Manager Medical
Resume:
KAROL JOHNSON RN CCMC
Savannah, MO 64485
Cell phone: 816-***-****
***********@*****.***
EDUCATION:
University of Nebraska at Kearney Graduation Date: May 1994
Bachelor of Science, Nursing
Care Manager Certification in 2013 through CCMC.
SKILLS:
Acute care nursing; Case management; Cerner SME; Wellness exams for Medicare; Patient Centered Medical Home (PCMH); Fee for Service experience; Case Management Liaison to the physician; Medical necessity.
WORK EXPERIENCE:
Heartland Regional Medical Center/ Mosaic Life Care 07/1995 -02/2017
St. Joseph, Missouri
Case Manager:
Accomplishments:
o Interim Manager, outpatient;
o Piloted CCM program to obtain fee for service;
oExperience in prior authorizations;
oDischarge denials follow through to obtain payment
oAuditing of charts and documentation to obtain the maximum payable benefit for the organization
oSME for case management and the Cerner solution
Acute Nurse ( 8years experience)
Accomplishments:
oPatient admission and discharge education
oAcute care nursing skills as described by the Nurse Care Act
City Lights LLC - 02/2017 – 09/2017
Kansas City MO
Medicare Annual Wellness Visit Nurse Coordinator
Accomplishments:
oMaintaining HIPAA regulations performing outpatient visits to meet the Medicare requirements for patients.
oPatient Centered Medical Home
oDisplayed Cultural awareness and sensitivity in the client home
LEADERSHIP EXPERIENCE/ACTIVITIES:
INTERIM MANAGER FOR OUTPATIENT CASE MANAGERS
SUBJECT MATTER EXPERT FOR CERNER SOLUTION
PCMH
CARE MANAGER CERTIFICATION 2013
Contact this candidate