Open to opportunities

Alison Morris

@alisonmorris

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Registered Nurse transitioning to remote utilization management and care coordination.

United States

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What I'm looking for

I seek remote utilization management or case management roles where I can apply clinical assessment, CMS expertise, and EMR skills to improve care coordination and reduce denials.

I am a highly analytical Registered Nurse with a BSN and diverse clinical experience across Neuro-ICU, Outpatient Surgery, and Home Health Case Management. I excel at clinical assessment, medical necessity review, and coordinating care to optimize patient outcomes.

In my current role as an RN Case Manager in Home Health, I independently perform utilization review against CMS criteria, manage high-volume EMR documentation, and collaborate with payers to secure prior authorizations while preventing denials.

I bring technical proficiency with EPIC, Cerner, Homecare Homebase, and remote communication tools, strong regulatory knowledge (OASIS, CMS, HIPAA), and a demonstrated ability to use clinical data to drive resource allocation and quality care.

Experience

Work history, roles, and key accomplishments

Current

RN Case Manager

Current

ProHealth Home Health

Feb 2025 - Present (1 year 1 month)

Conducts utilization review and OASIS-based clinical assessments to verify medical necessity and homebound status, coordinating prior authorizations and care transitions to optimize resource use and prevent denials.

Utilization Management Medical Necessity Review Prior Authorizations Homecare Homebase Denial Management Care Coordination

Registered Nurse

Thomas Hospital

Oct 2021 - Dec 2022 (1 year 2 months)

Assessed postoperative patient readiness and managed discharge flow, collaborating with surgical teams to improve throughput and provided education to reduce readmissions.

Discharge Planning Patient Education Surgical Throughput Medication Management Wound Care Team Collaboration Patient Safety

Neuro ICU Nurse

Mobile Infirmary Medical Center

Sep 2020 - Oct 2021 (1 year 1 month)

Managed high-acuity neurological patients, monitored hemodynamic and neuro-status, and maintained accurate complex clinical documentation to support care transitions and resource allocation.

Hemodynamics Clinical Documentation Critical Care Nursing Interdisciplinary Collaboration NIHSS

Education

Degrees, certifications, and relevant coursework

University of South Alabama

Bachelor of Science in Nursing, Nursing

Bachelor of Science in Nursing (BSN) completed at the University of South Alabama in July 2020, preparing for clinical practice in acute and outpatient settings.