Melissa Engleman
DeSoto,TX
Summary
Compassionate LVN with over 30 years of experience in healthcare, focusing on case management and utilization review. Proficient in patient education and quality assurance, successfully coordinating care for high-risk populations. Proven ability to enhance patient outcomes through effective communication and collaboration with interdisciplinary teams.
Overview
34
34
years of professional experience
1
1
Certification
Work History
LVN-Case Manager/Utilization Management Nurse
WellMed Medical Management - United Health Group
Dallas, Texas
01.2019 - 12.2025
- Coordinated PCC calls with physicians and interdisciplinary teams to create care plans for complex, high-risk members.
- Managed post-acute NSOC/SNF patients' lengths of stay based on MCG criteria and individual progress.
- Issued NOMNCs following CMS guidelines to ensure compliance.
- Facilitated patient education, discharge planning, and self-care strategies for effective follow-up appointments.
- Conducted comprehensive assessments in the Moderate Needs Program to identify patient needs.
- Developed disease management strategies through patient education.
- Documented patient progress in electronic health records accurately and within required timelines.
- Advocated efficiently for patients' needs across the healthcare system.
- Processed approvals, denials, overturns, and DME authorizations within the required timeframe.
- Referred appropriate prior authorization requests to medical directors.
LVN-Clinical Care Coordinator
USMD-MCNT
Irving, Texas
02.2014 - 01.2019
- Conducted outreach calls to ensure adherence to quality measures for 72-hour follow-up appointments.
- Monitored hospital readmission rates to identify trends and improvement areas.
- Telephonically assessed clinical status and treatment needs of post-hospital patients, relaying information to primary care physicians.
- Performed weekly outreach calls for 30 days post-discharge, evaluating ongoing patient needs based on risk stratification.
- Documented ongoing identified patient needs and communicated findings to primary care providers.
- Referred patients to Complex Care Case Management, Disease Management, or Social Workers as necessary.
- Executed chart audits to support Quality Metric initiatives when required.
- Analyzed reports to identify patients without established care and scheduled First Touch and New Patient visits.
Home Health LVN
Jordan Health Services
Waxahachie, Texas
05.2013 - 10.2013
- Conducted eight skilled nurse visits daily based on patient needs.
- Executed thorough patient assessments and evaluations to identify care requirements.
- Provided education on disease processes, medications, and wound care techniques.
- Administered venipuncture for efficient laboratory draws.
- Performed prescribed wound care and dressing changes.
- Managed diabetic monitoring and administered insulin injections effectively.
- Monitored patient conditions regularly, reporting findings promptly to physicians.
- Maintained safe home environments by identifying potential hazards.
Rehabilitation Nurse
Texas Rehabilitation Hospital of Fort Worth
Fort Worth, Texas
02.2012 - 01.2013
- Delivered routine care for patients in dynamic rehab hospital and stroke/TBI unit.
- Conducted patient assessments to develop tailored treatment plans.
- Monitored patient conditions and reported findings directly to physicians.
- Administered IV therapy, monitored blood transfusions, venipuncture, and medications efficiently.
- Documented patient information electronically with FIMS to maintain accurate records.
- Educated patients on disease processes and medications to improve understanding.
- Engaged in interdisciplinary team conferences for comprehensive care coordination.
- Provided specialized care including wound management, ostomy care, PEG tube feedings, and trach management.
Rehabilitation Nurse
HealthSouth Rehabilitation Hospital Arlington
Arlington, Texas
09.2007 - 02.2012
- Provided routine care for 8 to 10 patients in a fast-paced rehabilitation hospital.
- Conducted comprehensive patient assessments and evaluations regularly.
- Monitored patient conditions frequently, reporting findings accurately to physicians.
- Administered medications, performed blood glucose checks, and documented vital signs.
- Managed IV therapy and monitored blood transfusions effectively.
- Educated patients on disease processes, medications, and individualized care plans.
- Delivered wound care, ostomy care, PEG tube feedings, and trach care services.
- Monitored and reported laboratory values and PT/INR results consistently.
Medical Surgical Licensed Practical Nurse
Medical Center of Arlington
Arlington, Texas
07.2003 - 06.2006
- Provided direct patient care for medical-surgical patients in fast-paced hospital environment.
- Administered medications and treatments following approved nursing protocols.
- Assessed and monitored vital signs, nutritional status, pain levels, and mental health conditions.
- Conducted frequent monitoring of patients' conditions with precise reporting to physicians.
- Performed IV therapy, venipuncture, and blood transfusion monitoring.
- Executed wound care, ostomy care, PEG tube feedings, and tracheostomy care.
- Monitored lab values and PT/INR results with timely reporting.
LVN - Pharmacy
Nocona General Hospital
Nocona, Texas
09.1995 - 05.2003
- Accumulated over seven years of hospital pharmacy experience, enhancing medication knowledge and professional skills.
- Collaborated with pharmacists to support pharmacy management and quality assurance tasks.
- Managed daily pharmacy operations, including budget control, ordering, stocking, and scheduling.
- Monitored medication errors, ensuring accurate reporting and compliance with standards.
- Maintained precise inventory counts for controlled substances to uphold regulatory requirements.
- Participated in Code Blue Response Team as mandated by pharmacy policy.
Home Health LVN
Professional Health Network
Marshall, Texas
07.1993 - 08.1995
- Delivered home healthcare services to adults and elderly patients with chronic or terminal conditions.
- Educated patients on disease processes, medications, and management techniques.
- Administered injections and performed venipuncture for laboratory tests.
- Executed wound care and dressing changes per physician orders.
- Monitored diabetic patients' conditions and administered insulin injections.
- Maintained frequent monitoring of patient conditions with accurate reporting to physicians.
LVN Floor Nurse
Merritt Plaza Rehabilitation and Nursing Center
Marshall, Texas
06.1992 - 07.1993
- Managed care for 30 patients in skilled nursing unit.
- Monitored patient conditions and reported findings to physicians.
- Performed blood glucose checks and administered insulin injections.
- Administered medications according to prescribed protocols.
- Assessed vital signs and documented results accurately.
- Provided wound care, ostomy care, and PEG tube feedings.
Education
Licensed Vocational Nurse - Nursing
North Central Texas College
Gainesville, TX08-1991
Skills
- Case management
- Utilization management
- Application of MCG guidelines
- Care coordination
- Quality assurance processes
- Interdisciplinary collaboration
- Effective communication skills
- Patient education
Certification
IV therapy certification - 1991
Timeline
LVN-Case Manager/Utilization Management Nurse
WellMed Medical Management - United Health Group
01.2019 - 12.2025
LVN-Clinical Care Coordinator
USMD-MCNT
02.2014 - 01.2019
Home Health LVN
Jordan Health Services
05.2013 - 10.2013
Rehabilitation Nurse
Texas Rehabilitation Hospital of Fort Worth
02.2012 - 01.2013
Rehabilitation Nurse
HealthSouth Rehabilitation Hospital Arlington
09.2007 - 02.2012
Medical Surgical Licensed Practical Nurse
Medical Center of Arlington
07.2003 - 06.2006
LVN - Pharmacy
Nocona General Hospital
09.1995 - 05.2003
Home Health LVN
Professional Health Network
07.1993 - 08.1995
LVN Floor Nurse
Merritt Plaza Rehabilitation and Nursing Center
06.1992 - 07.1993
Licensed Vocational Nurse - Nursing
North Central Texas College