Anitra LaMorticella, RN BSN MBA 627 Deodar Avenue Oxnard, CA 93030

Contact Phone: (805) 263 -6243 Email Address: al116d01a@westpost.net Professional Summary I am an accomplished and talented registered nurse with nearly 30 years experien ce in emergency nursing, plastic surgery (operating and recovery room), and heal th insurance utilization management. At this stage of my career, I am seeking t o return to a 'local' clinical setting or office environment. Very determined and willing to learn any new updated processes or technical trai ning necessary. Core Qualifications * Experience in Utilization Management, Emergency, Operating and Recovery Room * NCQA proficient (National Committee Quality Assurance) * Policy and program development and implementation * Sound clinical judgment * Strong team member; able to work cohesively with multiple departments, manager s, directors and VP's (staff and regional) * Adept in WORD, Excel, Power Point and PDF capability * Stay fit regularly working out at the local gym Experience 05/1998 to 05/2010 WellPoint (Anthem Blue Cross), 5151A Camino Ruiz, Camarillo, CA 03012. Lead, Med ical Management Nurse 2004 to May 2010 * Ensured NCQA (National Committee for Quality Assurance) UM (Utilization Medica l Management) Standards were implemented and updated timely * Developed annual UM Program Documents, Workplans and Evaluations * Collaborated with Quality Management, Case Management and Compliance departments * Responsible for oversight and management of State Regulatory Agencies requirem ents, external and internal audits, policies and procedures Instructed physicians and nurses regarding clinical rationale determination and member letter language required by State agencies

2001 to 2004 * Conducted new hire orientation and medical management training on computer sys tems enhancements and upgrades. * Internal audit reviews and testing nurse continuity of care 2000 to 2001 Reviewed concurrent medical necessity for inpatient hospitalizations, out-patien t surgeries/diagnostic procedures, and episodic case management. Experience with multiple LOB's (lines of business) within State Sponsored Business. 1998 to 2000 Reviewed clinical criteria and determined medical necessity for pre-service requ ests of elective inpatient and outpatient services. Role as preceptor to new hir

e trainees, RN liaison to management. 04/1995 to 1997 Home Health RN for Dr Augusto Focil, Oxnard, Ca / On call RN surgical assistant, recovery room and overnight recovery nurse, clinic pre-op /post-op duties, Dr. Steven Hoefflin, Santa Monica CA Full-time Emergency room RN St John's Hospital, Oxnard Ca Full time 1995 to 1996

01/1986 to 04/1995 Dr Brunno Ristow Pacific Clinic, 2100 Webster Street, San Francisco, CA RN surgical assistant, recovery room and overnight recovery nurse, clinic pre-op /post-op duties 06/1981 to 01/1986 Brookside Hospital Emergency Room, 2000 Vale Rd San Pablo, CA Charge Nurse, Mobile Intensive Care Nurse, and Emergency Dept Trauma RN, responsible for ER acute patient care. Education University of LaVerne, Oxnard, CA; Master in Business Administration , 2004 GPA 3.83 San Francisco State University, San Francisco, CA; Bachelor of Science Nursing , 1982 GPA 3.5, Cum Laude Diablo Valley Community College, Pleasant Valley, CA; Associate of Science Degre e, 1979 GPA 3.46 Muscatine High, Muscatine, Iowa; 1975 High School Diploma Professional Licenses or Certifications Registered Nurse #337444 State of California, Active since 1981 ACLS (Advanced Cardiac Life Support), Active 2010 BLS (Basic Life Support), Active 2010 ACLS) re-cert, S.F Paramedic Assoc., S.F. Ca 1994 ACLS re-cert, Cottage Hosp, Santa Barbara, Ca. 1992 ACLS re-cert, St. John's Hospital, Oxnard, Ca. 1988, 1990 MICN (Mobile Intensive Care Nurse) re-cert, Marin County, Ca. 1987 MICN re-cert, Contra Costa County, Ca. 1985 ACLS re-cert, San Leandro, Ca. 1984 MICN, Stanford Pre-Hospital Care Program, 1983 ACLS, Oakland, Ca. 1982 Professional Recognitions References available upon request. Thank you