ANGELA REGINA MORGAN7714 LovellaSaint Louis, MissouriHome: 314-645-5036 • Mobile: 314-956-4485sonbluegospel@yahoo.com

SUMMARY OF QUALIFICATIONS OBJECTIVE: TO DEVELOP AND INSTRUCT ON-LINE VIRTUAL AND DISTANCE CURRICULUM PROGRAMS FOR NURSESAreas of Expertise

• On boarding curriculum development and instruction• On-line nursing curriculum course development and instruction-University of Missouri

Saint Louis

• Quality Improvement• Utilization Review• Data Mining• Catastrophic/Chronic Disease Case

Management• Call Center Dialer Management• Predictive Risk Assessment/Cost

Benefit & Analysis• Workers Compensation Case

Management• Legal Medical Record/Bill Review

• HEDIS Auditing• Home Health Supervision/Intravenous

Therapy• Excellence in Case Management

Award-2010-CMSA• On boarding and competency staff

development training of employees• Six Sigma Yellow Belt

PROFESSIONAL EXPERIENCECigna-Healthcare-Oncology-Case Manager Specialist- 2011-persent-Telephonic and virtual health education and behavioral change of members for a variety of employer groups, rendering population case management and coordination of services for members for a variety of employer groups.Accomplishments:

Serve on health disparities counsel Serve and review standard operating procedures for revisionsTraining and mentoring of new staff Chaired a community health outreach program for CIGNA employees for several years Lead a team of ten volunteers to provide health promotion information in the community for two years Successfully conducted a health disparities review of City of Houston health disparities needs which resulted in a virtual presentation to the leadership council and the development of a task force to provide health promotion literature to employer group annual employee enrollment sessions.Proposed a bereavement counseling program for caregivers with program pilot to begin fall 2015.

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R&G Medical Legal Solutions-Nurse Auditor- 2010-2012

Legal Medical Record Review and reporting for mass toxic tort product liability cases. As an independent contractor, reviewed medical defense cases for merit and provided explanations of standards of care. Consultative reporting on the correlation of medical records facts to allegations, by identifying causation, and damage issues. Screened medical documents for tampering of the record.

APSHEALTHCARE- SAINT LOUIS, MISSOURI 2008-2010Community Outreach Health Coach

Led training and outcomes quality auditing project which led to a statewide procedure for setting up outcomes data abstraction and analysis.

Developed a virtual instructional web-cam training program for new and current employees.

Consultation and developed nursing documentation workflow processes, which resulted In changed billing workflow practices.

Secured a company sponsorship for community outreach health fairs .

HEALTH WAYS – SAINT LOUIS, MISSOURI 2006-2008Care Coordinator Educated staff and evaluated documentation for URAC accreditation

Quality monitoring and development of the silent monitoring tools for the team

Developed on-line and classroom orientation training tools for new employees and various special project management duties.

Inbound dialer management.

Co-chaired customer service committee, spearheaded a customer service training program for employees which developed into a companywide program.

ADVANCED NURSING CONSULTANTS – SAINT LOUIS, MISSOURI 2009- 2010Medical Legal Nurse ReviewerReviewed medical records and rendered detailed reporting for a large law firm of mass product liability toxic tort cases.

CASE MANAGEMENT CONSULTANTS – SAINT LOUIS, MISSOURI 2003- 2005Case ManagerResponsible for Catastrophic and Chronic Disease Management, screening of cases for referral and assignment, predictive modeling, data mining, telephonic education of members and collaborative coordination of services for third party administrators and health care team.

• Secured return on investments of over four to one in the sum of $250,000.00 on several cases.

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MEDICAL EMPLOYMENT DIRECTORY – SAINT LOUIS, MISSOURI 2003- 2003HEDIS AuditorProject auditor for a company based out of Colorado for the Saint Louis metropolitan area and St. Clair County. Case set-up and review for Medicare and Medicaid standards for facilities and physician offices.

INTELISTAF – SAINT LOUIS, MISSOURI 2002-2003Care CoordinatorPerformed concurrent retrospective/precertification utilization management review authorizations for service requests of PPO, HMO, POS and Medicare plans for the Midwest region. Examined Predictive Risk and assisted with third level appeal research/review and report development.

Prepared and distributed provider /company –medical director second and third level research form letter, which resulted in revision of third level form letters.

ADDITIONAL RELEVANT EXPERIENCE

A variety of charge nurse duties in neuro-rehabilitation, orthopedics, open physciatry, obstetrics and gynecology, home healthcare supervision, and medical intensive care

EDUCATIONAssociate Degree in Nursing –Forest Park Community College -1982Bachelor of Science in Nursing - Webster University - Saint Louis Missouri-1989Master of Science in Nursing (Educator Specialty)Chamberlain College of Nursing-Saint Louis Missouri-expected date of graduation December 2015.

LICENSESLicensed Registered Nurse Missouri, Illinois, California, and Massachusetts.

CERTIFICATIONS

Certified Case Manager –obtained 1994Legal Nurse Consultant-obtained 2010Independent Legal Nurse ConsultantDirector- Case Management Society of Saint Louis Missouri-2010-2011

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