hospice performance. Audits patients charts, prepares reports, and enters data on a quarterly basis. Facilitates quarterly QAPI meetings and formulates reports and findings to committee and corporate compliance. Functions as resource on Medicare/Medicaid certification and licensure. Educator/Staff Developer. Assesses, plans, implements, and evaluates an organized program for education of employees.

12/08 – 12/09 Penn State Hershey Rehab Hospital, Harrisburg, PA. Clinical Liaison. Assess patients referred from care coordination at Hershey Medical Center for admission to the Rehab Hospital, attended trauma rounds weekly, and coordinate transfer from the medical center to the Rehab Hospital in Harrisburg based at Hershey Medical Center.

08/08 – 12/08 Heartland Hospice, Lancaster, PA. Director of Patient Services. Oversees clinical and supportive staff, performs direct patient care as needed, and facilitates nurse & CNA meetings along with quality improvement and interdisciplinary team meetings. Communicates with physicians, patient’s families, and nursing facilities when necessary. Participates in administrative call every other week as back up to on-call nurses.

05/07 – 08/08 Lancaster Rehabilitation Hospital, Lancaster, PA. Clinical Liaison. Duties include marketing services to hospitals, doctor’s offices, outpatient clinics and communities, accessing patients that are referred for admission, and coordinating with social workers and case managers. Following through with patients and families during admission procedures. Provided in-service for education about Lancaster Rehabilitation Hospital.

09/04 – 05/07 Unison Administrative Services. Monroeville, PA. Quality Improvement Nurse, local territory. Performed on-site chart audits on members and focus access/reviews at the sites. Contacted office managers to schedule appoints for reviews. Completed OB risk assessment forms. Participated in HEDIS annually for reviewing necessary members’ charts for requested measures and entering data.

08/03 – 09/04 SouthernCare Inc. Mountville, PA. Community Relations Director. Marketing hospice service to physicians, hospital, and nursing homes. Also managed office for several months, provided service to Clinical Director in addition to duties as Community Relations Director.

06/2000 – 08/01 Nurses Available, Lancaster, PA. Supervisor. Responsible for overseeing nursing staff within Lancaster County nursing homes.

09/1999- 6/2000 Manheim Township School District, Lancaster, Pa., School Nurse. Administered Medications, assisted with students’ Health needs, provided First aid, performed Health Screens and maintained School health records, managed chronic health conditions.

05/92 – 06/93 Harold V. Kulman Associates, Inc. Marietta, PA. Rehabilitation Nurse/Medical Management. Responsibilities include medical management of Workman’s Comp clients as a liaison between Workman’s Comp client, doctor, and employer. Monitored treatment and physical progress of Workman’s Comp clients. Prepared monthly reports on status of Workman’s Comp client’s rehabilitation.

02/82 – 03/84 St. Joseph Hospital. Lancaster, PA. Operating Room Nurse-Circulator. Duties include interviewing patients prior to surgery, preparing paperwork, accompanying patient to operating room, and assisting in preparation for surgery. Also supervising room technicians and equipment during surgery.

03/81 – 02/82 Lancaster County Prison, Lancaster, PA. Head Nurse of Medical Department. Responsibilities include administrating medications to inmates, daily drawing of blood from new inmates, and assisting nurse practitioners and medical doctors when necessary. Supervised LPN’s in medical department, scheduling, ordering supplies, and attending meetings.

08/77 – 02/81 Community Hospital of Lancaster, Lancaster, PA. Staff RN Charge Nurse on Medical Floor/Recovery Room Nurse. Tasks include total patient care, administration of medications, starting IVs on patients, and reporting to doctors. Supervised 35 patients overall with medical and surgical problems. Supervised all staff members on shift.

06/76 – 08/77 Lancaster General Hospital, Lancaster, PA. Staff RN/Assisting Charge Nurse on Medical Floor. Duties include total patient care, administration of medications, and reporting to doctors. Assisted in the supervision of patients and staff.

REFERENCES:

Available upon request