Meseret T.

About Meseret T.

I am a Registered Nurse with 15+ years of experience specializing in nursing informatics, clinical quality audits, telehealth, care management, and denials/appeals management across managed care organizations, and remote healthcare environments. My background spans a unique intersection of clinical expertise, technology allowing me to improve documentation accuracy, optimize workflows, enhance patient outcomes, and support digital health initiatives. I am experienced clinical informatics, quality auditing, documentation review, and regulatory compliance, telehealth patient assessment, chronic disease management, and virtual triage. Care coordination for high-risk population with complex chronic conditions. Working across EPIC, Cerner, InterQual, Milliman, ICUE, Pathway, and multi-system remote environments. I’m known for my analytical mindset, patient-centered communication, and ability to collaborate across clinical, administrative, and technical teams. My goal is to continue advancing in roles that leverage informatics, remote care delivery, and quality improvement to strengthen healthcare outcomes and operational performance.

Experience

1. Telephonic Nurse Case Manager

   Optum

   Jan 2022 — Present · US

   Optum Health – RemoteTelephonic Registered Nurse Case Manager | 2022 – PresentDeliver telehealth assessments for DSNP and chronically ill members, managing 15–25 calls daily.Educate members on medication adherence, conditions management and lifestyle coaching.Track and escalate clinical symptoms, potential adverse events, and high-risk indicators.Collaborate with members, providers and pharmacists to enhance the quality and delivery of care.Maintain accurate documentation across multiple EMR and data systems in compliance with internal and external requirements.

Education

• University of Maryland

  Master of Science - MS, Health Informatics Administration

• Georgetown University

  Certificate, Clinical Research Associate

• University of Houston-Clear Lake

  Certificate, Legal Nurse Consulting

• St. John Fisher University

  RN, BSN, Registered Nurse