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Bettye J.

Castellese, RN, BSN


3708 Reagan
Houston, Texas 77009
Home (713) 864-5356 or Cell (713) 392-1081
Email: bc4fe1e4@westpost.net
Objective: To obtain a position which will allow me the ability to help an organ
ization to achieve quality patient care, excellent customer service, employee jo
b satisfaction, and help to strengthen revenue capabilities through my past mana
gement, clinical experience and creativity skills.
Experience:
*Blue Cross Blue Shield of Texas Feb. 16, 2009 to present.
Blue Care Advisor/ Clinical Case Manager II
Performs telephonic interviews with members to help identify a variety of medica
l conditions and then be able to help empower the member to work towards overall
wellness. Educate members about the various medical condition they have and way
s to achieve better health. Perform physician collaboration to prevent gaps in
clinical care. Work with a variety of other educators to coordinate care. Use
of Word, Excel and ICD 9 diagnosis code knowledge.
*Maxim Home Health Sept. 2008 to Feb 15, 2009.
Clinical Supervisor/Adults
Performed supervisory visits to patient's home to monitor and ensure state compl
iance of staff in the home setting and for the safety and well being of patient
s. Prepare and initiate plan of care for staff to follow after MD review and ap
proves plan of care. Coordinates patient care and empowers staff with knowledge
of disease process through training and plan of care and patient care conferenc
e during supervisory visits to the home. Provides orientation to new hires. Ob
tained lab work from patients if needed. On call 24/7. Work closely with the
team in the office to ensure a high quality of care to the patient. Prepared p
aperwork for Medicare and the state for authorization of services.

*Cyberonics
Houston, TX January 02, 2008 to Sept. 2008
Nurse/ Clinical Engineer II
Technical Support for VNS medical device.
Provided support as needed for surgeries and troubleshooting issues.
Provided answers relating to clinical indications, contraindications, warnings a
nd general clinical or technical guidance as related to VNS Therapy.
Researched solutions to questions or problems (eg, VNS Therapy system questions,
product selection issues) and provides answers according to labeling and clinic
al or technical data when available.
Followed procedures within Clinical and Medical Affairs

*Memorial Hermann/WorkLink
Houston, TX January 09, 2006 to December 31, 2007
Case Manager
Case Management of injured workers for Memorial Hermann and other clients.
Communicate with the employee to explain OGD guidelines and anticipated return t
o work along with educating them about their injury and plan of care to be able
to safely return to work. Empower employees with the choices they have while als
o communicating with the employer and insurance company to contain cost and redu
ce unnecessary medically not indicated procedures or treatment. Work closely wit
h the employee and MD to monitor plan of care.
Also, onsite case management on special cases that require special attention due
to nature of injury. Able to achieve quality of care with satisfaction by the i
njured worker and enable the injured worker to make choices about their care sho
wing compassion and yet being able to help them to understand plan of care to en
able employee to return to work as soon as possible with safety of the employee
at the forefront. Also, accountable for marinating billing and using the ODG gui
delines as a tool for plan of care. Worked as a team player.

*First Health
Houston, TX June 12, 2004- December 23, 2005
CM II and Concurrent Review Nurse
Intake of calls from members and case managers to provide a high quality of memb
er care and satisfaction while using set criteria to provide quality of care and
maximizing the number of in patient days. Follow up calls to members, as a cour
tesy to assure member satisfaction and to make sure member understood instructio
ns and follow as needed. Prepared predeterminations/UR using policies and proced
ures.

*SF-DCT (713) 874 -6099


Houston, TX May 31, 2003 - Feb. 2004
Senior Claims Review Specialist
Responsible for working independently reviewing medical records using nursing
Knowledge and using the settlement criteria in the review of claims.
Assisted in mentoring of new claims reviews.
Assigned to also work on special independent projects as needed while keeping st
rict rules of patient confidentiality.
*Medical Record Consultants [MRC]
Houston, TX April 2002- May 2003
Legal Nurse Consultant
Responsible for extracting patient information from the medical chart for variou
s
attorneys. Confidentiality strictly maintained. Prepared detailed chronology and
summary letters. Worked independently in the review and analysis of the
medical records. Also worked in the call center taking various calls for special
projects.
*MDL-926
Houston, TX May 1995-March 2003
Registered Nurse/Claims Reviewer
Worked independently reviewing medical records, analyzing the records using nurs
ing knowledge. Also communicated via telephone and letters with attorneys world-
wide and with claimants in assisting them with their claims. Confidentiality st
rictly maintained. Assigned to various projects and worked with team
members to meet goals set by management.
*The Methodist Hospital (713) 790-3311
Houston, TX Sept. 1989 - May. 1995
Staff Nurse/Emergency Department
Provided care to emergent and critically ill patients. CPR and ACLS certificatio
ns
and numerous classes to maintain skills to provide quality care in the Emergency
room.
*Staff Nurse in the OB/GYN Department
Provided care to high-risk antenatal and post- partum patients. Promoted to Assi
stant Head Nurse after one year as staff nurse. Managed the 3-11 shift. Responsi
ble for co-ordination of nursing assistants, nurses and assignments. Responsible
for the quality of care from all other employees as well as annual reviews. Res
ponsible for QA of nurses and teaching of fetal monitoring and other specialized
skills need to work with high- risk OB patients.
Worked with new parents and newborns to help transition to home.
Communicated with physicians on the evening shift and maintained a high standard
of care for all patients.
*St. Joseph Family Health Center
Houston, TX Not sure of dates-Sept. 1989 (approx.)
Worked in an ambulatory clinic. Walk in and regular patents cared for and taught
about their plan of care and follow up. Medical procedures: drew blood, lab and
x-ray procedures. Additionally, responsible for all phases of insurance, billin
g and coding, including worker's compensation.
Education:
Bachelor of Science in Nursing April 2003
University of Texas Medical Branch
Galveston, Texas
Associate Degree Nursing
Houston Community College
Houston, Texas May 1989
Vocational Nurse
Houston Community College
Houston, Texas January 1985
U.S. Army Medic Training Program
U.S. Army
Alabama and Fort Sam in San Antonio, TX
July 1978 - December 1978
Special Skills: B.L.S.; 1983-1987 X-ray and Lab tech
skills. Computer Power Point, Publisher, and Excel at
UTMB
Seminars Given:
"Strategies to Prevent Work Injures"- Presented to over five-hundred nurses at N
urse Spectrum seminar on 4/2007.
Awards:
Nurse Spectrum 2006 Excellence Award for Clinical Care featured in the October 2
006 issue
References:
Janice Finney, RN, BSN
General Manger at Texas Gulf Coast Medical
281-604-1962 or 281-744-6768
LaDonna Crockett-Jones, LVN
Case Manager / WorkLink
713-448-6568
Maria Cedillo, RN
Case Manager
832-655-6076
Tamara Barnum, RN, BSN
Former director at Maxim Home Health
713-899-8797