DONNA SPEISER
Crosby,TX
Summary
Registered Nurse with a background in LTSS case management, transition services, and care coordination across complex member caseloads. Supports comprehensive assessments, DME coordination, patient and caregiver education, and documentation that meets state and managed care requirements. Builds continuity of care through collaboration with providers, families, and community resources.
Overview
21
21
years of professional experience
Work History
LTSS Senior Case Manager / Transition Services Coordinator
UnitedHealthcare
11.2017 - Current
- Manage a large caseload of members receiving Long-Term Services and Supports (LTSS).
- Conduct comprehensive member assessments to identify healthcare and support needs.
- Coordinate care among providers, members, caregivers, and community resources.
- Facilitate transitions of care and ensure continuity of services.
- Assess, coordinate, and arrange durable medical equipment (DME) and support services.
- Educate members and caregivers regarding treatment plans, preventive care, medical appointments, and laboratory testing.
- Advocate for members to ensure appropriate access to healthcare services and community resources.
- Maintain compliance with state and managed care requirements while meeting documentation deadlines.
Charge Registered Nurse
Bayshore Medical Center
08.2014 - 08.2018
- Provided clinical leadership and supervision of nursing staff.
- Coordinated patient care activities and daily operations.
- Educated and trained clinical personnel on policies, procedures, and patient care standards.
- Collaborated with interdisciplinary healthcare teams to improve patient outcomes.
- Maintained quality and safety standards while ensuring regulatory compliance.
Charge Registered Nurse
St. James House
01.2012 - 01.2014
- Supervised nursing staff and coordinated resident care.
- Provided patient assessments and care plan implementation.
- Educated residents, families, and staff regarding healthcare needs and treatment plans.
- Assisted with regulatory compliance and quality improvement initiatives.
- Participated in staff training and development activities.
Medical Assistant
Weight Loss Clinic
01.2007 - 01.2009
- Assisted physicians with patient care and clinical procedures.
- Educated patients regarding prescribed weight management plans.
- Trained and oriented new staff members.
- Maintained accurate patient records and documentation.
- Scheduled appointments and provided excellent customer service.
Medical Assistant
Memorial Hermann Health System
01.2006 - 01.2007
- Assisted healthcare providers with patient care and examinations.
- Obtained vital signs and patient histories.
- Maintained medical records and documentation.
- Scheduled patient appointments and managed follow-up communications.
- Provided patient education and support.
Education
Associate Degree - Nursing (ADN)
Lee College
Baytown, Texas05-2012
Medical Assistant Certification -
Sanford-Brown Institute
Houston, Texas05-2007
Skills
- Registered Nurse (RN)
- LTSS Case Management
- Care Coordination
- Transition Services Coordination
- Patient & Family Education
- Clinical Assessments
- Care Planning
- DME Assessment & Coordination
- Staff Education & Training
- Wound Care Education
- Caseload Management
- Documentation & Compliance
- Member Advocacy
- Interdisciplinary Collaboration
- Quality Assurance
- State Program Compliance
- Microsoft Word
- Microsoft Excel
- Microsoft PowerPoint
- Microsoft Teams
- Zoom
- Electronic Medical Records (EMR)
- Documentation Systems
- Data Entry & Reporting
- Exceptional communication and interpersonal skills
- Strong organizational and time management abilities
- Ability to manage multiple priorities and deadlines
- Skilled in building relationships with members, families, providers, and community partners
- Strong problem-solving and critical-thinking capabilities
- Dedicated advocate for patient-centered care
Timeline
LTSS Senior Case Manager / Transition Services Coordinator
UnitedHealthcare
11.2017 - Current
Charge Registered Nurse
Bayshore Medical Center
08.2014 - 08.2018
Charge Registered Nurse
St. James House
01.2012 - 01.2014
Medical Assistant
Weight Loss Clinic
01.2007 - 01.2009
Medical Assistant
Memorial Hermann Health System
01.2006 - 01.2007
Associate Degree - Nursing (ADN)
Lee College
Medical Assistant Certification -
Sanford-Brown Institute