1. ANGELA REGINA MORGAN
7714 Lovella
Saint Louis, Missouri
Home: 314-645-5036 • Mobile: 314-956-4485
sonbluegospel@yahoo.com
SUMMARY OF QUALIFICATIONS
OBJECTIVE: TO DEVELOP AND INSTRUCT ON-LINE VIRTUAL AND DISTANCE CURRICULUM
PROGRAMS FOR NURSES
Areas of Expertise
• On boarding curriculum development and instruction
• On-line nursing curriculum course development and instruction-University of Missouri
Saint Louis
• Quality Improvement
• Utilization Review
• Data Mining
• Catastrophic/Chronic Disease Case
Management
• Call Center Dialer Management
• Predictive Risk Assessment/Cost
Benefit & Analysis
• Workers Compensation Case
Management
• Legal Medical Record/Bill Review
• HEDIS Auditing
• Home Health Supervision/Intravenous
Therapy
• Excellence in Case Management
Award-2010-CMSA
• On boarding and competency staff
development training of employees
• Six Sigma Yellow Belt
PROFESSIONAL EXPERIENCE
Cigna-Healthcare-Oncology-Case Manager Specialist-
2011-persent-
Telephonic and virtual health education and behavioral change of members for a variety of
employer groups, rendering population case management and coordination of services for
members for a variety of employer groups.
Accomplishments:
Serve on health disparities counsel
Serve and review standard operating procedures for revisions
Training and mentoring of new staff
Chaired a community health outreach program for CIGNA employees for several years
Lead a team of ten volunteers to provide health promotion information in the community
for two years
Successfully conducted a health disparities review of City of Houston health disparities
needs which resulted in a virtual presentation to the leadership council and the
development of a task force to provide health promotion literature to employer group
annual employee enrollment sessions.
2. ANGELA REGINA MORGAN: 314-645-5036 PAGE 2
Proposed a bereavement counseling program for caregivers with program pilot to begin
fall 2015.
R&G Medical Legal Solutions-Nurse Auditor- 2010-2012
Legal Medical Record Review and reporting for mass toxic tort product liability cases.
As an independent contractor, reviewed medical defense cases for merit and provided
explanations of standards of care. Consultative reporting on the correlation of medical
records facts to allegations, by identifying causation, and damage issues. Screened
medical documents for tampering of the record.
APSHEALTHCARE- SAINT LOUIS, MISSOURI 2008-2010
Community Outreach Health Coach
Led training and outcomes quality auditing project which led to a statewide procedure for
setting up outcomes data abstraction and analysis.
Developed a virtual instructional web-cam training program for new and current
employees.
Consultation and developed nursing documentation workflow processes, which resulted
In changed billing workflow practices.
Secured a company sponsorship for community outreach health fairs .
HEALTH WAYS – SAINT LOUIS, MISSOURI 2006-2008
Care Coordinator
Educated staff and evaluated documentation for URAC accreditation
Quality monitoring and development of the silent monitoring tools for the team
Developed on-line and classroom orientation training tools for new employees and
various special project management duties.
Inbound dialer management.
Co-chaired customer service committee, spearheaded a customer service training
program for employees which developed into a companywide program.
ADVANCED NURSING CONSULTANTS – SAINT LOUIS, MISSOURI 2009- 2010
Medical Legal Nurse Reviewer
3. ANGELA REGINA MORGAN: 314-645-5036 PAGE 2
Reviewed medical records and rendered detailed reporting for a large law firm of mass product
liability toxic tort cases.
CASE MANAGEMENT CONSULTANTS – SAINT LOUIS, MISSOURI 2003- 2005
Case Manager
Responsible for Catastrophic and Chronic Disease Management, screening of cases for referral
and assignment, predictive modeling, data mining, telephonic education of members and
collaborative coordination of services for third party administrators and health care team.
• Secured return on investments of over four to one in the sum of $250,000.00 on several
cases.
MEDICAL EMPLOYMENT DIRECTORY – SAINT LOUIS, MISSOURI 2003- 2003
HEDIS Auditor
Project auditor for a company based out of Colorado for the Saint Louis metropolitan area and
St. Clair County. Case set-up and review for Medicare and Medicaid standards for facilities and
physician offices.
INTELISTAF – SAINT LOUIS, MISSOURI 2002-2003
Care Coordinator
Performed concurrent retrospective/precertification utilization management review
authorizations for service requests of PPO, HMO, POS and Medicare plans for the Midwest
region. Examined Predictive Risk and assisted with third level appeal research/review and report
development.
Prepared and distributed provider /company –medical director second and third level
research form letter, which resulted in revision of third level form letters.
ADDITIONAL RELEVANT EXPERIENCE
A variety of charge nurse duties in neuro-rehabilitation, orthopedics, open physciatry, obstetrics
and gynecology, home healthcare supervision, and medical intensive care
EDUCATION
Associate Degree in Nursing –Forest Park Community College -1982
Bachelor of Science in Nursing - Webster University - Saint Louis Missouri-1989
Master of Science in Nursing (Educator Specialty)
Chamberlain College of Nursing-Saint Louis Missouri-expected date of graduation December
2015.
LICENSES
Licensed Registered Nurse
Missouri, Illinois, California, and Massachusetts.
CERTIFICATIONS
Certified Case Manager –obtained 1994
Legal Nurse Consultant-obtained 2010
Independent Legal Nurse Consultant
Director- Case Management Society of Saint Louis Missouri-2010-2011
