Tinesha Morgan MSN, RN, CCM
West Palm Beach,FL
Summary
Highly skilled Remote Care Manager and Registered Nurse with extensive experience in case management, telehealth services, patient advocacy, and chronic disease management. Proven ability to coordinate care, optimize patient outcomes, reduce hospital readmissions, and enhance quality metrics. Adept at utilizing data analytics, managing high-risk populations, and leading interdisciplinary teams. Passionate about leveraging technology and evidence-based practices to improve patient care in remote settings.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Population Care Manager
Florida Blue Cross & Blue Shield
Jacksonville, FL
05.2021 - Current
- Screened, interviewed, and hired prospective care managers and non-clinical staff.
- Provided leadership and management of clinical and non-clinical staff, performance management, compensation administration, employee development, and other key staff
- Utilized analytic tools to identify trends and opportunities to enhance the health of Florida Blue members
- Facilitated meetings with a broad spectrum of clinical staff, social workers, pharmacists, dieticians, and others.
- Prioritized and directed regional teams to collaborate with members, members' physicians, plan medical directors, managers, local, regional, and specialty team members.
- Implemented strategic staff scheduling, optimizing workforce flexibility to enhance population care delivery and operational efficiency.
- Administered fiscal operations for accounting, budget planning, authorizing expenditures and coordinating reporting.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Utilized technology and healthcare information systems to streamline care coordination and documentation processes.
- Implemented strategies to improve client engagement and adherence to care plans.
Lead RN/ Remote Care Manager
Florida Blue Cross & Blue Shield
Jacksonville, FL
07.2017 - 11.2020
- Proactively manage a designated patient population by identifying high-risk cases and coordinating their care.
- Utilize data analytics to predict potential health issues, and implement interventions to improve health outcomes.
- Coordinated discharge planning to ensure continuity of care post-hospitalization.
- Achieved cost-savings by developing functional solutions to problems.
- Conduct reviews of patient records to assess health needs, and develop individualized care plans.
- Collaborate with specialists and community resources to address complex health needs.
- Reach out to members; discuss health status, educate them about their benefits, and encourage preventive care.
- Communicate with providers to obtain necessary referrals, prior authorizations, and follow up on treatment plans.
- Identify and address unnecessary healthcare utilization through interventions and care management plans.
- Educated patients on disease prevention and health maintenance.
- Provided patient and family health education focusing on self-management, prevention and wellness.
Remote Registered Nurse Consultant
National Care Advisors
West Palm Beach, FL
09.2016 - 07.2017
- Telephonic case management for the special needs population; completed analysis reports
- Provided guidance and assisted with completion of specialized waiver program forms
- Maintained monthly communication with clients, family members and caregivers
- Placed special needs clients on Alliance for Aging population referral program to initiate MLTCP Services
- Fostered and maintained professional communications with client’s interdisciplinary team
Registered Nurse Care Leader- Inpatient Unit
Trustbridge Health
West Palm Beach, FL
05.2016 - 12.2016
- Led care teams in managing complex inpatient cases in a hospice and palliative care setting.
- Developed individualized care plans with physicians, ensuring quality end-of-life care.
Nurse Case Manager - (MLTC) Managed Long-Term Care Program
GuildNet Jewish Guild
White Plains, NY
05.2014 - 05.2016
- Telephonic case management; followed a caseload of 100 members receiving home care services
- Managed the FIDA (Fully Integrated Dual Advantage) and MAP (Medicare Advantage Plan) populations
- Completed the enrollment process via review of UAS-NY data; assessed for intensity/ level of care required, home status/ safety, physical functioning, diagnoses/ medical history, medications, allergies, etc
- Obtained initial and updated physician orders; authorized services that included skilled nursing, HHA/ PCA services, DME supplies, medications, social services, various therapies, nutritionists, adult day care and other resources
- Maintained contact monthly, or more frequently with clients, family and PCA’s based on client risk level
- Facilitated quarterly FIDA meetings with primary care physicians, members, family and caregivers
- Coordinated member services from day of admission, including transitional care during movement between health settings (acute hospitalization, sub-acute care, rehabilitation, etc.)
