Megan Doss
Spartanburg
Summary
Self-directed Registered Nurse with four years of autonomous home health case management experience, specializing in care transition planning and documentation compliance. Skilled at analyzing patient data, managing visit utilization, and serving as the primary liaison between physicians and payers. Excels in independent, fast-paced digital environments and is eager to bring remote-ready clinical oversight to your team.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Home Health Case Manager
Aveanna Heathcare
South Carolina
04.2026 - Current
- Evaluated patient head-to-toe clinical data during every visit to justify and document the ongoing medical necessity for skilled nursing care.
- Managed individual patient schedules and visit frequencies, ensuring clinical resources were used efficiently based on patient acuity.
- Served as the main point of contact between families, therapists, and doctors to coordinate care and prevent unnecessary hospital readmissions.
- Reviewed and updated physician care plans (485s) daily to ensure all clinical interventions matched active medical orders and regulatory requirements.
Home Health Case Manager
Aveanna Home Health
Vancouver, WA
01.2023 - 04.2026
- Managed resource utilization for a high-volume caseload, balancing patient care needs with cost-effective service delivery.
- Prevented insurance denials by proactively identifying documentation gaps and collaborating with physicians to clarify medical orders.
- Monitored patient progress against benchmarks to optimize the episode of care, prevent over-utilization, and facilitate timely discharges.
- Screened incoming patient referrals against clinical intake criteria to verify eligibility and medical necessity for admission.
Home Health Case Manager
Avail Home Health
Yakima, WA
12.2022 - 11.2023
- Collaborated with interdisciplinary teams and physicians to optimize care plans and resolve variances.
- Evaluated patient clinical data to determine medical necessity, appropriate level of care, and resource allocation, effectively reducing unnecessary service utilization while maintaining high-quality outcomes.
- Proactively identified and mitigated compliance risks during daily documentation reviews, resulting in a dramatic reduction in chart corrections and pre-billing hold times.
Education
Bachelor of Science - Nursing
Galen College of Nursing
01-2023
Associate Science - Nursing
Galen College of Nursing
01-2021
Skills
- Self directed workflow management
- Independent decision making
- Excellent critical thinking and problem solving skills
- Accountability and reliability
- Patient advocacy
- Patient education and consulting
- Clinical assessment
- Medical documentation
- HIPAA compliance
- Home safety evaluation
Certification
- Good Catch Award | HCA Florida Northside Hospital, Bradenton, FL
- Basic Life Support (BLS) | American Heart Association, Portland, OR
Timeline
Home Health Case Manager
Aveanna Heathcare
04.2026 - Current
Home Health Case Manager
Aveanna Home Health
01.2023 - 04.2026
Home Health Case Manager
Avail Home Health
12.2022 - 11.2023
Associate Science - Nursing
Galen College of Nursing
Bachelor of Science - Nursing
Galen College of Nursing