Compact-licensed BSN, RN with 4+ years clinical experience seeking Remote Case Manager / Utilization Review / Telehealth RN role. Expert in Epic, Oracle, Cerner, Meditech documentation, interdisciplinary care coordination, discharge planning, and HEDIS/NCQA quality measures. Proven ability to manage 15-19 patients daily via EHR and telephonic outreach, ensure 100% CMS compliance, and lead remote patient/family education using teach-back. HIPAA-compliant home office with dual-monitor setup, secure VPN, and high-speed internet.
Overview
1
1
Certification
4
4
years of professional experience
Work History
Staff RN – MS/Tele, Oncology/ACE
Crestwood Medical Center
Huntsville, AL
09.2023 - 01.2026
Coordinated telephonic discharge planning for 6 complex oncology/med-surg patients daily via Oracle EMR, collaborating with hospitalists, PT/OT, and case management to reduce 30-day readmissions.
Delivered remote patient/family education on chemotherapy, cardiac medications, and symptom management using teach-back methodology, decreasing after-hours call volume by 20%.
Conducted real-time EHR audits integrating telemetry data, lab results, and provider notes to identify care gaps, maintaining 100% compliance with CMS and Joint Commission standards.
Triaged clinical alerts and secure messages in Oracle, escalating cardiac/respiratory changes to providers and documenting interventions per MCG criteria.
Led virtual interdisciplinary rounds via MS Teams to align care plans, DME needs, and discharge dates across nursing, pharmacy, and social work.
Level III Trauma Center / Oracle EMR / 1:6 Patient Ratio
RN Supervisor
Huntsville Health and Rehabilitation Center
Huntsville, AL
04.2023 - 01.2024
Managed telephonic care coordination for 19 residents, overseeing RN/LPN/CNA teams and ensuring timely MDS documentation for CMS reimbursement and HEDIS reporting.
Facilitated virtual family care conferences with PT/OT/ST and physicians to establish rehab goals, arrange home health, and prevent avoidable hospital transfers.
Audited clinical documentation remotely for 100+ residents monthly, correcting gaps to maintain compliance with state surveys and NCQA standards.
Served as telephonic escalation point for patient/family concerns, providing education on chronic disease management and resolving grievances to improve satisfaction scores.
Supervised staffing and coaching via electronic systems, achieving 98% shift coverage with no contract agency use.
Skilled Nursing Facility / 105 Beds / 1:19 Patient Ratio
Staff RN – MS/Tele, PCU
Crestwood Medical Center
Huntsville, AL
02.2022 - 09.2022
Performed telephonic discharge education for Med-Surg/Telemetry patients, validating comprehension of medications, warning signs, and follow-up care via teach-back.
Monitored remote telemetry alerts in Meditech, identifying arrhythmias and communicating urgent findings to providers per protocol to prevent adverse events.
Coordinated care transitions with outpatient case management through EHR handoffs, ensuring medication reconciliation and home health/DME setup.
Maintained audit-ready documentation in Meditech for all patient encounters, supporting utilization review and medical necessity per InterQual guidelines.
Level III Trauma Center / Meditech EMR / 1:6 Patient Ratio
Staff RN – CVS/PCU
Huntsville Hospital
Huntsville, AL
02.2022 - 02.2023
Triaged high-acuity cardiac/post-op patients via Cerner, interpreting rhythms and lab trends remotely to guide timely provider interventions.
Managed medication administration and telephonic education through EHR workflows, reducing errors and improving adherence for CHF, COPD, and post-surgical patients.
Collaborated via secure messaging with multidisciplinary teams to expedite care plans, decrease length of stay, and support safe discharges.
Ensured 100% documentation compliance for PCU patients, providing data for utilization management and quality reporting under CMS guidelines.
Level I Trauma Center / Cerner EMR / 1:5 Patient Ratio / 881 Beds
Education
Bachelor of Science in Nursing - undefined
University of Alabama in Huntsville
Huntsville, AL
12-2021
Skills
TELEHEALTH & REMOTE CARE
Telephonic Case Management
Care Coordination & Transitions
Utilization Review / Prior Auth Support
Remote Patient Monitoring
Discharge Planning
Patient/Family Education – Teach-Back
Interdisciplinary Collaboration
Chronic Disease Management
CLINICAL SYSTEMS & COMPLIANCE
Epic, Oracle, Cerner, Meditech EMR
MCG & InterQual Criteria
HEDIS, NCQA, CMS Guidelines
HIPAA, PHI Security, Secure VPN
Quality Improvement & Chart Audits
Telemetry Interpretation & Triage
MS Teams, Zoom Healthcare, SharePoint
Medicare Advantage, Risk Adjustment
EHR Platforms: Epic, Oracle, Cerner, Meditech Telehealth: Zoom for Healthcare, MS Teams, Doxyme