SUSAN MOVIZZO
Boca Raton,FL
Summary
Able to coordinate and direct staff responsible for the case management of patient care services. Strong leadership qualifications and communication skills. Knowledgeable in Medicare, Medicaid, HIPPA, State and Federal Regulations. Active RN licensure in Florida and New York.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Registered Nurse
Moorings Park A Home Health Agency
Naples, FL
04.2022 - 05.2025
- Executed medication administration and treatment protocols aligned with individualized care plans.
- Collaborated with interdisciplinary teams to develop patient-centered care strategies.
- Monitored patient vital signs and reported changes to healthcare providers promptly.
- Educated patients and families on post-discharge care and health management.
Nurse Case Manager II-Complex Case Management-HCMS
Simply (Amerigroup)
Work@Home, FL
06.2014 - 03.2020
- Performing telephonic Complex Case Management and careplan development services for targeted Medicaid population utilizing completion of Health Risk Assessments, planning, facilitation and advocacy to meet individual health needs for positive outcomes. Mentor/train new associates in required HCMS and NCQA documentation and guidelines. Over 98% compliance on audit scores. Proficient in InterQual, UM, Care Compass, MACESS, FACETS. Successful completion of Integrated Case Management Certification Program.
RN Case Manager/Manager/Manager II-LTSS for Long Term Care Program
Amerigroup
Plantation, FL
07.2001 - 06.2014
- Coordinate and community-based long-term care services for frail elderly members. Monitor cost-effective services and appropriate use of Medicaid-funded dollars through case conferences, record reviews and utilization reviews for Performance Improvement Plan. Perform evaluations and comprehensive health risk assessments to determine level of care and appropriate utilization and provision of services. Review claims system for pended claims and/or overpayments to providers. Facilitate weekly discharge-planning meetings with Medical Director, Supervisors and Case Managers for coordination of Medicare and Medicaid services.
Assessment Specialist/Long Term Care
CHCS
Weston, FL
01.2000 - 07.2001
- Perform comprehensive in-home and telephonic assessments to determine policy-holder’s unique healthcare needs for Long Term Care Insurance.
Director of Professional Services/Administrator
Caregiver’s Home Health
Boca Raton, FL
04.1999 - 11.2000
- Directed the Professional healthcare services delivered to Medicare recipients in the home setting. Developed integral alliances with the Medical community to promote business development and agency growth. Successfully guided agency through ACHA surveys/licensure regulations.
Clinical Supervisor/Director of Clinical Services/Administrator
IHS Home Care
Delray Beach, FL
02.1993 - 03.1999
- Developed, coordinated and presented educational programs. Implemented Quality Assurance Plan through record review, utilization review and data collection.
Education
Bachelor of Science - Registered Nurse BSN
Hunter College
New York, NYSkills
Medication and IV administration
Medication administration
Direct patient care
Patient assessments
Documentation and charting
Patient assessment
Strong clinical judgment
Patient education and counseling
Infection control measures
Wound care
Care planning
Care plan development
Certification
Current active RN licensure in Florida and New York. Enhanced Upgraded Florida Nurse Compact License also covers the following states: Arizona, Arkansas, Delaware, Georgia, Idaho, Iowa, Kentucky, Maine, Maryland, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia and Wyoming.
Timeline
Registered Nurse
Moorings Park A Home Health Agency
04.2022 - 05.2025
Nurse Case Manager II-Complex Case Management-HCMS
Simply (Amerigroup)
06.2014 - 03.2020
RN Case Manager/Manager/Manager II-LTSS for Long Term Care Program
Amerigroup
07.2001 - 06.2014
Assessment Specialist/Long Term Care
CHCS
01.2000 - 07.2001
Director of Professional Services/Administrator
Caregiver’s Home Health
04.1999 - 11.2000
Clinical Supervisor/Director of Clinical Services/Administrator
IHS Home Care
02.1993 - 03.1999
Bachelor of Science - Registered Nurse BSN
Hunter College