Moresia Anderson

Registered Nurse with 10+ years of progressive clinical experience across acute care, nephrology/dialysis, pediatric oncology, medical-surgical, rehabilitation, and home health settings. Strong background in medical record review, clinical documentation analysis, care-plan evaluation, discharge planning, regulatory compliance, and multidisciplinary coordination. Experienced reviewing diagnoses, treatment plans, clinical findings, medications, and supporting documentation for accuracy, completeness, and alignment with established clinical and regulatory requirements.

Completed formal training in Utilization Management, medical necessity, Case Management/Utilization Management, Clinical Documentation Improvement, and HEDIS. Brings strong clinical judgment, complex-case review experience, documentation expertise, and independent work capability to remote utilization management, clinical review, prior authorization, and appeals environments.

REGISTERED NURSE — HOME HEALTH, PRN at Meridian Home Health (2024-01 – Present)

• Review clinical documentation, patient history, diagnoses, treatment plans, and assessment findings to support accurate care planning and ongoing clinical management.
• Evaluate documentation for completeness, consistency, and alignment with home health regulatory and payer requirements.
• Coordinate clinical information among physicians, case managers, patients, and caregivers to maintain accurate and current care plans.
• Maintain detailed electronic documentation supporting continuity of care, regulatory compliance, and reimbursement accuracy.
• Identify changes in clinical status and communicate relevant information to appropriate members of the care team.
• Independently manage documentation requirements, clinical priorities, and time-sensitive workflows.
• Protect confidential patient information while maintaining accurate and compliant records.

REGISTERED NURSE — ACUTE DIALYSIS at US Renal Care (2022-08 – 2024-04)

• Conducted comprehensive clinical assessments and reviewed patient records to evaluate diagnoses, treatment plans, clinical status, and ongoing care needs.
• Performed detailed chart reviews and verified clinical documentation for accuracy, completeness, and compliance with established clinical and regulatory standards.
• Evaluated treatment response, laboratory information, clinical findings, and patient history to support appropriate clinical planning.
• Facilitated discharge planning with multidisciplinary teams and reviewed post-discharge needs to support continuity of care.
• Coordinated clinical information across providers and healthcare team members to support appropriate treatment planning.
• Provided targeted clinical education to nursing staff regarding treatment plans, disease management, and documentation requirements.
• Managed complex clinical information independently in a high-volume environment while maintaining documentation accuracy.

REGISTERED NURSE — ACUTE DIALYSIS / CHARGE NURSE at John C. Lincoln Hospital, HonorHealth (2022-05 – 2024-02)

• Coordinated clinical operations and evaluated patient information while maintaining compliance with HIPAA and organizational standards.
• Reviewed clinical documentation and communicated relevant findings to physicians and interdisciplinary team members.
• Coordinated outpatient resources and discharge-related services based on documented clinical needs.
• Reviewed patient records and clinical information to support continuity of care and appropriate transition planning.
• Precepted nursing staff on clinical standards, documentation practices, and privacy requirements.
• Managed multiple clinical priorities while maintaining accuracy, confidentiality, and timely completion of documentation.

REGISTERED NURSE — PEDIATRIC ONCOLOGY, PART-TIME at King Faisal Specialist Hospital and Research Centre (2018-01 – 2019-12)

• Collaborated with oncologists and case managers to develop, evaluate, and document individualized treatment and care plans.
• Reviewed medical records to verify diagnoses, treatment plans, medications, laboratory information, and clinical documentation.
• Evaluated complex treatment plans involving chemotherapy, symptom management, pain management, and ongoing monitoring.
• Maintained detailed documentation supporting clinical decision-making, regulatory requirements, and continuity of care.
• Utilized EPIC and CERNER to retrieve, review, and document complex clinical information.
• Communicated clinically relevant findings across multidisciplinary teams.

REGISTERED NURSE — DIALYSIS, ACUTE & CHRONIC / CHARGE NURSE at King Faisal Specialist Hospital and Research Centre (2015-04 – 2022-04)

• Oversaw clinical operations and evaluated complex patient cases involving hemodialysis, CRRT, plasmapheresis, and stem cell collection.
• Participated in Root Cause Analysis activities involving patient case review, identification of documentation gaps, and development of corrective actions.
• Conducted clinical record reviews to evaluate documentation accuracy, clinical findings, treatment plans, and compliance requirements.
• Led staff and patient education initiatives that contributed to a 56% reduction in catheter-related bloodstream infections.
• Identified documentation and process improvement opportunities and implemented corrective actions through staff education and workflow improvement.
• Trained and mentored 20+ nurses on new diagnoses, dialysis equipment, clinical standards, and accurate documentation.
• Initiated a night-shift program to address patient demand and improve continuity, workflow, and documentation accuracy.
• Selected for advanced training in stem cell collection, RBC exchange, and plasmapheresis.

REGISTERED NURSE — ACUTE & CHRONIC DIALYSIS at National Renal Care (2013-03 – 2015-02)

• Conducted medical record and chart reviews to verify diagnoses, treatment plans, clinical documentation, and compliance with established standards.
• Developed and evaluated individualized care plans based on clinical findings, diagnoses, treatment needs, and patient response.
• Reviewed clinical documentation for completeness, accuracy, and consistency.
• Supervised LPNs and supported adherence to clinical and documentation standards.
• Served as Charge Nurse with responsibility for clinical workflow, documentation quality, and team coordination.
• Identified documentation discrepancies and communicated required corrections to appropriate team members.

REGISTERED NURSE — MEDICAL-SURGICAL / REHABILITATION at 1 & 2 Military Hospital (2011-06 – 2013-02)

• Conducted daily clinical record reviews for completeness, accuracy, and compliance with established documentation standards.
• Reviewed diagnoses, treatment plans, care plans, clinical progress, and patient information to support appropriate care planning.
• Participated in clinical audits and identified documentation improvement opportunities.
• Resolved documentation discrepancies and communicated findings to nursing and clinical leadership.
• Served as Charge Nurse with responsibility for clinical workflow, documentation quality, and interdisciplinary coordination.
• Managed complex medical and post-surgical cases while maintaining accurate clinical records.

MILITARY EXPERIENCE at South African National Defense Force — South African Army (2007-01 – 2013-02)

• Developed leadership, analytical, teamwork, and crisis-management capabilities in high-pressure healthcare environments.
• Supported healthcare operations requiring accountability, attention to detail, adherence to established procedures, and effective team coordination.

Associate of Science in Nursing (ASN) in Nursing