Morgan Roberts
Atmore,AL
Summary
Proactive Utilization Review RN and Case Manager with extensive experience in Med/surg, NICU, ICU, and emergency care. Expertise in conducting thorough reviews, streamlining workflows, and coordinating complex care plans to improve patient outcomes. Strong skills in clinical assessment, documentation, and interdisciplinary collaboration.
Overview
14
14
years of professional experience
Work History
Utilization Review Registered Nurse
Atmore Community Hospital
06.2024 - Current
- Provided accurate documentation of all utilization review findings, ensuring a clear audit trail for future reference or analysis.
- Contributed to cost savings by applying evidence-based guidelines to determine medical necessity and appropriateness of care.
- Promoted interdepartmental collaboration to streamline workflow processes, resulting in improved efficiency and patient outcomes.
- Enhanced the efficiency of the utilization review process by collaborating with interdisciplinary teams and streamlining communication channels.
- Ensured continuity of care across transitions by collaborating with healthcare providers, patients, and families to facilitate communication and coordination of services.
- Collaborated with financial counselors to ensure accurate billing practices based on clinical documentation from utilization reviews.
- Improved patient satisfaction by conducting thorough utilization reviews and ensuring appropriate care plans were in place.
Registered Nurse Case Manager
Atmore Community Hospital
06.2010 - Current
- Evaluated patient progress and adjusted care plans accordingly, ensuring continuity of care across all healthcare settings.
- Collaborated with physicians and other healthcare providers to ensure appropriate resource utilization for complex cases.
- Provided education and support to patients and families, empowering them to make informed decisions regarding their healthcare needs.
- Improved patient outcomes by consistently providing comprehensive assessments and developing tailored care plans.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Streamlined care coordination processes to reduce hospital readmissions and emergency department visits.
- Participated in on-call rotations to deliver after-hours care.
- Authored initial assessments of patients and family to develop plans for individual home care needs.
- Enhanced interdisciplinary team communication through regular case conferences, promoting effective collaboration for optimal patient care.
- Conducted comprehensive assessments of patients'' physical, emotional, and social needs in order to develop individualized care plans that facilitated optimal health outcomes.
- Responded promptly and professionally to patient questions and concerns.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Coordinated rehabilitative and preventive nursing processes and procedures.
Registered Nurse, Emergency Department
Atmore Community Hospital
06.2010 - Current
- Demonstrated strong clinical reasoning skills when assessing patients'' conditions, initiating appropriate interventions, and escalating concerns to physicians as needed.
- Improved patient outcomes by consistently providing high-quality emergency care and implementing evidence-based nursing practices.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
NICU Registered Nurse
USA Children's & Women's Hospital
01.2014 - 03.2015
- Managed complex cases, addressing needs of premature infants requiring ventilator support, IV therapy, and total parenteral nutrition.
- Improved patient outcomes by providing exceptional care for critically ill neonates in a Level III NICU setting.
- Assisted physicians with neonatal procedures such as intubation, umbilical line insertion, and lumbar puncture.
- Promoted family-centered care, involving parents in the decision-making process and educating them about their infant''s condition.
Registered Nurse, Intensive Care Unit
Atmore Community Hospital
06.2010 - 01.2015
- Handled ventilator support, feeding tubes and central lines.
- Assisted physicians with bedside procedures, ensuring accurate treatment administration and timely patient recovery.
- Demonstrated advanced critical thinking skills while managing complex clinical situations involving multiple organ systems failures in critically ill patients.
- Administered medications and treatments as prescribed by physicians.
Education
Associate of Science - Nursing
Faulkner State Community College
Bay Minette, AL05.2010
High School Diploma -
Escambia County High School
Atmore, AL 05.2005
Skills
- Patient confidentiality
- Medical Documentation
- Clinical assessment
- Quality Improvement
- Healthcare regulations
- HIPAA Compliance
- Discharge planning coordination
- Insurance Verification
- Medicare knowledge
- Documentation And Reporting
- Inpatient Care
- Medicaid knowledge
- Palliative Care
- Discharge Planning
- Utilization review
- Home Health Care
- Medication and IV administration
- Time Management
- Compassionate and Caring
- Reliability
- Excellent Communication
- Certified in CPR/AED/ACLS/PALS
- Microsoft Office
Timeline
Utilization Review Registered Nurse
Atmore Community Hospital
06.2024 - Current
NICU Registered Nurse
USA Children's & Women's Hospital
01.2014 - 03.2015
Registered Nurse Case Manager
Atmore Community Hospital
06.2010 - Current
Registered Nurse, Emergency Department
Atmore Community Hospital
06.2010 - Current
Registered Nurse, Intensive Care Unit
Atmore Community Hospital
06.2010 - 01.2015
Associate of Science - Nursing
Faulkner State Community College
High School Diploma -
Escambia County High School
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