Ellen Catania

Ellen Catania has extensive experience in the healthcare industry, with a focus on clinical management, nurse auditing, and overseeing review operations. From 2020 to the present, they have been the Senior Director of Review Operations at NYCHSRO\Medreview. In this role, they are responsible for the oversight of nurse auditor teams conducting hospital bill reviews and DRG validation reviews. Ellen also coordinates the development of policies and procedures for review programs and ensures timely completion of reviews for compliance.

Prior to this, from 2011 to 2020, Catania worked at Zelis Healthcare as a Clinical Manager and Clinical Consultant. In this position, they supported nurse auditors, sales, and account management teams, provided clinical support to clients with claim inquiries, and offered education and support to nurse auditors in various clinical areas. Ellen also oversaw the Peer Review program for medical necessity and experimental/investigational reviews.

Earlier in their career, Catania served as a Nurse Manager at SURGICAL SPECIALISTS AT PRINCETON LLC for a brief period in 2011. Before that, they worked at University Surgery Center from 2005 to 2010 as a Specialty Clinician/Charge Nurse. In this role, they were involved in developing clinical policies and procedures, coordinating specialty cases, making staffing decisions, participating in quality improvement studies, and providing education to OR staff.

Overall, Ellen Catania's work experience demonstrates their expertise in review operations, clinical management, nurse auditing, and providing clinical support in the healthcare industry.

Ellen Catania attended the College of Staten Island CUNY from 1986 to 1989, where they earned an Associates Degree in Family Practice Nurse/Nursing. Additionally, they obtained the Approval of Professional (Registered) Nursing Programs certification from the New Jersey Board of Nursing. The specific months and years of when they obtained this certification are not provided.