Gina Masciangelo LSW
Philadelphia,PA
Summary
Multi-tasking Manager well-known for creating positive workplace culture and high-performing teams. Demonstrated success in implementation and continued success in Pennsylvania and New Jersey Managed Care Organizations with an focus on Medicaid programs. Goal-driven Healthcare Administration professional well-versed in recruiting, training and managing employees to provide exceptional resident services. Highly organized and hardworking with excellent planning and program management skills. Licensed in Pennsylvania and New Jersey.
Overview
17
17
years of professional experience
Work History
Manager of Service Coordination, LTSS
AmeriHealth Caritas
Philadelphia, PA
10.2018 - Current
- Promoted from supervisor to manager in September of 2019
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees
- Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
- Implemented successful healthcare program through professionalism, quality of care, staff training, patient satisfaction.
- Assisted in organizing and overseeing assignments to drive operational excellence.
- Analyzed service reports to identify areas of improvement.
- Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
- Developed and maintained positive relationships with customers to build rapport and trust.
Clinical Liaison
Aetna Medicaid
Philadelphia, PA
01.2017 - 10.2018
- Served as the medicaid medical plan's Behavioral Health subject matter expert.
- Educated health care professionals on ways to humanize patients' experiences.
- Recommended service improvements to minimize recurring patient issues and complaints.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Followed document protocols to safeguard confidentiality of patient records.
- Developed relationships with outside providers and partners to foster interdisciplinary teams and positive patient outcomes.
Special Needs Coordinator
Aetna Medicaid
Philadelphia, PA
03.2015 - 08.2017
- Recruited, hired, trained all special needs staff.
- Ensured all children turning 21 transitioned successfully to adult services.
- Met all contractual obligations and deadlines to ensure compliance and quality of care.
- Educated providers, patients and community stakeholders about the special needs program
- Assisted in compiling NCQA data and ensuring standards have been met.
- Provided professional development training to educate faculty and staff on laws and regulations governing special education
Clinical Supervisor
Value Options Behavioral Health
Mount Laurel, NJ
05.2014 - 03.2015
- Spearheaded and implemented New Jersey Managed Care program in a market for Value Options.
- Developed improvement plans to solve problems and improve lagging areas.
- Lead and directed team of 13 clinical personnel and support staff.
- Responded to crisis situations with calm and professional approach to optimize support.
- Point of contact for all high profile participant to ensure all of their needs were met
Special Needs Unit Manager
Coventry Health Care
King of Prussia, PA
12.2010 - 05.2014
- Developed and implemented the Special Needs Department and Early Periodic Screening Diagnosis and Treatment (EPSDT) program.
- Developed policies and procedures for effective department management.
- Met with interdisciplinary teams to develop and plan services, programs and activities.
- Served as the point of contact for the Department of Human Services to ensure all contractual obligations were met for the department.
One Source Consultant (EAP)
Ceridian
Plymouth Meeting, PA
12.2005 - 12.2012
- Conducted telephonic assessments in a call center to develop a short term care plan for a variety of behavioral health, substance abuse and work life balance issues
- Addressed patients that were currently in a behavioral health crisis and ensure safety of the patient
- Subject matter expert on children with special needs. Completed consultations, podcasts, reading materials and online chats for these families.
- Performed in a supervisory role for the call center to ensure compliance and patients were assisted promptly.
Education
Masters of Social Work - Social Work
Marywood University
Scranton, PA05.2003
Bachelor of Arts - Social Work
Millersville University of Pennsylvania
Millersville, PA05.2002
Skills
- Critical Thinking
- Flexible
- Emotional Intelligence
- Responsibility
Licenses and Certifications
PA Licensed Social Worker
SW 125180
NJ Licensed Social Worker
44SL06025900
Certificate in Child and Adolescent Psychology
Bryn Mawr College 2007
Timeline
Manager of Service Coordination, LTSS
AmeriHealth Caritas
10.2018 - Current
Clinical Liaison
Aetna Medicaid
01.2017 - 10.2018
Special Needs Coordinator
Aetna Medicaid
03.2015 - 08.2017
Clinical Supervisor
Value Options Behavioral Health
05.2014 - 03.2015
Special Needs Unit Manager
Coventry Health Care
12.2010 - 05.2014
One Source Consultant (EAP)
Ceridian
12.2005 - 12.2012
Masters of Social Work - Social Work
Marywood University
Bachelor of Arts - Social Work
Millersville University of Pennsylvania