Samantha Moss

Coordinated interdisciplinary care and led telehealth-based care coordination, prioritizing high-risk patients to reduce avoidable hospitalizations. Performed utilization management and medical-necessity reviews using InterQual criteria.

Supervised clinical services team, managed home health benefits and medical necessity, and oversaw individualized plans of care. Ensured regulatory compliance and performed risk-management reporting.

Managed clinical staff in case management, disease management, and utilization management. Led hiring, training, performance reviews, and streamlined protocols to improve clinical operations.

Coordinated and screened admissions and continued stays for clinical appropriateness, recommending alternate levels of care based on evidence-based criteria. Conducted daily clinical reviews for utilization and quality management.

Assessed high-risk patients and developed post-hospital care plans, coordinating discharge planning and acting as liaison between inpatient and referral facilities. Ensured continuity, quality, and appropriate resource use.

Performed hemodialysis treatments, monitored patient condition, and administered medications. Educated patients and provided training and coaching to clinical staff.

Supervised clinical services team and coordinated home health benefits, overseeing individualized plans of care and daily clinical reviews. Ensured documentation accuracy and service utilization compliance.

Supervised triage nurses, case managers, and support staff, managing complex medical calls for 13,000 patients. Led rapid response team and created new operational workflows.

Completed a Master of Science in Health Education and Promotion from Walden University in 2017.

Completed a Bachelor of Science in Nursing from Walden University in 2013.

Completed an Associate of Science in Nursing from the University of South Carolina in 2004.