Coordinator of Care (FFS)
Alpine Home Care
Bronx, NY
04.2014 - 05.2016
- Company Overview: Certified Home Health Agency
- Opened new cases and conducted assessments to determine suitability for home care; visited 3-4 patients daily
- Managed post-surgical follow-up and care of a diverse patient census, often within 24 hours of hospital discharge
- Collaborated with physicians and other healthcare providers to develop and modify treatment plans
- Obtained physician orders and M11Q forms; insured timely completion of OASIS-C and re-certifications
- Reviewed medical documentation to verify that it accurately established medical need
- Coordinated services of DME vendors, therapists, labs, infusion services and arranged for HHA/ PCA staff
- Provided care for wounds, suture sites, prepared medications; taught self-injection of insulin/ Lovenox
- Clinical preceptor; responsible for on-site staff training, supervision, and evaluation of Home Health Aides
- Provided extensive patient and family education focused on self-care and independent functioning at home
- Certified Home Health Agency
Nursing Supervisor (Per-Diem)
ArchCare San Vincente de Paul/ Kateri Residence
NYC/ Bronx, NY
01.2014 - 05.2016
- Company Overview: Skilled Nursing Facility
- 120-bed facility providing sub-acute, rehabilitation, long-term care and dementia services
- Supervisor/ clinical resource to LPN/ CNA staff; oriented, instructed, evaluated and initiated disciplinary actions
- Responded to emergencies/ codes, resolved clinical issues; investigated incidents and accidents
- Knowledge of MDS 3.0; participated in the review process in preparation for JCAHO site audits
- Skilled Nursing Facility
RN (Per-Diem)
St. Barnabas Rehabilitation & Continuing Care Center
Bronx, NY
01.2010 - 01.2014
- Company Overview: Skilled Nursing Facility
- Frequent charge role; floated to sub-acute, rehabilitation, HIV/AIDS, ventilator and long-term care services
- Delegated staff assignments, resolved clinical issues, assessed/ processed new admissions and participated in interdisciplinary treatment planning; gave report
- Treated complex disorders; including post-CABG, MI, CVA, COPD, ESRD, diabetic complications, palliative end-stage care, amputations, hip/ knee replacement and other orthopedic surgeries
- Managed IV’s and PICC lines, NG/PEG tube feedings, wound vacs, debridement sites and stoma care
- Skilled in ventilator care, including ‘weaning’, pulse oximetry, tracheostomy care, and general airway maintenance
- Made daily rounds to identify and stage new and pre-existing pressure ulcers, vascular and surgical wounds
- Investigated and reported incidents and accidents; responded to emergencies, arrest codes and complaints
- Skilled Nursing Facility
RN (Part-Time)
HELP/ PSI
Bronx, NY
09.2012 - 10.2013
- Company Overview: HIV/ AIDS Program
- Floated to sub-acute, rehabilitation, HIV/AIDS care, ventilator unit and long-term care services
- HIV/ AIDS Program
LPN (Per-Diem)
Neighbors Home Care Hospice Services
White Plains, NY
04.2009 - 05.2011
- Consistent 12-hour assignments providing home care to terminally ill patients requiring wound/ ostomy care, tracheostomy suctioning, g-tube feedings, medications, pain management and general nursing care
- Focus was on compassionate end-of-life care and supporting families coping with impending loss
Education
Master of Science - Nursing Degree
Florida International University
Miami, Florida12.2020
Bachelor of Science - Nursing Degree
Herbert H. Lehman University
Bronx, NY05.2014
Associate in Applied Science - Nursing Degree
Monroe College
Bronx, NY05.2010
Licensed Practical Nursing Diploma -
Merit Institute of Allied Health
Bronx, NY05.2006
Skills
- Windows 10
- MS Word
- Excel
- PowerPoint
- McKesson Homecare
- Sigma Care EHR
- CaseTrakker
- HCHB
- Case Any Place homebase system
- Jiva 61
- Blue for Me-SME
- Care 360
- Diamond
- Siebel
Certification
- Registered Nurse (RN) Licensure: Florida (RN9415814), New York (638534), Multistate Compact (RN9415814)
- Certified Case Manager (CCM) – #4231503
- Basic Life Support (BLS) – American Heart Association
PROFESSIONAL AFFILIATIONS
- Case Management Society of America (CMSA)
References
References available upon request.
Timeline
Population Care Manager
Florida Blue Cross & Blue Shield
05.2021 - Current
Lead RN/ Remote Care Manager
Florida Blue Cross & Blue Shield
07.2017 - 11.2020
Remote Registered Nurse Consultant
National Care Advisors
09.2016 - 07.2017
Registered Nurse Care Leader- Inpatient Unit
Trustbridge Health
05.2016 - 12.2016
Nurse Case Manager - (MLTC) Managed Long-Term Care Program
GuildNet Jewish Guild
05.2014 - 05.2016
Coordinator of Care (FFS)
Alpine Home Care
04.2014 - 05.2016
Nursing Supervisor (Per-Diem)
ArchCare San Vincente de Paul/ Kateri Residence
01.2014 - 05.2016
RN (Part-Time)
HELP/ PSI
09.2012 - 10.2013
RN (Per-Diem)
St. Barnabas Rehabilitation & Continuing Care Center
01.2010 - 01.2014
LPN (Per-Diem)
Neighbors Home Care Hospice Services
04.2009 - 05.2011
Master of Science - Nursing Degree
Florida International University
Bachelor of Science - Nursing Degree
Herbert H. Lehman University
Associate in Applied Science - Nursing Degree
Monroe College
Licensed Practical Nursing Diploma -
Merit Institute of Allied Health
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