JOSEPH DEIRATANI
Hanover,MA
Summary
Dynamic Registered Nurse Case Manager with experience managing complex caseloads and coordinating care for diverse patient populations. Proven expertise in clinical documentation, prior authorization, medical necessity assessments, MDS assessments, and regulatory compliance. Skilled in interdisciplinary collaboration and care coordination to improve patient outcomes and ensure quality care.
Overview
1
1
Certification
9
9
years of professional experience
Work History
AFC Nurse Case Manager
Cardinal Cushing Centers
11.2025 - Current
- Manage a caseload of approximately 23 Adult Foster Care members with complex medical and behavioral health needs.
- Perform comprehensive nursing assessments to evaluate medical necessity, functional status, and continued eligibility for Adult Foster Care services.
- Complete Minimum Data Set (MDS) assessments supporting level-of-care determinations.
- Prepare, review, and submit Prior Authorization requests to MassHealth with supporting clinical documentation.
- Review physician documentation, specialist notes, medications, and clinical records to support care planning and regulatory compliance.
- Coordinate medically necessary services among PCPs, specialists, caregivers, behavioral health providers, and case managers.
- Develop individualized care plans and complete Health Status Reports, caregiver evaluations, and required regulatory documentation.
Hemodialysis Registered Nurse
Fresenius Medical Care
08.2024 - 10.2025
- Managed a caseload of approximately 75 patients with chronic kidney disease and multiple comorbidities.
- Reviewed physician orders, laboratory findings, medications, and treatment plans to support evidence-based care.
- Maintained CMS-compliant clinical documentation and collaborated with interdisciplinary teams.
Registered Nurse - Medical-Surgical/Telemetry
Beth Israel Deaconess Hospital Needham
09.2023 - 08.2024
- Performed comprehensive clinical assessments for medically complex adult patients.
- Collaborated with physicians and case management on discharge planning and continuity of care.
- Maintained accurate electronic medical documentation.
Anesthesia Technician
Tufts Medical Center
05.2017 - 01.2023
- Assisted anesthesia providers during complex surgical procedures and collaborated with multidisciplinary perioperative teams.
Education
Associate of Science - Nursing
Massachusetts Bay Community College
MA01.2023
Bachelor of Science - Kinesiology
University of Massachusetts Amherst
Amherst, MA01.2018
Skills
- Clinical Documentation Review
- Prior Authorization
- Case Management
- Care Coordination
- Concurrent Review
- Retrospective Review
- Minimum Data Set (MDS)
- Regulatory Compliance
- Quality Improvement
- Population Health
- Discharge Planning
- InterQual (Familiarity)
- MCG Guidelines (Familiarity)
- Epic EMR
- Chronic Disease Management
- Interdisciplinary Collaboration
Certification
- Registered Nurse, Massachusetts
- ACLS Certified
- BLS Certified
Timeline
AFC Nurse Case Manager
Cardinal Cushing Centers
11.2025 - Current
Hemodialysis Registered Nurse
Fresenius Medical Care
08.2024 - 10.2025
Registered Nurse - Medical-Surgical/Telemetry
Beth Israel Deaconess Hospital Needham
09.2023 - 08.2024
Anesthesia Technician
Tufts Medical Center
05.2017 - 01.2023
Associate of Science - Nursing
Massachusetts Bay Community College
Bachelor of Science - Kinesiology
University of Massachusetts Amherst