HARRIET BOVELSKY

64 Thadford St.
East Northport, New York 11731
631-368-2026 (HOME)
631-671-2830 (CELL)
hbc4c216@westpost.net

Profile:
Over 30 years in the health care field. Experienced in case management, home ca
re, insurance industry and hospitals. Worked as liaison between insurance and
physicians to set initial discharge planning needs for patients in their home se
ttings.
Employment History:
Health Care Partners of Nevada - June 2006 to January, 2010
Responsibilities - High risk case manager for Medicare HMO members and Commercia
l members. Worked with disease management including COPD, CHF, Diabetes and ESR
D. Assisted with referrals, social needs which include pharmacy gap assistance
worked with DME companies, home infusion and identified patients with Hospice ne
eds. Worked with hospitals, rehab centers and nursing homes to set up appropria
te discharge planning. Helped patients with claim issues. Referred patients to
Adult Protective Services as appropriate. Helped patients with continuity of c
are issues. Worked on compliance issues as needed.
Worked with social workers to help set up Medicaid for patients with financial n
eeds. Helped patients to acquire food stamps and to be able to pay their co-pay
s for medications, DME, and hospital co-pays.
Oasis Home Health - April 2006 to June 2006
Responsibilities - Per diem case manager. Worked with Medicare and commercial in
surance patients from admission to discharge. Worked with physicians to set up
home health for patients discharged from hospitals and nursing homes.
Nellis Air Force Base - August 2005 to April 2006
Responsibilities - Area Manager. Worked with the Air Force to manage the Air For
ce contact. Supervised personnel at 4 bases. Worked with the Air Force hospita
ls and clinics at these bases to help solve problems.

Southwest Medical Associates - July 2004 to August 2005

Responsibilities - Case manager/Team Leader. Worked with patients and physicians
in the clinic. Set up care plans and worked with social worker to assist patie
nts with various needs. Set up home health, home infusion and hospice as necess
ary. Performed hands on as needed. Worked with clinic pharmacist to help patie
nts understand and be compliant with their medications. Helped to settle patien
t issues in the clinic. Called patients in their homes and would set up appointm
ents as needed to provide the best health care. Acted as triage nurse as needed.
Help to set up Hypertension and Diabetic clinics for high risk patients and in
volved the physicians as needed. Acted as clinic manager, when the manager was
not available.
Premera Blue Cross - February 2001 to July 2004
Responsibilities - Episodic case manager. Worked with hospitals and discharge p
lanners to set up appropriate care for patients upon discharge. Set up home hea
lth, home infusion, DME and Hospice. Worked within patients' contract to obtain
special needs as they would arise. Investigated claims for payment and present
ed suspect claims to Medical Directors as appropriate. Provided cost savings an
alysis for both soft and hard savings. Referred patients to Medicaid as appropr
iate to help with their social and financial needs.
Providence Marianwood Home Care - August 1996 to February 2001
Responsibilities - Manager Private Care Services - August 1996 - February 2001
Worked with private pay and Medicare patients to set up home health services.
Managed 200 patients and 150 home health aides. Scheduled aides as needed. Supe
rvised, counseled, hired and fired personnel. Set up both patient and employee
files. Supervised aides and provided education according to state standards. W
orked on yearly budgets. Helped to develop policies. Set up a CNA program acco
rding to state standards. Performed competencies for home health aide compliance
.
Education - Sinai Hospital School of Nursing
Graceland College
License RN License State of New York - Active 614156-1 Certific
ate Number 7128217UD
RN License State of Nevada - Active RN46496
References: Anna Grant = Supervisor 972-352-1102
Charlotte Miller - Co-worker 702-672-5502 cp.702-256-343
4 h
Noreen Bell - co-worker - 702-318-2400 ext. 2400