Natalya Csatari has over 15 years of experience as a registered nurse. She has worked as a care manager for Wellcare Health Plan and United Health Care, where she coordinated care for members, assessed needs, and developed and implemented care plans. She also served as Director of Nursing at Always Care Adult Medical Day Care Center, overseeing nursing services and education. Csatari aims to obtain a position that allows her to utilize her clinical expertise and experience in care coordination and management.
1. NATALYA CSATARI
18 Barn Swallow Blvd Marlboro, New Jersey, 07746 732 693 9227 natalya.csatari@yahoo.com
WORK EXPERIENCE
Wellcare Health Plan, Newark, NJ
RN, BSN , Care Manager, Sep 2014 – Oct 2015
• Coordinates the care and services of Long Term Care members across the continuum of illness. Promotes
effective utilization and monitors health care resources. Assumes a leadership role within the
interdisciplinary team to achieve optimal clinical and resource outcomes. Works with the PCP, member's
family, Supervisor/Manager of Care Management to assess, plan, implement, coordinate, monitor and
evaluate services and outcomes to maximize the health of the Member.Essential Functions:In conjunction
with the PCP, member, member's family, and other pertinent members of the Interdisciplinary Care Team
(IDT), CM completes a comprehensive assessment and develops a Person Centered Service Care Plan
utilizing clinical expertise to evaluate the member's need for alternative services. Assesses short-term and
long-term needs and establishes case management objectives.Manages 75 to 100 active cases based on
case intensity and acuity.Responsible for Utilization Management and uses prescribed criteria to provide
timely, appropriate, and medically necessary service authorizations.Interacts continuously with member,
family, physician(s), IDT members, and other providers, utilizing clinical knowledge and expertise to
determine medical history and current status. Assesses the options for care, including use of benefits and
community resources, in order to update the Person Centered Service Care Plan.Acts as liaison and
member advocate between the member/family, physician and facilities/agencies.Maintains accurate
records of care management activities in the EMMA system, using clinical guidelines.Coordinates
community resources with emphasis on medical, behavioral and social services. Applies care management
standards and maintains HIPAA standards and confidentiality of protected health information. Reports
critical incidents and information regarding quality of care issues.Ensures compliance with all state and
federal regulations and guidelines in day-to-day activities.Participates in monthly chart audits.Performs
special projects as assigned.
United Health Care Community and State, Edison , NJ
RN,BSN ,Field Care Manager , Mar 2012 – Sep 2014
• Primary Responsibilities:Assess, plan and implement care strategies that are individualized by patient and
directed toward the most appropriate, lease restrictive level of careUtilize both company and community
based resources to establish a safe and effective case management plan for hospitalized
membersCollaborate with patient, family, and health care providers to develop an individualized plan of
care that encompasses both acute care episode and post hospital discharge planCommunicate with all
stakeholders the required health related information to ensure quality coordinated care and services are
provided expeditiously to all hospitalized membersAdvocate for patients and families as needed to ensure
the patient's needs and choices are fully represented and supported by the health care teamUtilize
approved clinical criteria to assess and determine appropriate level of care for hospitalized
membersUnderstand insurance products, benefits, coverage limitations, insurance and governmental
regulations as it applies to the health planAccountable to understand role and how it affects utilization
management benchmarks and quality outcomes
2. • Primary Responsibilities:Assess, plan and implement care strategies that are individualized by patient and
directed toward the most appropriate, lease restrictive level of careUtilize both company and community
based resources to establish a safe and effective case management plan for hospitalized
membersCollaborate with patient, family, and health care providers to develop an individualized plan of
care that encompasses both acute care episode and post hospital discharge planCommunicate with all
stakeholders the required health related information to ensure quality coordinated care and services are
provided expeditiously to all hospitalized membersAdvocate for patients and families as needed to ensure
the patient's needs and choices are fully represented and supported by the health care teamUtilize
approved clinical criteria to assess and determine appropriate level of care for hospitalized
membersUnderstand insurance products, benefits, coverage limitations, insurance and governmental
regulations as it applies to the health planAccountable to understand role and how it affects utilization
management benchmarks and quality outcomes
Always Care Adult Medical Day Care Center , Old Bridge, NJ
RN, Director of Nursing , Aug 2009 – Mar 2012
•
• Direct the nursing service department, as well as its programs and activities, in accordance with current
nursing facility rules, regulations.Establish and implement departmental goals and objectivesAdvise and
make recommendations to the Administrator of any issues, concerning the operation of the nursing service
departmentPerform/Coordinate all Nursing education.Coordinate admission and discharge
procedures.Assess, observe and monitor the consumers response to treatment and nursing care.Prepare
and review medical and interdisciplinary care plans.
Community Medical Center , Toms River , NJ
Staff RN , Telemetry unit , PCU, Feb 2008 – Mar 2009
• Position ResponsibilitiesTelemetry Nurses provide direct and individualized nursing care to patients
based on the application ofscientific nursing principles. In addition to general nursing care,
responsibilities of Telemetry Nurses include(but are not limited to):ƒ Consults and coordinates with
health care team members to assess, plan, implement and evaluate patientcare plansƒ Prepares and
administers (orally, subcutaneously, through an IV) and records prescribed medications.Reports adverse
reactions to medications or treatments in accordance with the policy regarding theadministration of
medications by a licensed registered nurseƒ Monitors and adjusts specialized equipment used on patients,
and interprets and records electronicdisplaysƒ Identifies irregular telemetry readings and notifies
appropriate medical team membersƒ Initiates corrective action whenever information from monitoring
equipment shows adversesymptomatologyƒ Provides basic, bedside careƒ Initiates patient education plan,
as prescribed by physician. Teaches patients and significant others how tomanage their illness/injury, by
explaining: post-treatment home care needs, diet/nutrition/exerciseprograms, self-administration of
medication and rehabilitationƒ Records patients’ medical information and vital signsƒ Prepares equipment
and aids physician during examination and treatment of patientƒ Responds to life-saving situations based
upon nursing standards and protocolƒ Records all care information concisely, accurately and completely,
in a timely manner, in the appropriateformat and on the appropriate formsƒ Performs other position-
related duties as assigned, depending on assignment setting
EDUCATION
Seton Hall University College of Nursing , South Orange , NJ
Bachelor of Science in Nursing , November 2007
3. Voronezh Medical College, Voronezh
Bachelor of Science in Medical Science , 2001
ADDITIONAL SKILLS
• Licenses/ Certifications :NJ Registered Nurse Licence #26NR13490100 NJ State Assessor
CertificationNurse Delegation Pilot Project Certification CPR CertificationIV Certification Chest Tube
insertion and Care CertivicationSkills : Fluent in RussianProficient in Microsoft World, Excel and Power
Point , Care One ; EMMA.