Nathan Morello

Clinical Appeals & Utilization Management Expert | NP & QME | 25+ Years Driving Patient-Centered Care, Medical Necessity Review & Regulatory Compliance | EHR & Telehealth Proficiency

Role
Family Nurse Practitioner at Remedy Medical Group
Location
South San Francisco, CA, US
LinkedIn followers
500 followers
Healthcare & Human ServicesView LinkedIn profile

About Nathan Morello

I am a compassionate and highly experienced Registered Nurse (RN) and BSN candidate (expected graduation 2021) with over 25 years in healthcare, including roles as an EMT, chiropractor, and consultant facilitating EHR system implementations. My career spans hands-on patient care, clinical leadership, and health IT, allowing me to approach healthcare with a unique blend of practical expertise, analytical insight, and patient-centered focus.Throughout my career, I have built strong, collaborative relationships with physicians, nursing staff, and interdisciplinary teams to ensure high-quality, safe, and effective patient care. I am recognized for my clear communication, sound clinical judgment, and meticulous documentation of patient diagnoses, treatments, and care plans, especially in fast-paced and high-acuity environments such as emergency and urgent care settings.Drawing on my experience as a chiropractor, I excel at conducting thorough patient assessments, observing conditions, and assisting in the development of individualized care plans. My leadership extends beyond clinical care, as I have successfully led EHR and EPIC system implementations and operated my own chiropractic practice, demonstrating entrepreneurial vision, organizational skills, and patient advocacy.I bring expertise in patient care delivery, treatment planning, pain management, occupational health, and emergency room procedures, combined with strong skills in documentation, critical thinking, and interdisciplinary collaboration. I am passionate about leveraging my experience to improve patient outcomes and healthcare processes. I welcome connections and opportunities where I can contribute clinical excellence, leadership, and innovative healthcare solutions.

Experience

  1. Family Nurse Practitioner

    Remedy Medical Group

    Mar 2025 — Present

    As a dual-role Nurse Practitioner and Qualified Medical Evaluator, I lead comprehensive medical evaluations, medical necessity reviews, and injury assessments that bridge high-quality clinical care with regulatory compliance and claims resolution, directly improving care efficiency, shortening recovery timelines, and supporting defensible, evidence-based outcomes across clinical and legal stakeholders. I consistently drive measurable improvements in documentation quality, care coordination, and claims processing by applying advanced clinical judgment, regulatory expertise, and collaborative leadership across physicians, insurers, and legal teams.• Improved patient care efficiency by ~30% by delivering thorough NP and QME evaluations, optimizing assessment workflows, and translating clinical findings into clear, actionable treatment and recovery plans.• Reduced claims processing timelines by 25% through detailed medical necessity reviews, injury causation analysis, and close collaboration with physicians, attorneys, and insurance carriers to support compliant, defensible determinations.• Strengthened regulatory compliance and documentation quality by leading chart audits, refining reporting standards, and mentoring junior clinicians on state and federal QME requirements and best practices.• Expanded access to care through telehealth integration, managing virtual evaluations and follow-ups while maintaining high patient satisfaction and continuity of care across complex cases.• Led continuous quality improvement initiatives, aligning clinical operations with regulatory expectations and improving interdisciplinary communication across clinical, legal, and administrative teams.

Education

  • Santa Clara University

    B.S., Biology

    1996 — 2000

  • College of Nursing & Health Sciences at Florida International University

    Associate's degree, Nursing

  • United States University

    Bachelor of Science - BS, Nursing

    2021

Skills

  • Spa
  • Marketing
  • Therapeutic Massage
  • Customer Service
  • Rehabilitation
  • Relaxation
  • Wellness
  • Event Planning
  • Back Pain
  • Swedish
  • Low Back Pain
  • Pain Management
  • Fitness
  • Time Management
  • Bodywork
  • Chiropractic
  • Chronic Pain
  • Treatment
  • Healing
  • Preventive Medicine
  • Craniosacral Therapy
  • Sports Medicine
  • Public Speaking
  • Microsoft Excel

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Nathan Morello — Family Nurse Practitioner at Remedy Medical Group in South San Francisco, CA, US | Unifers